Why Do Young Physicians Make a 'Detour' to Aesthetic Clinics? An Exploration of Professional Identity among Young Physicians Who Changed Career Paths

Chiung-Hsuan Chiu ； Jeng-Cheng Wu ； Chien-Yu Chen

《Journal of Medical Education》 23卷4期 (2019/12) Pp. 207-217

https://doi.org/10.6145/jme.201912_23(4).0002

摘要

Purpose: An increasing number of young physicians in Taiwan terminate their postgraduate year or specialty training in favor of working in aesthetic clinics or other industries. Some choose to return to teaching hospitals and complete their specialty training, while others choose alternative pathways. This study aims to understand the reasons and significance of this problem and explore what makes these young physicians change career paths. Methods: This preliminary study collected data via in-depth interviews and analyzed the transcripts using the template coding method. Eight participants recruited via snowball sampling were classified into three groups: those who returned to the training system after diverging, those who decided to work in the cosmetic industry, and those who decided to work in other fields. Results: This study summarizes the internal and external factors that impacted the participants' identity formation and drove them to make a detour on their career paths. Their timelines were also incorporated into the analysis. The results showed that the participants encountered hardships in the internship stage that made them reconsider whether they should devote themselves to medicine. Conclusions: Diverging from the clinical pathway provides a buffer for young physicians who encounter difficulties during training. However, choosing aesthetic medicine during such a transitional period might not solve their identity problems, not until they found more supports. Assisting young doctors to nurture their self-identity as well as their professional ones would serve as a more effective strategy than focusing only on either of them.

關鍵字

professional identity formation ； aesthetic medicine ； career path ； young physicians

參考文獻

1. Jarvis-Selinger, S., D.D. Pratt, and G. Regehr, Competency is not enough: Integrating identity formation into the medical education discourse. Academic Medicine, 2012. 87(9): p. 1185-1190.

3. Helmich, E., et al., Medical students' professional identity development in an early nursing attachment. Medical education, 2010. 44(7): p. 674-682.

4. Crossley, J. and P. Vivekananda-Schmidt, The development and evaluation of a Professional Self Identity Questionnaire to measure evolving professional self-identity in health and social care students. Medical teacher, 2009. 31(12): p. e603-e607.

5. Pratt, M.G., K.W. Rockmann, and J.B. Kaufmann, Constructing professional identity: The role of work and identity learning cycles in the customization of identity among medical residents. Academy of management journal, 2006. 49(2): p. 235-262.

7. Burke, P.J. and D.C. Reitzes, An identity theory approach to commitment. Social psychology quarterly, 1991: p. 239-251.