TRAJECTORIES OF A DOCTOR'S PROFESSIONAL DEVELOPMENT: A NARRATIVE INTERVIEW



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BACKGROUND: Medical education is one of the most prestigious and in demand at the present stage. At the same time, the digital development of the Institute of Medicine determines the increasing academic load and the need to expand the range of disciplines mastered at a medical school, as well as professional development in the format of continuing medical education throughout the entire period of professional activity. In addition, public discourse often simultaneously contains an ambivalent attitude towards doctors as representatives of the healthcare system "heroic doctors" vs. "indifferent doctors") – and these difficulties of the professional path for many graduates of medical schools become a factor of care in related areas activity or refusal to work in the specialty.

MATERIAL AND METHODS: The study of the trajectories of professional development of young doctors was conducted by the method of narrative interview (n = 52) in September-December 2022 on the basis of the Institute of Social Sciences of Sechenov University. The study involved young therapists (n = 11), pediatricians (n = 11), obstetricians and gynecologists (n = 10), dentists (n = 10), surgeons (n = 10). The average age of respondents was 28.2 years (median – 28 years), the average work experience of respondents in the specialty was 2.8 years (median – 3 years).

RESULTS: The analysis of the array of narratives allowed us to identify three key semantic data blocks (including seven subgroups), which served as the empirical basis of the standard narrative plot: the pre-university stage ("playing the profession" (3-7 years); "premonition" of professional choice (years 8-11); professional self-determination or formation of professional intentions (12-17 years); university stage (obtaining medical education as a " foundation" of professional socialization (1-2 years); determining the desired trajectory of the professional path (3-6 years); postgraduate stage (debut of professional activity (residency); "challenges of professional autonomy"). 

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About the authors

Nadezhda Prisyazhnaya

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Author for correspondence.
Email: prisyazhnaya_n_v@staff.sechenov.ru
ORCID iD: 0000-0002-5251-130X

Candidate of Sociological Sciences, Deputy Director for Scientific Work of the Institute of Social Sciences

Russian Federation

Nadezhda Yu. Vyatkina

Sechenov First Moscow State Medical University (Sechenov University)

Email: vyatkina_n_yu@staff.sechenov.ru
ORCID iD: 0000-0003-3647-0066
SPIN-code: 7649-2912

Senior Lecturer

Russian Federation, Moscow

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