The image of a doctor in the minds of medical students of the 2nd and 3rd courses of the Faculty of Medicine
DOI:
https://doi.org/10.33910/2686-9527-2025-7-3-338-352Keywords:
professional self-determination, image of professional self, professional identity, medical student training, semantic characteristics of a doctor’s competenciesAbstract
Introduction. The success of a young doctor’s clinical work is influenced by the professional identity formed during training. This article focuses on the ideas about professional future among medical students of the 2nd and 3rd years of study, treating these ideas as indicators of professional identity development.
Materials and Methods. The longitudinal study examined semantic units used by 2nd- and 3rd-year medical students to describe their professional future. The study employed the Who am I? test (M. Kuhn, T. McPartland), modified by T. V. Rumyantseva. Participants included 301 2nd-year and 249 3rd-year students from the Faculty of Medicine.
Results. Analysis revealed specific features in the structure of professional identity among 2nd- and 3rd-year medical students, as well as changes that occur between these years. Content analysis of semantic units showed that 3rd-year students begin to differentiate between medical professions, start to consider career prospects, and incorporate financial considerations into their evaluation of medical work, in addition to moral aspects of doctor-patient relationships.
Conclusion. Ideas about professional future have an objective-forming role and shape professional identity of 2nd- and 3rd-year medical students. These ideas evolve over the course of study, suggesting that professional self-determination emerges as a newly formed psychological function. Medical educators should emphasize the moral aspects of doctor-patient relationships to 2nd-year students, while 3rd-year students should be made aware that the balance of the doctor’s cognitive and communicative competencies affects the patient’s healing process.
References
Литература
Богдан, И. В., Кузьменков, В. А., Чистякова, Д. П. (2022) Образ врача в массовом сознании (по материалам социологического исследования). Вестник Нижегородского университета им. Н. И. Лобачевского. Серия: Социальные науки, № 4 (68), с. 95–102. EDN: PVEQGU
Богдановская, И. М., Сычев, А. В. (2019) Образ будущей профессиональной деятельности студентов-психологов. Психология человека в образовании, т. 1, № 2, с. 184–192. https://doi.org/10.33910/2686-9527-2019-1-2-184-192
Касьянова, Т. И., Мальцев, А. В., Гребнев, С. А. (2022) Профессиональное самоопределение студентов. Профессиональное образование в России и за рубежом, № 4 (48), с. 78–86. https://doi.org/10.54509/22203036_2022_4_78
Климов, Е. А. (2012) Психология профессионального самоопределения. 5-е изд. М.: Академия, 304 с.
Новикова, И. С. (2023) Педагогические условия формирования ценностно-смысловой профессиональной я-концепции студентов педагогического университета. Известия Балтийской государственной академии рыбопромыслового флота, № 4 (66), с. 98–101. https://doi.org/10.46845/2071-5331-2023-4-66-98-101
Новикова, Т. О., Потапова, Е. А., Сахно, Л. В., Колтунцева, И. В. (2023) Особенности профессионального самоопределения студентов медицинского вуза. Медицинское образование и профессиональное развитие, т. 14, № 4, с. 84–97. https://doi.org/10.33029/2220-8453-2023-14-4-84-97
Рубинштейн, С. Л. (2012) Человек и мир. М.: Питер, с. 224.
Румянцева, Т. В. (2005) Трансформация идентичности студентов медицинского вуза в меняющихся социальных условиях. Автореферат диссертации на соискание степени кандидата психологических наук. Ярославль, Ярославский государственный педагогический университет им. К. Д. Ушинского, 28 с.
Тимонова, Д. А., Орлов, К. Г. (2023) Образ пациента и тип межличностных отношений в диаде врач-пациент у студентов лечебного факультета. В кн.: Н. В. Бакулина, С. В. Тихонов (ред.). Мечниковские чтения–2023. Сборник материалов конференции. 96-я Всероссийская научно-практическая конференция студенческого научного общества с международным участием. СПб.: Изд-во Северо-Западного государственного медицинского университета имени И. И. Мечникова, с. 511–512.
