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'Let me through, I'm a Doctor!': Professional Socialization in the Transition from Education to Work
Umeå universitet, Samhällsvetenskapliga fakulteten, Pedagogiska institutionen.
2012 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Based on four articles, this compilation thesis analyses the demonstrated com-petence defining a medical doctor, to the extent to which he or she acquires a high status and high level of employability in professional practice. Overall, the thesis aimed to describe and analyse professional socialization during doctors' transition from education to work. Questions addressed included how higher education should be understood as preparation for professional practice, how ideals of the future professional were conceived and how these ideals differenti-ated 'good' from 'bad' doctors in professional development and recruitment. The research employed a version of practice theory as its theoretical framework, developed with the aid of work by Pierre Bourdieu, Judith Butler, John Dewey and Theodore Schatzki. Throughout the individual studies, ideals were con-structed and understood as moral imperatives, stating how doctors are expected to perform in professional practice. Article I explored the ideals of academia and higher education practices in a general sense. In this study, the ideals involve the perceived function of higher education in relation to work. Three different and conflicting perspectives were constructed with the aid of a literature study. Arti-cle II was a survey investigation of how two cohorts (n=169) of recent graduates from a Swedish medical programme viewed their competence and the prepara-tion they received for work through the medical programme. The results show that graduates might be overly prepared from a knowledge perspective, while lacking in practical skills and preparation for difficult situations in the work-place. Article III investigated the ideals of the medical programme using an interview study with eight medical students and eight medical teachers. The ideals constructed show how conflicting ideals, such as strength and humility, shape conceptions of the future professional. Finally, Article IV reports an inter-view study with recruiters of medical interns in Sweden's 21 most popular hospi-tals. Results showed that the most attractive candidates balanced two traits: orientation towards performance and orientation towards human relations. They also successfully demonstrated possession of these qualities in their appli-cation and subsequent interview. Overall, the results from the studies indicated that there are great differences between views of proper preparation for work and views of the highly-employable doctor. While medical knowledge and skills were seen as important in preparation for work, they were absent in the views of the highly-competent and employable doctor. Instead, generic attributes, such as drive, curiosity, cooperativeness, warmth, maturity and reflectiveness, char-acterised descriptions of the most accomplished medical professionals. These attributes also were seen primarily as developed before or 'beside' the formal medical education programme.

Ort, förlag, år, upplaga, sidor
Umeå: Pedagogiska institutionen, Umeå universitet , 2012. , s. 102
Serie
Akademiska avhandlingar vid Pedagogiska institutionen, Umeå universitet, ISSN 0281-6768 ; 99
Nyckelord [en]
Professional Socialization, Education-Work Transition, Employability, Medical Education, Higher Education, Professional Education, Professionalism, Practice Theory
Nationell ämneskategori
Pedagogik
Forskningsämne
pedagogik
Identifikatorer
URN: urn:nbn:se:umu:diva-53434ISBN: 978-91-7459-365-5 (tryckt)OAI: oai:DiVA.org:umu-53434DiVA, id: diva2:512147
Disputation
2012-04-20, Hörsal E, Humanisthuset, Umeå universitet, Umeå, 10:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2012-03-30 Skapad: 2012-03-26 Senast uppdaterad: 2018-06-08Bibliografiskt granskad
Delarbeten
1. Nyttig, utvald eller bildad?: Tre sätt att se på den högre utbildningens funktion
Öppna denna publikation i ny flik eller fönster >>Nyttig, utvald eller bildad?: Tre sätt att se på den högre utbildningens funktion
2009 (Svenska)Ingår i: Anställningsbarhet: perspektiv från utbildning och arbetsliv / [ed] Berglund, Gun & Fejes, Andreas, Lund: Studentlitteratur, 2009, 1, s. 39-54Kapitel i bok, del av antologi (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Lund: Studentlitteratur, 2009 Upplaga: 1
Nationell ämneskategori
Pedagogik
Identifikatorer
urn:nbn:se:umu:diva-30133 (URN)978-91-44-05393-6 (ISBN)
Tillgänglig från: 2009-12-08 Skapad: 2009-12-08 Senast uppdaterad: 2018-06-08Bibliografiskt granskad
2. ‘The next step’: alumni students' views on their preparation for their first position as a physician
Öppna denna publikation i ny flik eller fönster >>‘The next step’: alumni students' views on their preparation for their first position as a physician
2010 (Engelska)Ingår i: Medical Education Online, ISSN 1087-2981, E-ISSN 1087-2981, Vol. 15Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Although medical programmes are often thoroughly evaluated, these evaluations more seldom include workplace points of view. The present study focuses on how well a Swedish medical programme was judged to prepare students for work as a physician. Methods: Thirty-two competences in physicians’ work were identified through interviews. A subsequent questionnaire was completed by 123 programme alumni who had worked for 1-2½ years in different parts of the country. Alumni were asked to rate the importance of each competence, their self-assessed competence as well as how these competences were addressed during their medical training. Results: The subsequent analysis identified areas where their training programme, according to the alumni, failed to prepare them satisfactorily. Problem areas included competences in clinical skills, handling stressful situations and in applied rather than foundational knowledge about common symptoms and diseases. Conclusion: Despite extensive practical training, medical education still faces some problems in the transition from education to work.

