{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:50:27Z","timestamp":1791975027254,"version":"4.4.0"},"reference-count":76,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Digital identity is no longer an add-on to professional life; it is a primary arena where the self is performed, negotiated, and sustained. Health professions education (HPE) depends on visibility; learners seeking mentors, academics signaling scholarship, clinicians building legibility on rating sites. Yet that same visibility is cross-pressured by codes of conduct, context collapse, and the ethics of self-disclosure. This critical narrative review treats digital identity as identity-as-work in public, persistent, searchable systems (the sum of traces others later encounter when platforms remix and rank them). Bringing symbolic interactionism (performance, audience, impression management) into conversation with a sociomaterial stance (platforms and artifacts co-produce action), and drawing a light Lacanian inflection where helpful, we read the corpus through four facets: authenticity, visibility, continuity (idem\/ipse), and agency. Searches across Scopus, Embase, PubMed, PsycINFO, and Google Scholar returned 1,638 records; after 256 duplicates, 1,382 titles\/abstracts were screened, 234 full texts assessed, and 45 sources included. Reflexive memos and iterative comparison guided an interpretive synthesis discussed with wider team. Two recurrent modes (tropes) surfaced. In a mediating mode, \u201cdigital neurotic self\u201d curates authorship under constraint, running legibility tests (Is this true to my values? Which audience will see it? What trace will it leave?) and adjusting voice, timing, and placement. Practices include audience design (lists, close-friends, pseudonyms), contextual disclosure, dual-account compartmentalization, and portfolio stitching to maintain continuity while staying findable. In an instrumentalised mode, the \u2018digital psychotic self\u2019 is built for consumption and tuned to platform legibility; counters, templates, and recommendations, thin authored selfhood, nudge toward micro-celebrity, and drift from ipse (authored) to idem (community sameness). Across studies, homophily, metrics, and templated formats push toward uniformity; without active curation, narrative coherence frays into platform-tuned fragments. For HPE, we argue that digital identity is a dimension of professional identity formation. Educators should coach authorship and stewardship (audience design, narrative\/portfolio stitching, sociolinguistic competence), teach platform literacy (how feeds rank\/normalize; how ratings\/altmetrics discipline presentation), and create counter-spaces that protect backstage rehearsal while enabling intentional visibility. Finally, help learners move beyond perpetual exploration toward value-anchored commitments, so visibility becomes a record of work rather than a performance for counters.<\/jats:p>","DOI":"10.3389\/fmed.2025.1715752","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T06:45:10Z","timestamp":1766040310000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["When the self \u201clogs in\u201d - a critical narrative review of digital identity in health professions education"],"prefix":"10.3389","volume":"12","author":[{"given":"Shaista Salman","family":"Guraya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farah","family":"Ennab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salman Yousuf","family":"Guraya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1080\/09523987.2016.1236885","article-title":"Digital identity formation: socially being real and present on digital networks.","volume":"53","author":"Bozkurt","year":"2016","journal-title":"Educ Media Int."},{"key":"B2","first-page":"335","article-title":"Reconstructing generation Z\u2019s digital identity: self-presentation and impression management strategies in second account Instagram.","volume":"27","author":"Akhmad","year":"2024","journal-title":"Thammasat Rev."},{"key":"B3","first-page":"47","article-title":"To be or not to be, the importance of Digital Identity in the networked society.","volume":"4","author":"Costa","year":"2011","journal-title":"Educa\u00e7\u00e3o Forma\u00e7\u00e3o e Tecnologias."},{"key":"B4","doi-asserted-by":"publisher","first-page":"3641","DOI":"10.1177\/1461444818756290","article-title":"Affordances-in-practice: an ethnographic critique of social media logic and context collapse.","volume":"20","author":"Costa","year":"2018","journal-title":"New Media Soc"},{"key":"B5","doi-asserted-by":"publisher","first-page":"696552","DOI":"10.3389\/fpsyg.2021.696552","article-title":"Literature review of online identity reconstruction.","volume":"12","author":"Huang","year":"2021","journal-title":"Front Psychol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1080\/15283488.2024.2404004","article-title":"A digital identity intervention incorporating social media activities promotes identity exploration and commitment among emerging adults.","volume":"25","author":"Soh","year":"2025","journal-title":"Identity."},{"key":"B7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s00146-025-02414-7","article-title":"Less and more than data: a Lacanian inquiry into self-formation in the age of data mining.","volume":"25","author":"Aydin","year":"2025","journal-title":"AI &amp; SOCIETY."},{"key":"B8","volume-title":"College Students, Social Media, Digital Identities, and the Digitized Self.","author":"Brown","year":"2016"},{"key":"B9","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1186\/s12909-021-02802-9","article-title":"Preserving professional identities, behaviors, and values in digital professionalism using social networking sites; a systematic review.","volume":"21","author":"Guraya","year":"2021","journal-title":"BMC Med Educ"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1276839","DOI":"10.3389\/fmed.2024.1276839","article-title":"Mission-driven e-professionalism in the medical field: shaping digital identity and virtual engagement.","volume":"11","author":"Guraya","year":"2024","journal-title":"Front Med"},{"key":"B11","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1177\/000313481207800537","article-title":"Social media, surgeons, and the Internet: an era or an error?","volume":"78","author":"Azu","year":"2012","journal-title":"Am Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1108\/LHTN-07-2014-0061","article-title":"Look good when you\u2019re googled: Creating and optimizing your digital identity.","volume":"31","author":"Izenstark","year":"2014","journal-title":"Library Hi Tech News."},{"key":"B13","doi-asserted-by":"publisher","first-page":"96","DOI":"10.19173\/irrodl.v20i2.4021","article-title":"From finding a niche to circumventing institutional constraints: examining the links between academics\u2019 online networking, institutional roles, and identity-trajectory.","volume":"20","author":"Jordan","year":"2019","journal-title":"Int. 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