Endalcachew, M., Deberg, J., Swee, M. et al. (2023) Professional identity formation among undergraduate pre-medical students: A scoping review protocol. Systematic Reviews, vol. 12, article 171. https://doi.org/10.1186/s13643-023-02329-8
Findyartini, A., Greviana, N., Felaza, E. et al. (2022) Professional identity formation of medical students: A mixed-methods study in a hierarchical and collectivist culture. BMC Medical Education, vol. 22, article 443. https://doi.org/10.1186/s12909-022-03393-9
Heydari, S., Beigzadeh, A. (2024) Medical students’ perspectives of reflection for their professional development. BMC Medical Education, vol. 24, article 1399. https://doi.org/10.1186/s12909-024-06401-2
Koh, E. Y. H., Koh, K. K., Renganathan, Ya., Krishna, L. (2023) Role modelling in professional identity formation: A systematic scoping review. BMC Medical Education, vol. 23, article 194. https://doi.org/10.1186/s12909-023-04144-0
Krishnasamy, N., Hasamnis, A. A., Patil, S. S. (2022) Developing professional identity among undergraduate medical students in a competency-based curriculum: Educators’ perspective. Journal of Education and Health Promotion, vol. 11, no. 1, article 361. https://doi.org/10.4103/jehp.jehp_329_22
Mount, G. R., Kahlke, R., Melton, J., Varpio, L. (2022) A critical review of professional identity formation interventions in medical education. Academic Medical, vol. 97, no. 11S, рр. S96–S106. https://doi.org/10.1097/ACM.0000000000004904
Nasiri, E., Shokrpour, N. (2024) Identification of factors influencing professional identity development in medical students at basic sciences stage. Journal of Advances in Medical Education & Professionalism, vol. 12, no. 1, pp. 45–50. https://doi.org/10.30476/JAMP.2023.99829.1856
Sarraf-Yazdi, S., Teo, N., How, A. E. H. et al. (2021) A scoping review of professional identity formation in undergraduate medical education. Journal of General Internal Medicine, vol. 36, no. 11, рр. 3511–3521. https://doi.org/10.1007/s11606-021-07024-9
Yakov, G., Riskin, A., Flugelman, A. A. (2021) Mechanisms involved in the formation of professional identity by medical students. Medical Teacher, vol. 43, no 4, рр. 428–438. https://doi.org/10.1080/0142159X.2020.1854706
References
Bogdan, I. V., Kuz’menkov, V. A., Chistyakova, D. P. (2022) Obraz vracha v massovom soznanii (po materialam sotsiologicheskogo issledovaniya) [Image of doctor in the mass consciousness (based on sociological research)]. Vestnik Nizhegorodskogo universiteta im. N. I. Lobachevskogo. Seriya: Sotsial’nye nauki — Vestnik of Lobachevsky University of Nizhni Novgorod. Series: Social Sciences, no. 4 (68), pp. 95–102. (In Russian)
Bogdanovskaya, I. M., Sychev, A. V. (2019) Obraz budushchej professional’noj deyatel’nosti studentov-psikhologov [Psychology students’ beliefs about the nature of their future work]. Psikhologiya cheloveka v obrazovanii — Psychology in Education, vol. 1, no. 2, pp. 184–192. https://doi.org/10.33910/2686-9527-2019-1-2-184-192 (In Russian)
Endalcachew, M., Deberg, J., Swee, M. et al. (2023) Professional identity formation among undergraduate pre-medical students: A scoping review protocol. Systematic Reviews, vol. 12, article 171. https://doi.org/10.1186/s13643-023-02329-8 (In English)
Findyartini, A., Greviana, N., Felaza, E. et al. (2022) Professional identity formation of medical students: A mixed-methods study in a hierarchical and collectivist culture. BMC Medical Education, vol. 22, article 443. https://doi.org/10.1186/s12909-022-03393-9 (In English)
Heydari, S., Beigzadeh, A. (2024) Medical students’ perspectives of reflection for their professional development. BMC Medical Education, vol. 24, article 1399. https://doi.org/10.1186/s12909-024-06401-2 (In English)
Kas’yanova, T. I., Mal’tsev, A. V., Grebnev, S. A. (2022) Professional’noe samoopredelenie studentov [Professional self-determination of students]. Professional’noe obrazovanie v Rossii i za rubezhom — Professional Education in Russia and Abroad, no. 4 (48), pp. 78–86. https://doi.org/10.54509/22203036_2022_4_78 (In Russian)
Klimov, E. A. (2012) Psikhologiya professional’nogo samoopredeleniya. [Psychology of professional self-determination]. 5th ed. Moscow: Academia Publ., 304 p. (In Russian)
Koh, E. Y. H., Koh, K. K., Renganathan, Ya., Krishna, L. (2023) Role modelling in professional identity formation: A systematic scoping review. BMC Medical Education. vol. 23, article 194. https://doi.org/10.1186/s12909-023-04144-0 (In English)
