How Different Understandings of the Nature of Medical Practice Can Limit Future Development as a Medical Practitioner

Previous research has shown that medical practitioners’ conceptions of their profession play a significant role in their practice. This study extends that research by investigating ways in which different conceptions of ‘being a doctor’ may act to expand or limit the potential for future development as a doctor. Based on previous research that identified different conceptions of ‘being a doctor’ and ‘developing as a doctor’, a chi-square test of association between the two sets of conceptions was undertaken and a statistically significant association found. More and less complex conceptions of being a doctor were associated with more and less complex conceptions of developing as a doctor, respectively. This raises the likelihood that conceptions of being a doctor that develop early in one’s career may act to limit the potential for future development. Consequently, the paper recommends that different conceptions of medical practice be addressed as part of medical education. To help with this, the paper describes an innovative educational design based on the ‘variation theory of learning’ proposed within a phenomenographic epistemology. The educational design is specifically intended to help trainees become aware of elements of practice and development that they have not previously discerned.