Ort, förlag, år, upplaga, sidor
Co-Action Publishing, 2010
Nyckelord
medical education, alumni, evaluation, professional education, professional training
Nationell ämneskategori
Pedagogik
Identifikatorer
urn:nbn:se:umu:diva-34295 (URN)10.3402/meo.v15i0.4884 (DOI)000208699900008 ()
Tillgänglig från: 2010-05-25 Skapad: 2010-05-25 Senast uppdaterad: 2018-06-08Bibliografiskt granskad
3. Undergraduate socialization in medical education: ideals of professional physicians' practice
Öppna denna publikation i ny flik eller fönster >>Undergraduate socialization in medical education: ideals of professional physicians' practice
2009 (Engelska)Ingår i: Learning in Health and Social Care, ISSN 1473-6853, E-ISSN 1473-6861, Vol. 8, nr 4, s. 241-249Artikel i tidskrift (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
Blackwell Publishing Ltd, 2009
Nyckelord
hidden curriculum; medical education; professional performance; professional socialization; professionalism
Nationell ämneskategori
Utbildningsvetenskap
Identifikatorer
urn:nbn:se:umu:diva-30132 (URN)10.1111/j.1473-6861.2009.00228.x (DOI)
Tillgänglig från: 2009-12-08 Skapad: 2009-12-08 Senast uppdaterad: 2018-06-08Bibliografiskt granskad
4. Gatekeepers of a profession?: Employability as capital in the recruitment of medical interns
Öppna denna publikation i ny flik eller fönster >>Gatekeepers of a profession?: Employability as capital in the recruitment of medical interns
2013 (Engelska)Ingår i: Journal of Education and Work, ISSN 1363-9080, E-ISSN 1469-9435, Vol. 26, nr 4, s. 431-452Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The present article concerns employability in physicians? professional practice. Drawing on interview data from recruiters at 21 Swedish hospitals with the most applicants for a medical internship, the article seeks to develop a theory of what constitutes an ?employable medical intern?. Using Pierre Bourdieu?s concept of capital, two forms of capital were constructed using interview data, orientation toward performance and orientation toward human relations. Orientation toward performance concerns the applicants? drive and ambition, while orientation toward human relations concerns the applicants? social competence, primarily as co-workers. The study suggests that the most highly employable applicants successfully prove that they possess both forms of capital. These forms of capital are thought to involve sorting mechanisms in the process of recruitment as recruiters infer the desired attributes of applicants from a written application and a job interview. The concept of employability, as well as implications for professional socialisation, is examined and discussed in light of the findings.

Ort, förlag, år, upplaga, sidor
Routledge, 2013
Nyckelord
employability, recruitment, education–work relationship, medical education, Pierre Bourdieu
Nationell ämneskategori
Pedagogik
Identifikatorer
urn:nbn:se:umu:diva-53443 (URN)10.1080/13639080.2012.658032 (DOI)
Tillgänglig från: 2012-03-27 Skapad: 2012-03-27 Senast uppdaterad: 2018-06-08Bibliografiskt granskad

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