Best Practices for Supporting Professional Identity Formation during Laboratory Animal Medicine Residency Training.

Megan H Nowland, Paul Haidet, Heather Stuckey, Tiffany L Whitcomb
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Abstract

Professional identity formation (PIF) is the dynamic psychosocial process crucial to becoming enculturated into a profession. This nonlinear process starts with entrance into a training program and ideally results in the harmonization of norms, values, and aspirations of the person with those of the chosen field. PIF is most successful when trainees can reflect, have positive role models and mentors, and receive social validation. Those who experience lack of support or hardship during PIF are at risk of burnout and poor mental health during their careers. Medical education research indicates that residency training significantly impacts PIF. This occurs because residents' new patient care responsibilities force them to grapple with the differences between the ideal practice taught in medical school and the realities of their work lives. Emerging evidence in veterinary medical education research indicates that residents enrolled in laboratory animal medicine (LAM) residency programs experience similar tensions as they navigate relationships with stakeholders, encounter conditional valuation of their veterinary knowledge, and feel powerless to enact changes. To explore best practices for supporting PIF for developing LAM veterinarians, we performed a qualitative analysis of written comments from surveys completed by attendees at the 2022 American College of Laboratory Animal Medicine Forum meeting. Results were organized by 5 themes: (1) empowering residents to step into their authority and understand the limitations of their roles, (2) providing support for learning about the complexities of relationships within LAM, (3) serving as role models and mentors in building relationships, (4) creating opportunities to learn professional communication, and (5) advocating for the specialized and explicit value of the profession (LAM). From these results, we constructed a model that illustrates the PIF process for LAM veterinarians in training, with the goal of raising awareness of the connection between the quality of PIF and career wellness.

实验动物医学住院医师培训中支持专业身份形成的最佳实践。
职业认同形成(PIF)是一个动态的社会心理过程,对适应一个职业至关重要。这个非线性的过程从进入培训计划开始,理想的结果是使个人的规范、价值观和愿望与所选领域的规范、价值观和愿望协调一致。当受训者能够反思,有积极的榜样和导师,并得到社会认可时,PIF是最成功的。那些在PIF期间缺乏支持或困难的人在职业生涯中面临着倦怠和心理健康状况不佳的风险。医学教育研究表明,住院医师培训对PIF有显著影响。这是因为住院医生新的病人护理责任迫使他们努力解决医学院教授的理想实践与他们工作生活的现实之间的差异。兽医教育研究中出现的新证据表明,参加实验动物医学(LAM)住院医师计划的住院医师在与利益相关者的关系中遇到类似的紧张关系,遇到兽医知识的有条件评估,并感到无力实施变革。为了探索支持PIF发展LAM兽医的最佳实践,我们对2022年美国实验动物医学学院论坛会议上与会者完成的调查的书面评论进行了定性分析。结果分为5个主题:(1)授权住院医师进入他们的权威并了解他们角色的局限性;(2)为学习LAM内部关系的复杂性提供支持;(3)在建立关系方面提供榜样和导师;(4)创造学习专业沟通的机会;(5)倡导专业的专业化和明确的价值(LAM)。根据这些结果,我们构建了一个模型来说明LAM兽医在培训中的PIF过程,目的是提高人们对PIF质量与职业健康之间联系的认识。
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