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      Do professionalism, leadership, and resilience combine for professional identity formation? Evidence from confirmatory factor analysis

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          Abstract

          Introduction

          Professional identity formation (PIF) is an ongoing, self-reflective process involving habits of thinking, feeling and acting like a physician and is an integral component of medical education. While qualitative work has suggested that PIF is informed by professionalism, resilience, and leadership, there is a dearth of quantitative work in this area. Multiple methods build rigor and the present study aimed to quantitatively assess the relative psychometric contributions of professionalism, resilience, and leadership constructs to informing PIF, using a latent factor analysis approach.

          Methods

          We analyzed data from the PILLAR study, which is an online cross-sectional assessment of a pre-clinical cohort of medical students in the RCSI University of Medicine and Health Sciences, Dublin, using established and validated quantitative measures in each area of interest: PIF, professionalism, leadership and resilience. A total of 76 items, combining four validated scales, along with a selection of demographic questions, were used. The hypothesis that PIF is informed by, and correlates with, professionalism, resilience and leadership was examined by conducting a confirmatory factor analysis of a proposed three-factor higher-order model. Model estimation used Maximum Likelihood Method (MLM) with geomin rotation. The hypothesized (measurement) model was examined against an alternative (saturated) model, as well as a three-factor model.

          Results

          Latent variable analysis from 1,311 students demonstrated that a three-factor higher-order model best fit the data; suggesting PIF is informed by professionalism, resilience, and leadership, and that these constructs are statistically distinct and account for differential aspects of PIF. This higher-order model of PIF outperformed both the saturated model and the three-factor model. The analysis of which component may be the most or least influential was inconclusive, and the overall model was not influenced by year of training.

          Discussion

          Building upon existing conceptual contentions, our study is the first to quantitatively support the contribution of professionalism, resilience, and leadership to the development of professional identity, and to delineate the inter-relationships between PIF and these constructs. This information can be used by medical educators when designing curricula and educational strategies intended to enhance PIF. Future work should seek to assess the influence of these constructs longitudinally.

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          Most cited references52

          • Record: found
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          • Article: not found

          Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives

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            • Record: found
            • Abstract: not found
            • Article: not found

            Evaluating Structural Equation Models with Unobservable Variables and Measurement Error

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              • Record: found
              • Abstract: found
              • Article: not found

              The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.

              Much biomedical research is observational. The reporting of such research is often inadequate, which hampers the assessment of its strengths and weaknesses and of a study's generalisability. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) initiative developed recommendations on what should be included in an accurate and complete report of an observational study. We defined the scope of the recommendations to cover three main study designs: cohort, case-control, and cross-sectional studies. We convened a 2-day workshop in September, 2004, with methodologists, researchers, and journal editors to draft a checklist of items. This list was subsequently revised during several meetings of the coordinating group and in e-mail discussions with the larger group of STROBE contributors, taking into account empirical evidence and methodological considerations. The workshop and the subsequent iterative process of consultation and revision resulted in a checklist of 22 items (the STROBE statement) that relate to the title, abstract, introduction, methods, results, and discussion sections of articles.18 items are common to all three study designs and four are specific for cohort, case-control, or cross-sectional studies.A detailed explanation and elaboration document is published separately and is freely available on the websites of PLoS Medicine, Annals of Internal Medicine, and Epidemiology. We hope that the STROBE statement will contribute to improving the quality of reporting of observational studies
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                Author and article information

                Contributors
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                Journal
                Front Med (Lausanne)
                Front Med (Lausanne)
                Front. Med.
                Frontiers in Medicine
                Frontiers Media S.A.
                2296-858X
                13 June 2024
                2024
                : 11
                : 1385489
                Affiliations
                [1] 1Centre for Professionalism in Medicine and Health Sciences at Royal College of Surgeons in Ireland, University of Medicine and Health Sciences , Dublin, Ireland
                [2] 2Department of Health Psychology, School of Population Health, Royal College of Surgeons in Ireland University of Medicine and Health Sciences , Dublin, Ireland
                [3] 3Data Science Centre, School of Population Health, Royal College of Surgeons in Ireland University of Medicine and Health Sciences , Dublin, Ireland
                [4] 4Institute of Learning, Mohammad Bin Rashid University , Dubai, United Arab Emirates
                Author notes

                Edited by: Adam Sawatsky, Mayo Clinic, United States

                Reviewed by: Ana L. S. Da Silva, Swansea University Medical School, United Kingdom

                Xiaoying Feng, American Institutes for Research, United States

                *Correspondence: Aine Ryan, aineryan@ 123456rcsi.ie
                Article
                10.3389/fmed.2024.1385489
                11208471
                38938377
                a803c0cc-49d5-4fd9-b182-5c945eb1eabf
                Copyright © 2024 Ryan, Moran, Byrne, Hickey, Boland, Harkin, Guraya, Bensaaud and Doyle.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 12 February 2024
                : 27 May 2024
                Page count
                Figures: 1, Tables: 5, Equations: 0, References: 54, Pages: 10, Words: 6999
                Funding
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. AR and DH were supported by the RCSI and the Bons Secours Health System. The Bons Secours Health System had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Medicine
                Original Research
                Custom metadata
                Healthcare Professions Education

                medical education research,professional identity formation,professionalism,leadership,resilience,confirmatory factor analysis

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