Assessing professional identity formation (PIF) amongst medical students in Oncology and Palliative Medicine postings: a SEBA guided scoping review
Teo, Kelly Jia Hui
Teo, Mac Yu Kai
Pisupati, Anushka
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Ong, Rui Song Ryan
Goh, Chloe Keyi
Seah, Claire Hui Xian
Toh, You Ru
Burla, Neha
Koh, Natalie Song Yi
Tay, Kuang Teck
Ong, Yun Ting
Chiam, Min
Fong, Warren
Wijaya, Limin
Goh, Suzanne Pei Lin
Krishna, Lalit Kumar Radha
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Krishna, LKR (通讯作者),Natl Univ Singapore, Yong Loo Lin Sch Med, 1E Kent Ridge Rd,NUHS Tower Block,Level 11, Singapore 119228, Singapore.;Krishna, LKR (通讯作者),Natl Canc Ctr Singapore, Div Support & Palliat Care, 11 Hosp Crescent, Singapore 16961, Singapore.;Krishna, LKR (通讯作者),Natl Canc Ctr Singapore, Div Canc Educ, 11 Hosp Crescent, Singapore 169610, Singapore.;Krishna, LKR (通讯作者),Duke NUS Med Sch, 8 Coll Rd, Singapore 169857, Singapore.;Krishna, LKR (通讯作者),Univ Liverpool, Acad Palliat & End Life Care Ctr, Canc Res Ctr, Palliat Care Inst Liverpool, 200 London Rd, Liverpool L3 9TA, Merseyside, England.;Krishna, LKR (通讯作者),Natl Univ Singapore, Ctr Biomed Eth, Blk MD11,10 Med Dr,02-03, Singapore 117597, Singapore.;Krishna, LKR (通讯作者),Dover Pk Hosp, Palliat Care Ctr Excellence Res & Educ, PaIC, 10 Jalan Tan Tock Seng, Singapore 308436, Singapore.;Krishna, LKR (通讯作者),Univ Liverpool, Hlth Data Sci, Whelan Bldg,Brownlow Hill, Liverpool L69 3GB, Merseyside, England.
Background Introduction 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. Methods A Systematic Evidence-based Approach (SEBA) guided SSR of assessments of PIF in medical schools published between 1(st) January 2000 and 31(st) 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?. Results Two 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. Conclusion The 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.