Social identity resources can enable or inhibit transitions into the medical community: A qualitative study

Social factors including a sense of belonging and inclusion from social groups and having salient identities can enable successful life transitions (i.e. graduate to doctor).1 Social Identity Model of Identity Change (SIMIC) has referred to these social factors as identity resources (IRs).2

The transition into postgraduate training is complex, requiring an integration into the healthcare community, adjustment to new identities and understanding the social and organisational structure of healthcare.3 Yet, little is known about what IRs trainee doctors' access or the implications they have on their transitions into healthcare practice; thus, this study aimed to explore this phenomenon.

Nineteen trainee doctors participated in a four-phase study involving (a) an entrance interview; (b) a 6- to 9-month LAD phase; (c) a second interview; and (d) a follow-up interview 6 months later. All interviews were undertaken virtually and were audio-recorded. Data were thematically analysed using an abductive approach using SIMIC as a conceptual lens to explore how social networks of support act as IRs for trainee doctors as they experience transitions.

Trainees narrated that having accessible IRs in the form of supportive workplace relationships enabled integration and a sense of belonging into healthcare practice and supported the construction of new professional identities. Trainees with inaccessible IRs (i.e. poor workplace relationships) expressed a lack of belonging, casting doubt on their capabilities and identity as a doctor.

Given the exodus of staff leaving healthcare, understanding the importance of a supportive workplace culture is essential so that we retain skilled staff for future healthcare demands.