فهرست نشریات علمی دسترسی آزاد ایران

BACKGROUND: The capacity of self‑authoring one’s own beliefs, identity, and relationships is coreto many expected outcomes of future health‑care professionals. Students’ personal and professionaldevelopment for self‑authorship can be promoted by the variety of developmentally effective“crossroads” experiences that they encounter. Identifying the characteristics of the crossroadsexperiences in clinical rotations can provide a foundation for medical educators to provide anenvironment that can foster self‑authorship.MATERIALS AND METHODS: A cross‑sectional qualitative survey was conducted using a researcherdeveloped semi‑structured questionnaire which had three open questions and asked medical internsto describe their internship experiences that stimulated their thinking along the self‑authorshipdimensions of identity, relationships, and ways of knowledge acquisition. Data were analyzed usingBraun and Clarkes’ thematic analysis method.RESULTS: The survey was completed by 167 medical interns (response rate: 83%). The key featuresof significant crossroads experiences and their effects were created into six themes: Experiences bybeing respected and validated; experiences by involvement in patient management; experiences byparticipation in interactive learning environments; experiences by participation in authentic clinicalwork environments; experiences by the observation of professional behaviors; experiences throughthe uniqueness of different specialties.CONCLUSION: Authentic experiences of patient management in the real world of clinical settings witha high interactive environment have the potential to promote interns’ self‑authorship development.Educators can support learners by respecting and validating their capacities and by role modelingof professional behaviors.