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Uncovering the Professional Identity Construction of Novice Rehabilitation Physicians From the Ecological Perspective
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Uncovering the Professional Identity Construction of Novice Rehabilitation Physicians From the Ecological Perspective
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Journal Article
Uncovering the Professional Identity Construction of Novice Rehabilitation Physicians From the Ecological Perspective
2025
Overview
With the growing demand for rehabilitation services, particularly in the post-COVID-19 era, novice rehabilitation physicians face increasing complexity in constructing their professional identities. This study employs ecological systems theory to explore the multi-layered professional identity construction of novice rehabilitation physicians, using a single-case study of Dr. X. Data were collected over a 16-month period through retrospective interviews, ethnographic observations, and a digital portfolio, and analyzed thematically. The findings revealed that Dr. X’s professional identity is constructed by his personal attributes and self-reflection, which are continuously influenced by his family members, workplace relationships and patient care in the microsystem. In addition, interdisciplinary collaboration and role negotiation in the mesosystem, and institutional expectations and societal norms in the macrosystem further construct his evolving professional role. From the chronosystem perspective, Dr. X’s identity construction unfolds dynamically over time, culminating in a confident, resilient, and collaborative rehabilitation physician. This study proposes an ecological model of novice rehabilitation physicians’ identity construction and offers valuable insights into professional development in rehabilitation medicine.
Plain Language Summary
The Professional Growth of Novice Rehabilitation Physicians
After the COVID-19 pandemic, more people need rehabilitation treatment to recover from illness or injury. Novice rehabilitation physicians, who are just starting their careers, must learn not only medical skills but also how to see themselves as professionals in rehabilitation medicine. This study explores the journey of a novice rehabilitation physician, Dr. X, over 16 months. Retrospective interviews, ethnographic observations, and a digital portfolio were utilized to understand how his professional identity was constructed. This study found that his professional identity was shaped by personal qualities such as resilience, self-reflection, and values, as well as support and challenges from family, colleagues, and patients. Working with professionals from other medical areas, adjusting to workplace expectations, and responding to the society’s needs also played important roles. Over time, these experiences helped Dr. X become more confident, adaptable, and collaborative. The study presents a new model showing how different layers of a novice rehabilitation physician’s environment interact to influence his professional growth, offering insights for improving training in rehabilitation medicine.
