Journal
AMERICAN JOURNAL OF SURGERY
Volume 224, Issue 1, Pages 284-291Publisher
EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
DOI: 10.1016/j.amjsurg.2022.01.010
Keywords
Surgeon identity; Professional identity formation; Professional identity; Professionalism
Categories
Funding
- National Institute on Aging Grants for Early Medical/Surgical Specialists Transition to Aging Research (GEMSSTAR) [R03 AG056588-02]
- Obesity Scientist Training Program [5T32DK108740]
- Agency for Healthcare Research and Quality [T32HS000053, K08 HS026772-01A1]
- National Clinician Scholars Program
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Professional identity formation of surgeons is a complex process influenced by various factors, starting before residency training and continuing to evolve in practice.
Background: Professional identity formation is essential to medical trainee education. Surgeons are expected to guide trainees through this process but may be unprepared as they may not understand their own professional identity. Methods: We purposively selected 46 surgeons across Michigan to participate in semi-structured qualitative interviews intended to explore surgical decision-making in 2019. Thematic analysis was used to analyze the transcripts. Results: Surgeon identity formation is a complex process influenced by factors from four domains: individual factors, interpersonal relationships, external influences, and professional experience. We found surgeon identity formation commences prior to residency training and continues to remodel long into practice. Conclusions: By understanding surgeon identity, surgeons will be prepared to help form trainees' professional identities and recognize opportunities for improvement. We believe changes, especially within the environment and community, will encourage medical students to enter surgical fields, decrease resident attrition, and promote surgeon well-being.
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