PMID- 37226060
OWN - NLM
STAT- MEDLINE
DCOM- 20230526
LR  - 20230528
IS  - 1930-613X (Electronic)
IS  - 0026-4075 (Linking)
VI  - 188
IP  - Suppl 3
DP  - 2023 May 24
TI  - "Not for the Faint of Heart": First-year Military Medical Students' Professional 
      Identity Formation During the Innovative Patient Experience at Operation 
      Bushmaster.
PG  - 34-40
LID - 10.1093/milmed/usac427 [doi]
AB  - INTRODUCTION: The role of a military medical officer (MMO) is complex. Therefore, 
      it is essential that military medical students formulate their professional 
      identity early on in medical school in order to prepare them for their first 
      deployment. At the Uniformed Services University, students are challenged to 
      progressively develop their professional identity through yearly high-fidelity 
      military medical field practicums (MFPs). One of these MFPs, Operation 
      Bushmaster, consists of an innovative "Patient Experience" in which first-year 
      medical students portray patients cared for by fourth-year medical students in a 
      simulated operational environment. The purpose of this qualitative study was to 
      examine how participating in the Patient Experience impacted first-year medical 
      students' professional identity formation. MATERIALS AND METHODS: Our research 
      team used a phenomenological, qualitative research design to analyze the 
      end-of-course reflection papers of 175 first-year military medical students who 
      participated in the Patient Experience during Operation Bushmaster. Our research 
      team members individually coded each student's reflection paper and then came to 
      consensus on how to organize these codes into themes and subthemes. RESULTS: Two 
      themes and seven subthemes emerged from the data regarding the first-year medical 
      students' understanding of the MMO: (1) multiple roles of the MMO (educator, 
      leader, diplomat, and advisor) and (2) role of the MMO in the operational 
      environment (navigates hazardous environment, adaptability, and position within 
      health care team). As they participated in the Patient Experience, the first-year 
      medical students not only recognized the complexity of the MMO's multiple roles 
      within the operational environment but also envisioned themselves in these roles. 
      CONCLUSIONS: The Patient Experience provided first-year medical students with a 
      unique opportunity to formulate their professional identity as they portrayed 
      patients during Operation Bushmaster. This study's results hold implications for 
      both military and civilian medical schools regarding the benefits of innovative 
      military MFPs for professional identity formation in junior medical students, 
      preparing them early on in medical school for their first deployment.
CI  - Published by Oxford University Press on behalf of the Association of Military 
      Surgeons of the United States 2023. This work is written by (a) US Government 
      employee(s) and is in the public domain in the US.
FAU - Rudinsky, Sherri L
AU  - Rudinsky SL
AUID- ORCID: 0000-0001-6010-9639
AD  - Department of Military and Emergency Medicine, Uniformed Services University, 
      Bethesda, MD 20814, USA.
FAU - Weissbrod, Elizabeth
AU  - Weissbrod E
AD  - Department of Surgery, USU, The Henry M. Jackson Foundation for the Advancement 
      of Military Medicine, Inc., Rockville, MD 20817, USA.
FAU - Cole, Rebekah
AU  - Cole R
AUID- ORCID: 0000-0003-2628-8658
AD  - Department of Military and Emergency Medicine, Uniformed Services University, 
      Bethesda, MD 20814, USA.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Mil Med
JT  - Military medicine
JID - 2984771R
SB  - IM
MH  - Humans
MH  - *Military Personnel
MH  - *Students, Medical
MH  - Social Identification
MH  - Heart
MH  - Syncope
EDAT- 2023/05/25 01:07
MHDA- 2023/05/26 06:42
CRDT- 2023/05/24 23:35
PHST- 2022/05/16 00:00 [received]
PHST- 2022/06/13 00:00 [revised]
PHST- 2022/12/26 00:00 [accepted]
PHST- 2023/05/26 06:42 [medline]
PHST- 2023/05/25 01:07 [pubmed]
PHST- 2023/05/24 23:35 [entrez]
AID - 7179136 [pii]
AID - 10.1093/milmed/usac427 [doi]
PST - ppublish
SO  - Mil Med. 2023 May 24;188(Suppl 3):34-40. doi: 10.1093/milmed/usac427.