Redefining Professionalism Pedagogy in Physician Assistant Education: Moving Toward Intersectional Professional Identity Formation

The physician assistant (PA) profession is lacking in diversity, both in practicing PAs and the PA student population. PA organizations, including the PA Education Association and the Accreditation Review Commission on Education for the PA, have been advocating for action to address this lack of diversity, and many educational institutions have responded by innovating their recruitment and admissions strategies. Another appropriate response to address the lack of diversity in PA education would be to critically evaluate the curriculum, specifically professionalism curriculum, for inclusiveness. Professional identity formation (PIF) provides a framework for teaching professionalism that focuses on the evolving identities of medical learners (Irby & Hamstra, 2016) as influenced by their individual, relational, and collective identities (Cruess et al., 2015). However, PIF has been critiqued for lacking inclusion of sociocultural contexts (Wyatt et al., 2020). Through this mixed methods action research study, I utilized community of inquiry (CoI; Garrison et al., 1999) as a theoretical framework for creation and facilitation of a professional development workshop for PA educators aimed at evaluating academic medical journal articles focused on the topics of professionalism in medical education, PIF, and PIF experiences in underrepresented in medicine students. My goal was to increase awareness of PIF as a pedagogical framework which has the potential to alter the learning environment toward one of inclusion and belonging. Additionally, through my CoI, I further aimed to expand upon the PIF conceptual framework to include elements of intersectionality by focusing on how sociocultural factors influence student perspectives on professionalism and their PIF process. I used Ajzen’s (1991) theory of planned behavior to evaluate participants’ intention to incorporate PIF into their professionalism curricula and to prioritize sociocultural factors in their professionalism pedagogies. Using pre- and post-intervention surveys, participant interviews, and workshop session exit questions, I determined that my professional development workshop contributed to an increased likelihood of PA educators to integrate PIF and prioritize sociocultural factors into their professionalism curricula, and further, changed perspectives regarding the definition of professionalism in PA education to include an understanding and appreciation for how professionalism is influenced by a student’s sociocultural factors.