Professional identity formation (PIF) is considered a key process in physician development. However, early PIF research may have inadvertently left out experiences from ethnically/racially minoritized physicians. As a result, the PIF literature may have forwarded dominant perspectives and assumptions about PIF that does not reflect those of minoritized physicians. This study used a cross-sectional study design, in which interview data was initially collected using constructivist grounded theory and then analyzed using critical lenses. Participants included 14 Black/African American students, 10 residents, and 17 attending physicians at two Southern medical schools in the U.S. Coding included the both/and conceptual framework developed out of Black feminist scholarship, and further analyzed using medicine’s culture of Whiteness. These lenses identified assumptions made in the dominant PIF literature and how they compared to the experiences described by Black physicians. The results show that medical education’s historical exclusion of minoritized physicians in medical education afforded a culture of Whiteness to proliferate, an influence that continues to frame the PIF research. Black physicians described their professional identity in terms of being in service to their racial/ethnic community, and the interconnectedness between personal/professional identities and context. Their professional identity was used to challenge larger social, historical, and cultural mistreatment of Black Americans, findings not described in the dominant PIF research. Black physicians’ experiences as minoritized individuals within a culture of Whiteness reveals that the PIF literature is limited, and the current framings of PIF may be inadequate to study minoritized physicians.

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“改变叙事”：美国黑人/非裔美国医生职业认同形成研究

职业身份形成 (PIF) 被认为是医生发展的关键过程。然而，早期的 PIF 研究可能无意中忽略了少数族裔/种族医生的经验。因此，PIF 文献可能转发了有关 PIF 的主流观点和假设，而这些观点和假设并未反映少数派医生的观点和假设。本研究采用横断面研究设计，最初使用建构主义扎根理论收集访谈数据，然后使用批判性镜头进行分析。参与者包括美国南部两所医学院的 14 名黑人/非裔美国学生、10 名住院医师和 17 名主治医师 编码包括黑人女权主义奖学金开发的两者/和概念框架，并使用医学的白人文化进一步分析。这些镜头确定了主要 PIF 文献中的假设，以及它们如何与黑人医生描述的经验进行比较。结果表明，医学教育在医学教育中对少数派医生的历史排斥提供了一种白人文化的扩散，这种影响继续构成了 PIF 研究的框架。黑人医生通过为种族/民族社区服务以及个人/专业身份与背景之间的相互联系来描述他们的职业身份。他们的职业身份被用来挑战对美国黑人的更大的社会、历史和文化虐待，主要的 PIF 研究中没有描述这些发现。