Abstract
The purpose of this study was to examine the achievement motivation perceptions of medical students in early clinical training, to find out if variations in such perceptions may relate to students’ gender, age, ethnicity, or enrolment status (domestic or international). The participants were 272 4th and 5th year medical students who voluntarily completed the short version of the Motivated Strategies for Learning Questionnaire. The students’ scores in self-efficacy, intrinsic value, test anxiety, cognitive strategy use, and self-regulation, derived from the questionnaire, were analyzed in relation to the students’ gender, ethnicity, and enrolment status, along with their age as a possible covariate. Female students evidenced lower self-efficacy and higher test anxiety compared to their male counterparts. Likewise, international students were found to have lower self-efficacy and higher test anxiety compared to domestic students; the international students also scored lower in intrinsic value perception. Age was found to significantly correlate with self-efficacy, test anxiety, and intrinsic value perception. The findings suggest a need to use strategies like role-modeling to counteract the possible detrimental effects of negative gender stereotyping on female students’ self-efficacy — especially female students from non-Western cultural backgrounds. The higher levels of test anxiety evidenced by some groups may be understandable in the context of clinical training, but nevertheless indicate a need for the formulation and provision of appropriate forms of skills training and support for students — including communication skills training and support for international students.
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References
Eccles J, Wigfield A. Motivational beliefs, values, and goals. Annu Rev Psychol. 2002;53:109–133.
Pintrich PR, Schunk DH. Motivation in education: Theory, research, and applications. 2nd ed. Upper Saddle River, N.J.: Merrill; 2002.
Rieber N, Betz L, Enck P, et al. Effects of medical training scenarios on heart rate variability and motivation in students and simulated patients. Med Educ. 2009;43(6):553–556.
Naylor RA, Hollett LA, Castellvi A, Valentine RJ, Scott DJ. Preparing medical students to enter surgery residencies. Am J Surg. 2010;199(1):105–109.
Sobral DT. What kind of motivation drives medical students’ learning quests? Med Educ. 2004;38(9):950–957.
Henning MA, Krägeloh C, Hawken SJ, Doherty I, Zhao Y, Shulruf B. Motivation to learn, quality of life and estimated academic achievement: Medical students studying in New Zealand. J Int Assoc Med Sci Educ. 2011;21(2):142–150.
Henning MA, Hawken SJ, Krägeloh C, Zhao Y, Doherty I. Asian medical students: Quality of life and motivation to learn. Asia Pacific Educ Rev. 2011;12(3):437–445.
Pelaccia T, Delplancq H, Triby E, Bartier J-C, Leman CC, Dupeyron J-P. Impact of training periods in the emergency department on the motivation of health care students to learn. Med Educ. 2009;43(5):462–470.
Lempp H, Seale C. Medical students’ perceptions in relation to ethnicity and gender: a qualitative study. BMC Med Educ. 2006;6(1):17.
Collins J, Jones J, White G. Demographic variables in Auckland medical students. N Z Med J. 1993;106(960):306–308.
Pintrich PR, Zusho A. Student motivation and self-regulated learning in the college classroom. In: Perry RP, Smart JC, eds. The scholarship of teaching and learning in higher education: An evidence-based perspective. Dordrecht, The Netherlands: Springer; 2007:731–810.
Hojat M, Glaser K, Xu G, Veloski JJ, Christian EB. Gender comparisons of medical students’ psychosocial profiles. Med Educ. 1999;33:342–349.
Laidlaw AH. Social anxiety in medical students: Implications for communication skills teaching. Med Teach. 2009;31(7):649–654.
Blanch DC, Hall JA, Roter DL, Frankel RM. Is it good to express uncertainty to a patient? Correlates and consequences for medical students in a standardized patient visit. Patient Educ Couns. 2009;76(3):300–306.
Pintrich PR. A conceptual framework for assessing motivation and self-regulated learning in college students. Educ Psych Rev. 2004;16(4):385–407.
Heijne-Penninga M, Kuks J, Hofman WH, Schotanus JC. Influence of open and closed book tests on medical students’ learning approaches. Med Educ. 2008;42(10):967–974.
Slotte V, Lonka K, Lindblom-Ylänne S. Study-strategy use in learning from text. Does gender make any difference? Instruct Sci. 2001;29(3):255–272.
Vaez M, Laflamme L. Experienced stress, psychological symptoms, self-rated health and academic achievement: A longitudinal study of Swedish university students. Soc Behav Pers. 2008;36(2):183–196.
Lepper MR, Corpus JH, Iyengar SS. Intrinsic and extrinsic motivational orientations in the classroom: Age differences and academic correlates. J Educ Psychol. 2005;97(2):184–196.
Tseng V. Family interdependence and academic adjustment in college: Youth from immigrant and US-born families. Child Dev. 2004;75(3):966–983.
Manalo E, Koyasu M, Hashimoto K, Miyauchi T. Factors that impact on the academic motivation of Japanese university students in Japan and in New Zealand. Psychologia. 2006;49(2):114–131.