Krishnasamy, N., Hasamnis, A. A., Patil, S. S. (2022) Developing professional identity among undergraduate medical students in a competency-based curriculum: Educators’ perspective. Journal of Education and Health Promotion, vol. 11, no. 1, article 361. https://doi.org/10.4103/jehp.jehp_329_22 (In English)
Mount, G. R., Kahlke, R., Melton, J., Varpio, L. (2022) A critical review of professional identity formation interventions in medical education. Academic Medical, vol. 97, no. 11S, рр. S96–S106. https://doi.org/10.1097/ACM.0000000000004904 (In English)
Nasiri, E., Shokrpour, N. (2024) Identification of factors influencing professional identity development in medical students at basic sciences stage. Journal of Advances in Medical Education & Professionalism, vol. 12, no. 1, pp. 45–50. https://doi.org/10.30476/jamp.2023.99829.1856 (In English)
Novikova, I. S. (2023) Pedagogicheskie usloviya formirovaniya tsennostno-smyslovoj professional’noj ya-kontseptsii studentov pedagogicheskogo universiteta [Pedagogical conditions for the formation of a value-semantic professional self-concept for students of a pedagogical university]. Izvestiya Baltijskoj gosudarstvennoj akademii rybopromyslovogo flota — The Tidings of the Baltic State Fishing Fleet Academy: Psychological and Pedagogical sciences, no. 4 (66), pp. 98–101. https://doi.org/10.46845/2071-5331-2023-4-66-98-101 (In Russian)
Novikova, T. O., Potapova, E. A., Sakhno, L. V., Koltuntseva, I. V. (2023) Osobennosti professional’nogo samoopredeleniya studentov meditsinskogo vuza [Specifics of professional self-determination of medical university students.]. Meditsinskoe obrazovanie i professional’noe razvitie — Medical Education and Professional Development, vol. 14, no. 4, pp. 84–97. https://doi.org/10.33029/2220-8453-2023-14-4-84-97 (In Russian)
Rubinshtejn, S. L. (2012) Chelovek i mir [Man and the world]. Moscow: Piter Publ., 224 p. (In Russian)
Rumyantseva, T. V. (2005) Transformatsiya identichnosti studentov meditsinskogo vuza v menyayushchikhsya sotsial’nykh usloviyakh [Transformation of identity of medical university students in changing social conditions]. Extended abstract of PhD dissertation (Psychology). Yaroslavl, Yaroslavl State Pedagogical University named after K. D. Ushinsky, 28 p. (In Russian)
Sarraf-Yazdi, S., Teo, N., How, A. E. H. et al. (2021) A scoping review of professional identity formation in undergraduate medical education. Journal of General Internal Medicine, vol. 36, no. 11, рр. 3511–3521. https://doi.org/10.1007/s11606-021-07024-9 (In English)
Timonova, D. A., Orlov, K. G. (2023) Obraz patsienta i tip mezhlichnostnykh otnoshenij v diade vrach-patsient u studentov lechebnogo fakul’teta [The image of the patient and the type of interpersonal relations in the doctor-patient dyad among students of the faculty of medicine]. In: N. V. Bakulina, S. V. Tikhonov (ed.). Mechnikovskie chteniya–2023. Sbornik materialov konferentsii. 96-ya Vserossijskaya nauchno-prakticheskaya konferentsiya studencheskogo nauchnogo obshchestva s mezhdunarodnym uchastiem [Mechnikov Readings–2023. Collection of conference materials. 96th All-Russian Scientific and Practical Conference of the Student Scientific Society with International Participation]. Saint Petersburg: North-Western State Medical University named after I. I. Mechnikov Publ., pp. 511–512. (In Russian)
Yakov, G., Riskin, A., Flugelman, A. A. (2021) Mechanisms involved in the formation of professional identity by medical students. Medical Teacher, vol. 43, no 4, рр. 428–438. https://doi.org/10.1080/0142159X.2020.1854706 (In English)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Marina G. Zhdanova
This work is licensed under a Creative Commons Attribution 4.0 International License.
The work is provided under the terms of the Public Offer and of Creative Commons public license Creative Commons Attribution 4.0 International (CC BY 4.0).
This license permits an unlimited number of users to copy and redistribute the material in any medium or format, and to remix, transform, and build upon the material for any purpose, including commercial use.
This license retains copyright for the authors but allows others to freely distribute, use, and adapt the work, on the mandatory condition that appropriate credit is given. Users must provide a correct link to the original publication in our journal, cite the authors' names, and indicate if any changes were made.
Copyright remains with the authors. The CC BY 4.0 license does not transfer rights to third parties but rather grants users prior permission for use, provided the attribution condition is met. Any use of the work will be governed by the terms of this license.
