Assessing professional identity formation (PIF) amongst medical students in Oncology and Palliative Medicine postings: a SEBA guided scoping review

BMC Palliative Care

Research

Min Chiam¹  Limin Wijaya²  Suzanne Pei Lin Goh³  Neha Burla⁴  Kuang Teck Tay⁴  Kelly Jia Hui Teo⁴  Mac Yu Kai Teo⁴  Rui Song Ryan Ong⁴  Anushka Pisupati⁴  Claire Hui Xian Seah⁴  You Ru Toh⁴  Chloe Keyi Goh⁴  Natalie Song Yi Koh⁴  Yun Ting Ong⁴  Lalit Kumar Radha Krishna⁵  Warren Fong⁶ 

[1] Division of Cancer Education, National Cancer Centre Singapore, 11 Hospital Crescent, 169610, Singapore, Singapore;Duke-NUS Medical School, 8 College Road, 169857, Singapore, Singapore;Division of Infectious Disease, Singapore General Hospital, 16 College Road, Block 6 Level 7, Singapore General Hospital, 169854, Singapore, Singapore;Duke-NUS Medical School, 8 College Road, 169857, Singapore, Singapore;KK Women’s and Children Hospital, 100 Bukit Timah Rd, 229899, Singapore, Singapore;Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, Level 11, 119228, Singapore, Singapore;Division of Supportive and Palliative Care, National Cancer Centre Singapore, 11 Hospital Crescent, 16961, Singapore, Singapore;Division of Cancer Education, National Cancer Centre Singapore, 11 Hospital Crescent, 169610, Singapore, Singapore;Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, Level 11, 119228, Singapore, Singapore;Division of Supportive and Palliative Care, National Cancer Centre Singapore, 11 Hospital Crescent, 16961, Singapore, Singapore;Division of Cancer Education, National Cancer Centre Singapore, 11 Hospital Crescent, 169610, Singapore, Singapore;Duke-NUS Medical School, 8 College Road, 169857, Singapore, Singapore;Palliative Care Institute Liverpool, Academic Palliative & End of Life Care Centre, Cancer Research Centre, University of Liverpool, 200 London Road, L3 9TA, Liverpool, UK;Centre for Biomedical Ethics, National University of Singapore, Blk MD11, 10 Medical Drive, #02-03, 117597, Singapore, Singapore;The Palliative Care Centre for Excellence in Research and Education, PalC C/O Dover Park Hospice, 10 Jalan Tan Tock Seng, 308436, PalC, Singapore;Health Data Science, University of Liverpool, Whelan Building, The Quadrangle, Brownlow Hill, L69 3GB, Liverpool, UK;Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, Level 11, 119228, Singapore, Singapore;Duke-NUS Medical School, 8 College Road, 169857, Singapore, Singapore;Department of Rheumatology and Immunology, Singapore General Hospital, 16 College Road, Block 6 Level 9, Singapore General Hospital, 169854, Singapore, Singapore;

关键词: Professional identity formation;    Medical students;    Palliative care;    Oncology;    Personhood;    Medical school;    Identity;    Mentoring;   

DOI  :  10.1186/s12904-022-01090-4

 received in 2022-05-05, accepted in 2022-10-26,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundIntroduction to a multi-professional team who are working and caring for the dying, and facing complex moral and ethical dilemmas during Oncology and Palliative Medicine postings influence a medical student’s professional identity formation (PIF). However, limited appreciation of PIF, inadequate assessments and insufficient support jeopardise this opportunity to shape how medical students think, feel and act as future physicians. To address this gap, a systematic scoping review (SSR) of PIF assessment methods is proposed.MethodsA Systematic Evidence-based Approach (SEBA) guided SSR of assessments of PIF in medical schools published between 1st January 2000 and 31st December 2021 in PubMed, Embase, ERIC and Scopus databases was carried out. Included articles were concurrently content and thematically analysed using SEBA’s Split Approach and the themes and categories identified were combined using SEBA’s Jigsaw Perspective. The review hinged on the following questions: “what is known about the assessment of professional identity formation amongst medical students?”, “what are the theories and principles guiding the assessment of professional identity formation amongst medical students?”, “what factors influence PIF in medical students?”, “what are the tools used to assess PIF in medical students?”, and “what considerations impact the implementation of PIF assessment tools amongst medical students?”.ResultsTwo thousand four hundred thirty six abstracts were reviewed, 602 full-text articles were evaluated, and 88 articles were included. The 3 domains identified were 1) theories, 2) assessment, and 3) implementation in assessing PIF. Differing attention to the different aspects of the PIF process impairs evaluations, jeopardise timely and appropriate support of medical students and hinder effective implementation of PIF assessments.ConclusionThe Krishna-Pisupati model combines current theories and concepts of PIF to provide a more holistic perspective of the PIF process. Under the aegis of this model, Palliative Care and Oncology postings are envisaged as Communities of Practice influencing self-concepts of personhood and identity and shaping how medical students see their roles and responsibilities as future physicians. These insights allow the forwarding of nine recommendations to improve assessments of PIF and shape the design of a PIF-specific tool that can direct timely and personalized support of medical students.

【 授权许可】

CC BY   
© The Author(s) 2022. corrected publication 2022

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