Ngo PYL, Malz TA. Cross-cultural and cross-generational differences in Asian Americans’ cultural and familiar systems and their impact on academic striving. In: McCubbin HI, Thompson EA, Thompson AI, Fromer JE, eds. Resiliency in Native American and immigrant families. Vol 2. Thousand Oaks, CA: Sage; 1998:265–274.
McManus I, Richards P, Winder B, Sproston K. Final examination performance of medical students from ethnic minorities. Med Educ. 1996;30(3):195–200.
Woolf K, Haq I, McManus IC, Higham J, Dacre J. Exploring the underperformance of male and minority ethnic medical students in first year clinical examinations. Adv Health Sci Educ. 2008;13(5):607–616.
Hauer KE, Durning SJ, Kernan WN, et al. Factors associated with medical students’ career choices regarding internal medicine. JAMA. 2008;300(10):1154.
Fitzjohn J, Wilkinson T, Gill D, Mulder R. The demographic characteristics of New Zealand medical students: the New Zealand wellbeing, intentions, debt and experiences (WIDE) survey of medical students 2001 study. N Z Med J. 2003;116(1183).
Lewis N. Political projects and micro-practices of globalising education: building an international education industry in New Zealand. Globalization Soc Educ. 2011;9(2):225–246.
Sawir E, Marginson S, Deumert A, Nyland C, Ramia G. Loneliness and international students: An Australian study. J Stud Int Educ. 2008;12(2):148.
Pintrich PR, De Groot EV. Motivational and self-regulated learning components of classroom academic performance. J Educ Psychol 1990;82(1):33–40.
Field A. Discovering statistics using SPSS. 2nd ed. London: Sage; 2005.
Ferguson E, James D, Madeley L. Factors associated with success in medical school: Systematic review of the literature. BMJ. 2002;324:952–957.
Bandura A. Self-efficacy: The exercise of control. New York: W.H. Freeman; 1997.
McIntyre RB, Paulson RM, Lord CG. Alleviating women’s mathematics stereotype threat through salience of group achievements. J Exp Soc Psychol. 2003;39(1):83–90.
Lempp H, Seale C. The hidden curriculum in undergraduate medical education: qualitative study of medical students’ perceptions of teaching. BMJ. 2004;329(7469):770.
Helmich E, Derksen E, Prevoo M, Laan R, Bolhuis S, Koopmans R. Medical students’ professional identity development in an early nursing attachment. Med Educ. 2010;44(7):674–682.
Pelaccia T, Delplanq H, Triby E, et al. Gender stereotypes: An explanation to the underrepresentation of women in emergency medicine. Acad Emerg Med. 2010;17(7):775–779.
Multon KD, Brown SD, Lent RW. Relation of self-efficacy beliefs to academic outcomes: A meta-analytic investigation. J Couns Psychol. 1991;38(1):30–38.
Eaton MJ, Dembo MH. Differences in the motivational beliefs of Asian American and non-Asian students. J Educ Psychol. 1997;89(3):433–440.
Hawthorne L, Minas IH, Singh B. A case study in the globalization of medical education: assisting overseas-born students at the University of Melbourne. Med Teach. 2004;26(2):150–159.
Treloar C, McCall N, Rolfe I, Pearson SA, Garvey G, Heathcote A. Factors affecting progress of Australian and international students in a problem based learning medical course. Med Educ. 2000;34(9):708–715.
Lee JS, Koeske GF, Sales E. Social support buffering of acculturative stress: A study of mental health symptoms among Korean international students. Int J Intercult Relat. 2004;28(5):399–414.
Belizaire LS, Fuertes JN. Attachment, coping, acculturative stress, and quality of life among Haitian immigrants. J Couns Dev. 2011;89(1):89–97.
Rubenfeld S, Sinclair L, Clément R. Second language learning and acculturation: The role of motivation and goal content congruence. Canadian J Appl Ling. 2010;10(3):309–323.
Smith PB. Acquiescent response bias as an aspect of cultural communication style. J Cross Cult Psychol. 2004;35(1):50–61.
Pritchard ME, McIntosh DN. What predicts adjustment among law students? A longitudinal panel study. J Soc Psychol. 2003;143(6):727–745.
Henning MA, Hawken SJ, Hill AG. The quality of life of New Zealand doctors and medical students: What can be done to avoid burnout? N Z Med J. 2009;122(1307):102–110.
Feil D, Kristian M, Mitchell N. Older medical students’ performances at McGill University. Acad Med. 1998;73(1):98–100.
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Henning, M.A., Krägeloh, C.U., Manalo, E. et al. Medical Students in Early Clinical Training and Achievement Motivation: Variations According to Gender, Enrollment Status, and Age. Med.Sci.Educ. 23, 6–15 (2013). https://doi.org/10.1007/BF03341798
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DOI: https://doi.org/10.1007/BF03341798