Professional Identity
What it is and Why it Matters to Canadian Medical Laboratory Professionals
PHOTOGRAPHY: TFRAN_KIE/ADOBE STOCK
In a recent issue of the CJMLS, an important topic that I have spent considerable time reflecting on was highlighted — our professional identity (PI). While PI has received considerable exploration in other professional fields, including nursing and education, its understanding remains limited among medical laboratory professionals (MLPs). Recent certification changes adopted by the Canadian Alliance of Medical Laboratory Professional Regulators (CAMLPR), and their adjustments to the examination process, have introduced a novel variable regarding our PI.
1. What do we mean by professional identity, and why does it matter?
Various definitions can be applied to the concept of PI, but generally speaking, PI can be considered one component of our total sense of self and is composed of the values and beliefs that guide the understanding of our role as health professionals,1 and by extension, within the health care sector, our interactions with patients and colleagues. PI is distinct from professionalism, as it is much more personal, and the development of PI can be considered a form of learning that occurs upon exposure to a particular occupation2. That is, PI is more complicated than simple professionalism norms, as occupationally connected beliefs and values are not inseparable from our personal core identity and serve to shape our perceptions outside of our working life. Given that over a 35-year career, a lab tech will spend an average of a full seven years with our specimens, it should not be surprising that our PI can have a tremendous impact on our personal sense of belonging. Importantly, while PI can be understood through this individual lens, it is also essential to consider that our profession itself has a collective identity, and its success and strength are important contributors to our individual professional selves. Unfortunately, despite best efforts on the part of some of our institutions, our collective PI has, likely in part due to our limited public visibility, demonstrated considerable difficulty in establishing itself against its contemporaries, such as nursing or other allied health professions. Why this has continued to occur is beyond the scope of this brief narrative, but needless to say, despite a global pandemic that brought the voice of MLPs to the forefront, the pandemic is now over, and the conversation regarding the importance of the MLP, at least in the public discourse, appears to have moved on, raising all the more reason to continue discussion of our collective PI.
PHOTOGRAPHY: THARES2020/ADOBE STOCK
2. When and how does professional identity matter, and what role do MLPs play in shaping the developing professional self?
Studies in other professions have demonstrated that a developed professional identity is an important element of long-term success, retention and sustainability within professional work.3,4,5 It is certainly difficult to refute that a well-established collective identity within a particular occupational field can be a positive contributor due to variables such as work recognition, role fidelity, social support and job satisfaction. However, we continue to see a significant gap in the literature regarding the more nuanced aspects of the MLP. For example, what impact individual and collective PI might have had during the COVID-19 pandemic with respect to employee burnout, of which increased rates were observed as being linked to low job satisfaction and high self-regulated health,6 remain unknown. Additionally, concerning such a career exit, what impact did leaving the profession have on those who exited in such a challenging time? While I have no empirical data to draw from, anecdotally, when I have spoken to those individuals who have spent considerable time in the field, having left, it would appear that elements of the PI (beliefs and values) persevere, but research is needed in this area. Connected with elements such as role fidelity, responsibility and regulation, there has also been very limited research on how our collective identity as MLPs has been shaped through the self-regulatory processes that continue to emerge within the Canadian landscape (e.g., Nova Scotia’s recent regulation of MLAs), despite ongoing discussion regarding the efficacy of self-regulatory frameworks.7,8 Indeed, while I, like most MLTs, appreciate the importance of ensuring competency and protection of the public, I remain unconvinced of the efficacy of the processes that have been implemented in meeting their stated goals, as well as the potential impact on the collective MLP identity.
“Studies in other professions have demonstrated that a developed professional identity is an important element of long-term success, retention and sustainability within professional work.”
3. How does professional identity impact patient care, and what impact will regulatory changes have on shaping our community?
A well-established and stable PI is an important contributor to the well-being of the patients we serve. It is well understood that a strong individual and collective PI can have numerous benefits, including satisfaction, retention and improved personal wellness, and employers should make efforts to improve the collective identity of their staff through engagement and outreach, many of which do. Given the novelty of the regulatory shifts implemented by CAMPLR, we also find ourselves at a moment when we must consider how those changes may shape our professional community going forward. For example, while I broadly support some elements of a reexamination of the certification pathways associated with “subject” certification — yes, I use that word intentionally as for all intents and purposes we have come full circle from its end in the late 1990s — questions remain regarding the impact that these changes will have on our collective PI and the functional elimination of the “generalist” requirement to enter practice. Could these changes create a dichotomy within the field, or do such separations already exist (e.g., most technologists never work in histology)? How will our new non-generalist MLPs be integrated within a predominantly generalist field, and what impact will this have on our individual and collective PI? Most importantly, could this change serve to dilute our professional identity? Ultimately, this is an important moment, as we find ourselves navigating a renewed and shifting regulatory space and areas requiring considerable research.
Editors’ note: Lab Week seems like a perfect time to start an important conversation on MLPs’ professional identity, beginning with this article by Hardy. Watch for CJMLS articles examining this topic further. If you have a comment or discussion point you would like us to consider, please email it to editor@csmls.org.
Gregory Hardy,
MLT, EDD


Gregory Hardy,
MLT, EDD