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Processes of increasing medical residents’ intrinsic motivation: a qualitative study

OBJECTIVES: This study aimed to determine qualitatively how medical residents develop intrinsic motivation to learn and work in clinical training settings. METHODS: This study was a descriptive qualitative study, which is widely used in healthcare research. We conducted a semi-structured interview a...

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Autores principales: Tokumasu, Kazuki, Obika, Mikako, Obara, Haruo, Kikukawa, Makoto, Nishimura, Yoshito, Otsuka, Fumio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IJME 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902172/
https://www.ncbi.nlm.nih.gov/pubmed/35510778
http://dx.doi.org/10.5116/ijme.6250.1017
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author Tokumasu, Kazuki
Obika, Mikako
Obara, Haruo
Kikukawa, Makoto
Nishimura, Yoshito
Otsuka, Fumio
author_facet Tokumasu, Kazuki
Obika, Mikako
Obara, Haruo
Kikukawa, Makoto
Nishimura, Yoshito
Otsuka, Fumio
author_sort Tokumasu, Kazuki
collection PubMed
description OBJECTIVES: This study aimed to determine qualitatively how medical residents develop intrinsic motivation to learn and work in clinical training settings. METHODS: This study was a descriptive qualitative study, which is widely used in healthcare research. We conducted a semi-structured interview aimed to explore key participants’ in-depth experiences and perspectives regarding intrinsic motivation. The authors interviewed seven postgraduate Japanese medical residents. The transcripts were analyzed using the sequential and thematic qualitative data analysis technique steps for coding and theorization, which entails coding steps from open to selective, writing a storyline using the final selective codes, and offering theories. RESULTS: External stimulations (a self-handle environment and a near-peer role model) triggered the medical residents’ cognitive process (gap recognition, awareness, and internalization) to intrinsic motivation. The residents’ awareness of autonomy, responsibility, and independence played a vital role in this process. Furthermore, a psychological feeling of competence also reinforced their intrinsic motivation. Positive feedback and approval from attending physicians and patients’ gratitude promoted residents’ sense of competence. CONCLUSIONS: We illustrated a process for increasing medical residents’ intrinsic motivation. The intrinsic motivation was triggered by external stimulations (a self-handle environment and a near-peer role model), which caused the cognitive process: gap recognition, awareness of important attitudes as a doctor (autonomy, responsibility, and independence), and internalization. Since the first step of this process was an external factor, there are potential benefits of designing an appropriate training environment for increasing medical residents’ intrinsic motivation.
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spelling pubmed-99021722023-02-07 Processes of increasing medical residents’ intrinsic motivation: a qualitative study Tokumasu, Kazuki Obika, Mikako Obara, Haruo Kikukawa, Makoto Nishimura, Yoshito Otsuka, Fumio Int J Med Educ Original Research OBJECTIVES: This study aimed to determine qualitatively how medical residents develop intrinsic motivation to learn and work in clinical training settings. METHODS: This study was a descriptive qualitative study, which is widely used in healthcare research. We conducted a semi-structured interview aimed to explore key participants’ in-depth experiences and perspectives regarding intrinsic motivation. The authors interviewed seven postgraduate Japanese medical residents. The transcripts were analyzed using the sequential and thematic qualitative data analysis technique steps for coding and theorization, which entails coding steps from open to selective, writing a storyline using the final selective codes, and offering theories. RESULTS: External stimulations (a self-handle environment and a near-peer role model) triggered the medical residents’ cognitive process (gap recognition, awareness, and internalization) to intrinsic motivation. The residents’ awareness of autonomy, responsibility, and independence played a vital role in this process. Furthermore, a psychological feeling of competence also reinforced their intrinsic motivation. Positive feedback and approval from attending physicians and patients’ gratitude promoted residents’ sense of competence. CONCLUSIONS: We illustrated a process for increasing medical residents’ intrinsic motivation. The intrinsic motivation was triggered by external stimulations (a self-handle environment and a near-peer role model), which caused the cognitive process: gap recognition, awareness of important attitudes as a doctor (autonomy, responsibility, and independence), and internalization. Since the first step of this process was an external factor, there are potential benefits of designing an appropriate training environment for increasing medical residents’ intrinsic motivation. IJME 2022-04-29 /pmc/articles/PMC9902172/ /pubmed/35510778 http://dx.doi.org/10.5116/ijme.6250.1017 Text en Copyright: © 2022 Kazuki Tokumasu et al. https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use of work provided the original work is properly cited. http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/)
spellingShingle Original Research
Tokumasu, Kazuki
Obika, Mikako
Obara, Haruo
Kikukawa, Makoto
Nishimura, Yoshito
Otsuka, Fumio
Processes of increasing medical residents’ intrinsic motivation: a qualitative study
title Processes of increasing medical residents’ intrinsic motivation: a qualitative study
title_full Processes of increasing medical residents’ intrinsic motivation: a qualitative study
title_fullStr Processes of increasing medical residents’ intrinsic motivation: a qualitative study
title_full_unstemmed Processes of increasing medical residents’ intrinsic motivation: a qualitative study
title_short Processes of increasing medical residents’ intrinsic motivation: a qualitative study
title_sort processes of increasing medical residents’ intrinsic motivation: a qualitative study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902172/
https://www.ncbi.nlm.nih.gov/pubmed/35510778
http://dx.doi.org/10.5116/ijme.6250.1017
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