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      Assessing the effects of a mentoring program on professional identity formation

      research-article
      1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , , 1 , 2 , 3 , 1 , 2 , 3 , 1 , 2 , 3 , 1 , 2 , 3 , 1 , 2 , 3 , 1 , 2 , 3 , 1 , 2 , 3 , 1 , 2 , 3 , 1 , 2 , 3 , 1 , 2 , 3 , 1 , 2 , 3 , 1 , 2 , 3 , 10 , 3 , 3 , 2 , 3 , 4 , 11 , 12 , 2 , 5 , 6 , 7 , 3 , 4 , 13
      BMC Medical Education
      BioMed Central
      Professional identity formation, Mentoring, Medicine, Professionalism, Palliative medicine, Assessment, Community of practice, Socialisation process, Education environment, Personhood

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          Abstract

          Background

          Medical education has enjoyed mixed fortunes nurturing professional identity formation (PIF), or how medical students think, feel and act as physicians. New data suggests that structured mentoring programs like the Palliative Medicine Initiative (PMI) may offer a means of developing PIF in a consistent manner. To better understand how a well-established structured research mentoring program shapes PIF, a study of the experiences of PMI mentees is proposed.

          Methodology

          Acknowledging PIF as a sociocultural construct, a Constructivist approach and Relativist lens were adopted for this study. In the absence of an effective tool, the Ring Theory of Personhood (RToP) and Krishna-Pisupati Model (KPM) model were used to direct this dual Systematic Evidence-Based Approach (Dual-SEBA) study in designing, employing and analysing semi-structured interviews with PMI mentees and mentoring diaries. These served to capture changes in PIF over the course of the PMI’s mentoring stages.

          Transcripts of the interviews and mentoring diaries were concurrently analysed using content and thematic analysis. Complementary themes and categories identified from the Split Approach were combined using the Jigsaw Approach and subsequently compared with mentoring diaries in the Funnelling Process. The domains created framed the discussion.

          Results

          A total of 12 mentee interviews and 17 mentoring diaries were analysed, revealing two domains—PMI as a Community of Practice (CoP) and Identity Formation. The domains confirmed the centrality of a structured CoP capable of facilitating longitudinal mentoring support and supporting the Socialisation Process along the mentoring trajectory whilst cultivating personalised and enduring mentoring relationships.

          Conclusion

          The provision of a consistent mentoring approach and personalised, longitudinal mentoring support guided along the mentoring trajectory by structured mentoring assessments lay the foundations for more effective mentoring programs. The onus must now be on developing assessment tools, such as a KPM-based tool, to guide support and oversight of mentoring relationships.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12909-023-04748-6.

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          Most cited references72

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          Using thematic analysis in psychology

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            Three approaches to qualitative content analysis.

            Content analysis is a widely used qualitative research technique. Rather than being a single method, current applications of content analysis show three distinct approaches: conventional, directed, or summative. All three approaches are used to interpret meaning from the content of text data and, hence, adhere to the naturalistic paradigm. The major differences among the approaches are coding schemes, origins of codes, and threats to trustworthiness. In conventional content analysis, coding categories are derived directly from the text data. With a directed approach, analysis starts with a theory or relevant research findings as guidance for initial codes. A summative content analysis involves counting and comparisons, usually of keywords or content, followed by the interpretation of the underlying context. The authors delineate analytic procedures specific to each approach and techniques addressing trustworthiness with hypothetical examples drawn from the area of end-of-life care.
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              The qualitative content analysis process.

              This paper is a description of inductive and deductive content analysis. Content analysis is a method that may be used with either qualitative or quantitative data and in an inductive or deductive way. Qualitative content analysis is commonly used in nursing studies but little has been published on the analysis process and many research books generally only provide a short description of this method. When using content analysis, the aim was to build a model to describe the phenomenon in a conceptual form. Both inductive and deductive analysis processes are represented as three main phases: preparation, organizing and reporting. The preparation phase is similar in both approaches. The concepts are derived from the data in inductive content analysis. Deductive content analysis is used when the structure of analysis is operationalized on the basis of previous knowledge. Inductive content analysis is used in cases where there are no previous studies dealing with the phenomenon or when it is fragmented. A deductive approach is useful if the general aim was to test a previous theory in a different situation or to compare categories at different time periods.
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                Author and article information

                Contributors
                lalit.radha-krishna@liverpool.ac.uk
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                25 October 2023
                25 October 2023
                2023
                : 23
                : 799
                Affiliations
                [1 ]Yong Loo Lin School of Medicine, National University of Singapore, ( https://ror.org/01tgyzw49) 10 Medical Dr, Singapore, Singapore
                [2 ]Division of Supportive and Palliative Care, National Cancer Centre Singapore, ( https://ror.org/03bqk3e80) Singapore, Singapore
                [3 ]Division of Cancer Education, National Cancer Centre Singapore, ( https://ror.org/03bqk3e80) Singapore, Singapore
                [4 ]Duke-NUS Medical School, ( https://ror.org/02j1m6098) Singapore, Singapore
                [5 ]Lien Centre for Palliative Care, Duke-NUS Medical School, ( https://ror.org/02j1m6098) Singapore, Singapore
                [6 ]Health Data Science, University of Liverpool, ( https://ror.org/04xs57h96) 200 London Road, Liverpool, UK
                [7 ]Palliative Care Institute Liverpool, Cancer Research Centre, University of Liverpool, ( https://ror.org/04xs57h96) 200 London Rd, L3 9TA Liverpool, UK
                [8 ]GRID grid.517924.c, The Palliative Care Centre for Excellence in Research and Education, , PalC C/O Dover Park Hospice, ; 10 Jalan Tan Tock Seng, Singapore, 308436 Singapore
                [9 ]Centre for Biomedical Ethics, National University of Singapore, ( https://ror.org/01tgyzw49) Singapore, Singapore
                [10 ]Division of Oncology Pharmacy, National Cancer Centre Singapore, ( https://ror.org/03bqk3e80) Singapore, Singapore
                [11 ]Assisi Hospice, Singapore, Singapore
                [12 ]GRID grid.453420.4, ISNI 0000 0004 0469 9402, Office of Medical Humanities, , SingHealth Medicine Academic Clinical Programme, ; Singapore, Singapore
                [13 ]Division of Medical Oncology, National Cancer Centre Singapore, ( https://ror.org/03bqk3e80) Singapore, Singapore
                Article
                4748
                10.1186/s12909-023-04748-6
                10601320
                37880728
                5db2f639-7b82-4da6-85a3-faef8094c848
                © BioMed Central Ltd., part of Springer Nature 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 20 February 2023
                : 4 October 2023
                Categories
                Research
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                © BioMed Central Ltd., part of Springer Nature 2023

                Education
                professional identity formation,mentoring,medicine,professionalism,palliative medicine,assessment,community of practice,socialisation process,education environment,personhood

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