Phil H Lee, Brenden Tervo-Clemmens, Richard T Liu, Maia B Gersten, Jae-Yoon Jung, Amy C Janes, Jodi Gilman
Use of Tobacco Products and Suicide Attempts Among Elementary School-Aged Children
JAMA network open
phenomenon professionalism largely understood complex dynamic oftentimes implemented static concrete result policies practices reflect dominant historical norms medical profession cause tension trainees marginalized groups one group comprises identify firstgeneration physicians whose parents earned associates degree higher group highly diverse terms gender race ethnicity socioeconomic status however experiences institutional professionalism policies practices yet fully explored study aims understand ways participants experience professionalism inform professionalism inclusively conceptualized approach november 2022march 2023 conducted semistructured interviews 11 firstgeneration medical students residents physicians analyzed select national institutional professionalism policies relation key themes identified interviews interviews designed elicit participants experiences professionalism experienced tension challenges firstgen identity data analyzed using thematic analysis critical perspective focused identifying tensions systemic historical factors findings participants described ways experienced tension written enacted desirable possible around following elements professionalism physical appearance attendance leaves absence patient care described deep connection patient care joy often overshadowed elements professionalism well healthcare system barriers also shared ways wish contribute changing institutions conceptualize professionalism insights given unique paths medicine marginalized status medicine firstgeneration interviewees provided necessary lens viewing concept professionalism largely absent medicine findings contribute understanding professionalism conceptually also practically professionalism evolves important institutions translate professionalisms complexity educational practice well involve diverse voices refining professionalism definitions policies