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Anatomical learning environments have been repeatedly shown to play a critical role in forming such an identity; however, relevance of PIF during sonoanatomical training remains underexplored. At the end of their basic anatomy studies, third\u2010semester medical students took part in a four\u2010day block course on anatomy and imaging. Anatomical content was revised in small groups using peer teaching and imaging methods, including one hour of hands\u2010on sonoanatomy sessions each day. On\u2010site sonoanatomy was identified as an excellent format to support students' transition from the pre\u2010clinical to clinical phase as medical experts\u2010to\u2010be. Students enjoyed practical exercises and the clinical input, which increased their interest in the medical profession and their academic studies. This study further examined the effects of the transition into an online\u2010only format, necessitated by the current Covid\u201019 pandemic. A comparison was made between the quantitative and qualitative evaluation data, and the written results of examinations of several on\u2010site (<jats:italic>n<\/jats:italic>\u00a0=\u00a01096, <jats:italic>mean<\/jats:italic> age = 22.4\u00a0years \u00b1 2.18), and online\u2010only cohorts (<jats:italic>n<\/jats:italic>\u00a0=\u00a0230, <jats:italic>mean<\/jats:italic> age = 22.6\u00a0years \u00b1 2.21). The online\u2010only transition led to a reduction of all PIF\u2010related variables measured, losing identity\u2010related variables, increasing students' stress levels, and reducing their long\u2010term academic performance. Together, this study demonstrates presence of PIF in undergraduate sonoanatomy teaching, and cautions against the uncritical online\u2010only substitution of hands\u2010on learning environments.<\/jats:p>","DOI":"10.1002\/ase.2178","type":"journal-article","created":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T03:18:45Z","timestamp":1646968725000},"page":"447-463","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["\u201cFun slipping into the doctor's role\u201d\u2014The relationship between sonoanatomy teaching and professional identity formation before and during the Covid\u201019 pandemic"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2375-8792","authenticated-orcid":false,"given":"Dogus","family":"Darici","sequence":"first","affiliation":[{"name":"Institute of Anatomy and Molecular Neurobiology Westf\u00e4lische Wilhelms\u2010University  M\u00fcnster 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