1. Presenter: Sarah Z. Cole, DO, FAAFP A Work in Progress (15 minutes)
Is there an association between a Family Medicine intern’s sense of professional self-identity & Milestone success?
Presenter: Sarah Z. Cole, DO, FAAFP
A Work in Progress (15 minutes)

2. Disclosures
I have no disclosures to report

3. Terms Self-identity Professionalism Professional self-identity (PSI)
A dynamic complex of attitudes about one’s self that can be measured (Arthur, 1995)
Professionalism
Motivating force whereby an occupational group comes together with the purpose to enforce shared promises that ensures public trust (Wynia et al, 2014)
Professional self-identity (PSI)
An individual’s conceptualization of self in the context of a professional role (Crossley, 2009) .

4. PSI Questionnaire
Developed and validated at the University of Sheffield School of Medicine, UK
Completed electronically
Residents rank themselves on specific tasks as to whether they “feel”…
Like a first day intern
Like a second year resident
Ready to practice independently
Not Applicable
There are several

5. PSI Questionnaire 2. When I am communicating with patients or families
1. When I am working with other healthcare professionals
2. When I am communicating with patients or families
3. When I am assessing patients
4. When working with others in a culturally diverse health care environment
5. When I am considering ethical or moral issues
6. When using patient records
7. When I find myself in an emergency involving a patient
8. When facilitating a patient’s transfer to a higher acuity level of care
9. When reflecting on my practice experience to identify my learning needs
10. When teaching others

6. Background Do you feel like a doctor yet?
Jennifer Allen, MD, PGY-3 Mercy Family Medicine St. Louis
Sheffield survey of Professional Self-Identity
Voluntary, anonymous
15 MFM Residents (5 per PGY)
Conclusion
Sense of PSI increases each PGY
Residents rated themselves highest in communication with patients/families & work with patient records
Residents rated themselves lowest in emergency management & inter-professional work

7. Question
Is there an association between a resident’s sense of PSI and success in FM residency (using Milestones as marker of success)?

8. Methods
Using the Sheffield PSI survey, residents rate their sense of “feeling like a doctor” at the beginning of each PGY
Compare to the resident’s ACGME Family Medicine Milestone levels using correlation coefficient
Presented as de-identified, aggregate data
Deemed Exempt by Mercy Hospital IRB

9. Methods Correlation Coefficient
Indicates whether there is a relationship between two variables
A number between -1 and 1
0 = No relationship between the data sets
-1 = A strong negative linear relationship, OR inverse relationship
1 = A strong positive linear relationship, OR direct relationship

10. Results: Positive Correlation (Correlation Coefficient >0.75)
PSI-6 When using patient records I feel like
PSI-9 When reflecting on my practice to identify learning needs I feel like

11. Result: Negative Correlation (Correlation Coefficient <-0.75)
PSI-2 When communicating with patients I feel like
PSI-7 When I find myself in an emergency with a patient I feel like

12. Results No correlation between PSI and ITE scores
Ranking %ile on ERAS Match list

13. Conclusions
FM interns who have a stronger sense of PSI when working with patient records or self-reflecting on practice experience to identify learning needs may achieve earlier Milestone success (direct correlation) with:
Advocating for individual and community health
Appraising and assimilating scientific evidence
Utilizing technology to optimize communication
Attaining medical knowledge needed to practice FM
Maintaining personal health
Performing procedures

14. Conclusions
FM interns who have a weaker sense of PSI when communicating with patients or managing emergent conditions may achieve earlier Milestone success (inverse correlation) in:
Caring for patients with chronic conditions
Partnering with patient and family
Attaining medical knowledge needed to practice FM
Maintaining personal health
Performing procedures

15. Discussion
How can this information be used early in training for a resident’s individual learning plan? What modifications should be made to residency curriculum? Can PSI be assessed in candidates to program as predictor of success?

16. Discussion
Limitations
Single program
Limited sample size
One class

17. Special thanks to
Jennifer Allen, MD Iesha Clay Draper, OMS-IV

18. References
Arthur, David; Measuring the Professional self-concept of Nurses: Developing a measurement instrument. Nurse Education Today. 1995,
Crossley, Jim; Vivenkananda-Schmidt, Pirashanthie; The Development and evaluation of a Professional Self-identity Questionaire to measure evolving professional self-identity in health and social care students. Medical Teacher, : e603-e607
Wynia, M.K.; Papadakis, M.A.; Sullivan, W. M.; Hafferty, F.W.;. More than a list of values and desired behaviors: a foundational understanding of medical professionalism Academic Medicine. 89(5):712-4, May 2014.

19. Questions?
Feedback is Welcome…

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