Investigating the status and influencing factors of professional identity formation among Chinese medical interns: a mixed methods study

作者：Xuedong Jia, Jiayi Du, Tianyu Xu, Xuejun Yin, Qiufang Zhang, Xiaoyue Bao, Wan Zhang, Shuzhang Du, Youhong Hu, Loraine D. Cook, Zhimin Chen, Zhao Yin · 发表于：BMC Medical Education · 年份：2025 · DOI：10.1186/s12909-025-07199-3 · 被引用次数：6 · 研究领域：Innovations in Medical Education、Healthcare professionals’ stress and burnout、Higher Education and Employability

BACKGROUND: Professional Identity Formation (PIF) involves a movement through a series of conceptually distinct developmental stages. Kegan's theory of PIF is divided into 6 phases (stages 0-5). It is believed that students undergo stages 2-4 (imperial, interpersonal, institutional) during medical education. Currently, the PIF of medical interns is being extensively studied. However, few studies on Chinese interns. Social-ecological theory (STC) suggests that an individual's behavior and development are shaped by his or her multilevel interactions with the environment, so it's necessary to explore the mechanisms of interns' PIF within Chinese socio-cultural settings. AIM: This study assesses the PIF status of Chinese medical interns and investigates interactions between multidimensional influencing factors underlining the process of PIF. METHODS: This is a convergent mixed methods case study and consists of two parallel parts. The quantitative research involved a cross-sectional survey using online questionnaires on PIF, job burnout, and resilience. Four stage-specific scales (SASs) and a development scale (DS) were used to quantify the complexity and divergent processes of PIF. In the qualitative research, authors arranged semi-structured face-to-face interviews with medical interns. Data collection and analysis were conducted simultaneously. The model of Reciprocal Determinism is used as theoretical framework until data saturation was achieved. RESULTS: A total of 1054 resp...