Fig. 1
Schematic of the bidirectional influence between identity, behavior, and context, adapted from Bandura’s Social Cognitive Theory. Bandura’s “reciprocal determinism” described that behavior, personal factors, and environmental influences operated interactively as determinants of one another. We have adapted this model, focusing on “identity” as a summarization of “personal factors” to represent the process of professional identity formation during residency as a complex, dynamic bidirectional interaction between identity, behavior, and context
Fig. 2
Schematic of professional identity formation as the bidirectional influences between identity, behavior, and context in reframing “A good doctor convinces patients to accept [his/her] advice.” Arrows represent directional influences between identity, behavior, and context. Associated bulleted examples were identified by the resident as factors in reframing his ideal of “a good doctor convinces patients to accept [his/her] advice” to “a good doctor is a consultant; patients make decisions for themselves.” These bulleted examples are associated with the adjacent arrow
Fig. 3
Schematic of professional identity formation as the bidirectional influences between identity, behavior, and context in reframing “A good doctor knows everything.” Arrows represent directional influences between identity, behavior, and context. Associated bulleted examples were identified by the resident as factors in reframing the ideal of “a good doctor knows everything” to “a good doctor knows his/her limitations and asks for help.” These bulleted examples are associated with the adjacent arrow
