Year 1: Professional Identity Formation

Professional Identity Formation

As part of their primary care placement, year 1 students completed a reflective piece to consider how becoming a medical student may have changed how they, or others, perceive their identity and what experiences so far have prompted them to consider this. This reflective topic and option to include a creative enquiry piece as part of their task was introduced this academic year 2021/22.

AT

Behind the Eye of a Medical Student

The illustration contains the following questions: “Will I be a good doctor? Will my family be proud? Will I ensure I uphold the trust of my patients? Will I represent my community in the best light? Will I be condemned to harsh criticism if I make a mistake? Will I be happy? Will I be ready? Will I be trusted? Will I uphold the Hippocratic oath? Will I be successful? Will my work have a positive impact on society? Will I be able to achieve my goals both personally and professionally? Will I still be me?”

My art piece illustrates that behind the eyes of a poised and ambitious medical student, I’m acutely aware of the demands that habitually follows this career, and I sometimes question my capacity to carry out my responsibilities for the future both to the highest standards and consistently. To clarify, this isn’t a diminishment of my confidence but merely an acknowledgement that I will need to remind myself that I chose to enter this profession fundamentally to help others through my personal strengths and interest within the scientific and healthcare field. Upon reflection, I’m aware that I am characteristically confident, nevertheless introspectively, I recognise that I am both excited and occasionally have moments of apprehension about the prospects of this vocation.

Dawn of a Doctor

In the sixth verse of the poem, I express feeling lonely but not in the sense of being left on my own. Instead, I see the strange irony of London; a diverse city, yet there being only one person from a single place. For example, I have flatmates from Manchester, Oxford and Guildford, but no one else from the same area. Moving into a block of flats I didn’t expect anyone to be from my hometown, but I thought there’d be at least one other Welsh resident! But with so many societies it’s easy to meet people just like me, not just from Wales. Work-life balance is important for everyone’s wellbeing, and with a heavy workload I find that the motto ‘work hard, play hard’ is very accurate in the sense that hard work makes even sweeter rewards.

Thomas Elliott

Shravya Shetty

The Puzzle of Identity

Throughout our time in medical education, medical students undergo transformation where our personal and professional identities change from that of a lay person to that of a doctor. The experiences, encounters, and challenges that we are confronted with, while in medical school, ultimately help shape our identities.

My creative piece aims to illustrate this process, as I personally perceive our transformative journey as trying to solve a Rubik’s cube. It is one twist after another, one patient or situation that brings us closer to solving the puzzle of our identities. Each of the six faces of the cube (denoted with a colour each) characterises a facet of my identity that has been subjected to change, whilst the hands solving the cube symbolise the factors that have caused these changes.


Whilst all these factors have played a role in crafting my identity as a medical student, the greatest driver of these changes has been myself (as denoted by the last hand solving the Rubik’s cube). Becoming a medical student has inspired me to find my own personal identity that is unique to me and will help construct my persona as a future medical doctor. And like a Rubik’s cube, solving the puzzle of both my personal and professional identity will require patience, time, and resilience, all of which I am sure I can hone throughout my time in medical school.

I am me before you

I wrote this poem about how my identity changed once I became a medical student. At the start it was new and exciting, ‘aesthetic’ as one may call It, however, as the workload and pressure increased the balance of personal and work life tipped. Therefore, I wrote this poem as a dialogue between the degree and I, struggling for power. As an 18-year-old, being responsible for paying rent, buying groceries, and having a good social life as well studying a demanding degree is tough! This was a big jump in my life which caused many changes, from people to location thus I wanted to convey the fear and excitement that I felt. Furthermore, when you become a medical student, it is easy to let this identify define you and let Imposter syndrome take over, where you constantly compare yourself to others and feel guilty for the doing “less” work. Although I am nearly done with first year of medical school, I still feel this way sometimes. My work life balance is still not great but overtime I hope to establish it. At the end of the poem, with the line-'I love being you'- I submit to the fact that although being a medical student is only a part of my identity, it is a larger and a more important part therefore I will invest more time into polishing it, to make it the best possible version.

LV

Zaynab Mustafa

Starting Line

“Starting line” is an image of myself crossing the finish line of a race and becoming a medical student. In this piece, I attempted to illustrate how my identity has changed since becoming a medical student.

The audience in this image represents how I am viewed by my family, friends, and acquaintances as they watch me.

I have split the audience in half where the audience on the left are holding up signs in black that represent the different assumptions people had about me prior to becoming a medical student, compared to the audience on the right that are holding signs illustrating what people assume about me now that I am a medical student. This allowed for me to describe how views about me have changed since becoming a medical student.

The writing on the track represents various aspects of the experience of being a medical student. Similar to the audience, I decided to split the track in half where the black writing represents what I thought becoming a medical student was like compared to the red writing which highlights my current experience. I have deliberately made the track on the right-hand side larger than the writing on the left side to reflect on how there is much more to the experience of being a medical student that you can’t appreciate until you become one. I chose to structure the audience similarly to the track so that the signs in the audience could be compared to the words on the track to highlight how assumptions others have may not be correct or accurate.

On the red tape at the finish line, I decided to put the word “start” rather than finish because despite this being an achievement, it is just the beginning of a great journey ahead of me.

Under Oath

To explore the influence of becoming a medical student on my identity I painted this self portrait, which I named "Under Oath". In it I depict myself wearing surgical scrubs with words of the Hippocratic Oath, taken from an ancient papyrus, projected onto me. I feel that by becoming a medical student I have not only embarked upon a five year degree but also a lifetime's vocation with other people at its heart. I know that this will be immensely rewarding, but I am also conscious that it will come with challenges as I try to meet the societal expectations of what it will mean to become a doctor. In my painting I tried to demonstrate this using the Hippocratic Oath and scrubs to symbolise the external expectations projected onto me both by society and the professional guild I am joining. Since starting medical school, I have become increasingly aware of how all encompassing the role of a doctor can be. If you don't assume this role adequately you risk behaving unprofessionally or even endangering the very patients you are there to help. Yet, by over-assuming the role of a doctor in society I feel you can lose aspects of your own identity, to the detriment of both you and your patients. In the future I hope to be able to maintain a balance between my own individual sense of self and my identity as a medical student, and hopefully a doctor. In my painting I have tried to convey this through my gaze, holding eye contact with the viewer as an indication of my own individuality.

Sophia Geaney