Professional identity formation (PIF) is a dynamic developmental process by which individuals merge the knowledge and skills of clinical practice with the values and behaviors of their personal identity. For an individual physician, this process is a continuum which begins with their nascent interest in the field of medicine and extends through the end stages of a medical career. The impact of PIF has become a growing focus of medical education research in the last decade, and in that time, little attention has been paid to the influence underrepresented in medicine (UIM) identities may have on this fundamental process. Importantly, in discussions of how medical educators can support and encourage successful PIF, there is little discussion on the distinct challenges and different needs UIM learners may have. The purpose of this paper is to address the current literature around PIF for UIM trainees. This review explores various threats to identity formation, including identity fusion, stereotype threat, minority tax, implicit bias, and lack of mentorship. Evidence-based strategies to mitigate these challenges is also presented, including furthering institutional support for PIF, building the community of practice, supporting an inclusive environment, and developing PIF assessment tools. Through exploring these challenges and solutions, we are better able to address the needs of UIM trainees and physicians as they proceed in their PIF during their lifelong journey in medicine.

专业身份形成 (PIF) 是一个动态的发展过程，个人通过该过程将临床实践的知识和技能与其个人身份的价值观和行为相结合。对于个体医生来说，这个过程是一个连续的过程，从他们对医学领域的新生兴趣开始，一直延伸到医学生涯的最后阶段。在过去十年中，PIF 的影响已成为医学教育研究的日益关注的焦点，而在那个时候，很少有人注意到医学中代表性不足 (UIM) 身份可能对这一基本过程产生的影响。重要的是，在讨论医学教育工作者如何支持和鼓励成功的 PIF 时，几乎没有讨论 UIM 学习者可能面临的不同挑战和不同需求。本文的目的是为 UIM 学员解决当前有关 PIF 的文献。这篇综述探讨了身份形成的各种威胁，包括身份融合、刻板印象威胁、少数族裔税、隐性偏见和缺乏指导。还介绍了缓解这些挑战的循证策略，包括进一步对 PIF 提供机构支持、建立实践社区、支持包容性环境以及开发 PIF 评估工具。通过探索这些挑战和解决方案，我们能够更好地满足 UIM 学员和医生在其终生医学之旅中继续 PIF 的需求。隐性偏见和缺乏指导。还介绍了缓解这些挑战的循证策略，包括进一步对 PIF 提供机构支持、建立实践社区、支持包容性环境以及开发 PIF 评估工具。通过探索这些挑战和解决方案，我们能够更好地满足 UIM 学员和医生在其终生医学之旅中继续 PIF 的需求。隐性偏见和缺乏指导。还介绍了缓解这些挑战的循证策略，包括进一步对 PIF 提供机构支持、建立实践社区、支持包容性环境以及开发 PIF 评估工具。通过探索这些挑战和解决方案，我们能够更好地满足 UIM 学员和医生在其终生医学之旅中继续 PIF 的需求。