Emergency Physicians' Conceptualizations of Their Roles and Professional Identities
Yu-Che Chang1, Xaviera Xiao2, Nothando Nkambule2, Roy Ngerng Yi Ling2, Chung-Hsien Chaou1, Hsu-Min Tseng3, Lynn Monrouxe4
1CG-MERC;; Department of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taiwan
2Chang Gung Medical Education Research Center, CG-MERC,, Chang Gung University, Taiwan
3Department of Health Care Management, Chang Gung University, Taiwan
4Faculty of Health Sciences, University of Sydney, Australia
Introduction: This study aimed to understand how emergency physicians and residents conceptualize their professional identities within the distinctly demanding and exacting context of the emergency department.
Methods: We recruited thirty-three emergency physicians and residents from five hospitals in Taiwan to participate in a Q-sorting exercise and post sorting semi-structured interview. We used R software to analyze the Q-sorts and deductive approach to analyze the interviews.
Results: Factor analyses resulted in four factor groups that reflected the four dominant positions of how emergency physicians understood their professional identity. The four factors are Skill Acquisition, Capabilities and Practical Wisdom; Coping Ability and Resilience; Professional Recognition and Self-esteem; and Well-being and Quality of Life. Out of the thirty-three participants, twenty-five could be loaded onto the four factor groups. Post-sorting interview analysis and demographic variables revealed that age/work experience and external influences were two dominant themes that revealed the points of contacts and distinctions amongst the different factor groups.
Conclusion: Through the Q-sorting exercise, the study identified four factor groups that encompass the disparate approaches that emergency physicians and residents take when conceptualizing their professional identities. These insights may provide the first step towards developing education-based interventions that aim to tackle occupational stress and burnout amongst emergency physicians and residents.