Family physicians’ professional identity formation: a study protocol to explore impression management processes in institutional academic contexts

BMC Medical Education

Inmaculada Pereiró-Berenguer¹  Laure Fiquet⁷  Sarah Spencer²  Pierre-Paul Tellier⁴  Maria Ángeles Pastor-Mira⁶  Sandrine Hugé⁷  Jane Burns³  Emmanuelle Bélanger⁴  Sofia López-Roig⁶  Francois-Xavier Schweyer⁵  Teresa Pawlikowska³  Charo Rodríguez⁴ 

[1] Puerto de Sagunto Community Health Center, Puerto de Sagunto, Valencia, Spain;The London School of General Practice, Queen Mary University of London, London, UK;Health Professions Education Centre, Royal College of Surgeons in Ireland, Dublin, Ireland;Department of Family Medicine, Faculty of Medicine, McGill University, Montreal, Quebec, Canada;Équipe de Recherche sur les Inégalités de Santé, Centre Maurice Halbwachs (UMR 8097 CNRS-EHESS-ENS), Paris, France;Department of Health Psychology, Miguel Hernández University, Elche, Alicante, Spain;Department of General Medicine, University of Rennes 1, Rennes, France

关键词: Rhetorical analysis;    Case study;    Impression management;    Institutional theory;    Professional identity formation;    Family physicians;   

Others  :  1091530
DOI  :  10.1186/1472-6920-14-184

 received in 2014-05-29, accepted in 2014-08-29,  发布年份 2014

【 摘 要 】

Background

Despite significant differences in terms of medical training and health care context, the phenomenon of medical students’ declining interest in family medicine has been well documented in North America and in many other developed countries as well. As part of a research program on family physicians’ professional identity formation initiated in 2007, the purpose of the present investigation is to examine in-depth how family physicians construct their professional image in academic contexts; in other words, this study will allow us to identify and understand the processes whereby family physicians with an academic appointment seek to control the ideas others form about them as a professional group, i.e. impression management.

Methods/Design

The methodology consists of a multiple case study embedded in the perspective of institutional theory. Four international cases from Canada, France, Ireland and Spain will be conducted; the "case" is the medical school. Four levels of analysis will be considered: individual family physicians, interpersonal relationships, family physician professional group, and organization (medical school). Individual interviews and focus groups with academic family physicians will constitute the main technique for data generation, which will be complemented with a variety of documentary sources. Discourse techniques, more particularly rhetorical analysis, will be used to analyze the data gathered. Within- and cross-case analysis will then be performed.

Discussion

This empirical study is strongly grounded in theory and will contribute to the scant body of literature on family physicians’ professional identity formation processes in medical schools. Findings will potentially have important implications for the practice of family medicine, medical education and health and educational policies.

【 授权许可】

   
2014 Rodriguez et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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