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      How faculty with critical care specialties learn in a university hospital: a qualitative phenomenological study

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          Abstract

          Abstract
          Objectives

          The study aims to explore the workplace learning experiences of medical faculty in critical care specialties at a university hospital, focusing on how they develop their professional identity and construct the meaning of their work.

          Design

          Qualitative, phenomenological study.

          Setting

          The current study was conducted at a university hospital in South Korea between November 2022 and October 2023.

          Participants

          Five faculty members (two males and three females) from critical care specialties (eg, emergency medicine) with over 15 years of experience, each having served as faculty at a university hospital for more than 5 years.

          Results

          Six key themes emerged: cultivating ‘doctor-ishness’ in the realm of critical care, beacon of inner drive: guiding professional growth, nexus for leveraging expertise and fostering professional growth, the challenging reality of becoming an ‘ideal’ faculty, the shifting tides of the medical profession’s role and weaving workplace learning into a unique rhythm of practice. These themes collectively highlight that faculty members’ workplace learning involves a transition from functional professionals to reflective practitioners.

          Conclusions

          Workplace learning of faculty members with critical care specialties is understood as an ongoing, context-dependent and individualised process in which emotions play a crucial role in determining the depth and significance of learning and shaping professional identities. This study highlights their capacity for agency and potential, offering a perspective beyond previous research that has primarily focused on their hardships. By shedding light on their workplace learning from an insider’s view and underscoring the need to support professional development in these high-stakes fields, our findings suggest theoretical and practical interventions to foster the mutual growth of faculty and hospital organisations.

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          Most cited references85

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          Standards for reporting qualitative research: a synthesis of recommendations.

          Standards for reporting exist for many types of quantitative research, but currently none exist for the broad spectrum of qualitative research. The purpose of the present study was to formulate and define standards for reporting qualitative research while preserving the requisite flexibility to accommodate various paradigms, approaches, and methods.
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            Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being.

            Human beings can be proactive and engaged or, alternatively, passive and alienated, largely as a function of the social conditions in which they develop and function. Accordingly, research guided by self-determination theory has focused on the social-contextual conditions that facilitate versus forestall the natural processes of self-motivation and healthy psychological development. Specifically, factors have been examined that enhance versus undermine intrinsic motivation, self-regulation, and well-being. The findings have led to the postulate of three innate psychological needs--competence, autonomy, and relatedness--which when satisfied yield enhanced self-motivation and mental health and when thwarted lead to diminished motivation and well-being. Also considered is the significance of these psychological needs and processes within domains such as health care, education, work, sport, religion, and psychotherapy.
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              Communities of Practice and Social Learning Systems

              L Wenger (2000)
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                Author and article information

                Journal
                BMJ Open
                BMJ Open
                bmjopen
                bmjopen
                BMJ Open
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2044-6055
                2025
                20 January 2025
                : 15
                : 1
                : e091535
                Affiliations
                [1 ]departmentDepartment of Education Policy, Organization & Leadership , University of Illinois at Urbana-Champaign , Champaign, Illinois, USA
                [2 ]departmentDepartment of Cardiology , Ajou University School of Medicine , Suwon, Korea (the Republic of)
                [3 ]departmentDepartment of Pediatrics , Ajou University School of Medicine , Suwon, Korea (the Republic of)
                [4 ]departmentDepartment of Obstetrics and Gynecology , Ajou University School of Medicine , Suwon, Korea (the Republic of)
                [5 ]departmentDepartment of Medical Education , Ajou University School of Medicine , Suwon, Korea (the Republic of)
                Author notes

                Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

                None declared.

                Author information
                http://orcid.org/0000-0002-8039-6580
                Article
                bmjopen-2024-091535
                10.1136/bmjopen-2024-091535
                11748926
                39832964
                11cfca23-cd19-4e47-93b8-372dd8fd7c61
                Copyright © Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 24 July 2024
                : 20 December 2024
                Funding
                Funded by: Ajou University Medical Center;
                Categories
                Original Research
                Medical Education and Training
                1709
                1506

                Medicine
                qualitative research,medical education & training,burnout, professional
                Medicine
                qualitative research, medical education & training, burnout, professional

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