Clinical practices and medical students motivation
Keywords:
Motivation, Learning, Medical students, Training practices, Real patient, Autoregulation, Medical educationAbstract
Clinical practices integrate learning and strengthen professional skills. It was propose to understand the factors that influence the motivation of medical students in clinical courses. This is a qualitative study following the Grounded Theory method and the interpretative framework of Symbolic Interactionism. 17 semi-structured interviews were conducted and 70 practices were observed. The practices emerged as motivating experiences that connected the learning, interests, emotions and relationships of students and reinforced intrinsic motivation and autonomous motivation. In conclusion, practices are motivating experiences that favor integral formation and self-regulation of learning.
References
Abdulghani, H. M., Sattar, K., Ahmad, T., & Akram, A. (2020). Association of COVID-19 Pandemic with undergraduate Medical Students’ Perceived Stress and Coping. Psychology Research and Behavior Management, 13, 871–881.https://doi.org/10.2147/PRBM.S276938
Atman Uslu, N., & Yildiz Durak, H. (2022). Predicting learner autonomy in collaborative learning: The role of group metacognition and motivational regulation strategies. Learning and Motivation, 78, 101804. https://doi.org/10.1016/J.LMOT.2022.101804
Berkhout, J. J., Slootweg, I. A., Helmich, E., Teunissen, P. W., van der Vleuten, C. P. M., & Jaarsma, A. D. C. (2017). How characteristic routines of clinical departments influence students’ self-regulated learning: A grounded theory study. Medical Teacher, 39(11), 1174–1181. https://doi.org/10.1080/0142159X.2017.1360472
Blitz, J., de Villiers, M., & van Schalkwyk, S. (2019). Designing faculty development: lessons learnt from a qualitative interpretivist study exploring students’ expectations and experiences of clinical teaching. BMC Medical Education, 19(1), 49. https://doi.org/10.1186/s12909-019-1480-7
Bransen, D., Driessen, E. W., Sluijsmans, D. M. A., & Govaerts, M. J. B. (2022). How medical students co-regulate their learning in clinical clerkships: a social network study. BMC Medical Education, 22(1), 193. https://doi.org/10.1186/s12909-022-03259-0
Callizo Silvestre, A., & Carrasco Picazo, J. P. (2015). El Grado en Medicina. Una visión por parte de los alumnos. Educación Médica, 16(1), 100–103. https://doi.org/10.1016/J.EDUMED.2015.04.004
Cassiano, C., Gonçalves, A. R., Gonçalves, D. R., & Gonçalves, J. R. L. (2021). Desmotivação acadêmica: buscando compreender a realidade. Revista Família, Ciclos de Vida e Saúde no Contexto Social, 9(2), 417–426. https://www.redalyc.org/articulo.oa?id=497969633007
Clark Plaskie, M. (2020). The Learning and Mentoring Partnership. In SUNY Empire State College Print Shop (Ed.), Explorations in Adult Higher Education (Issue 1, p. 138). SUNY Empire State College.
Cook, DA, Artino, Arj. (2016). Motivation to learn : an overview of contemporary theories. Medical Edutation, 50(October), 997–1014. https://doi.org/10.1111/medu.13074
De la Cuesta Benjumea, C. (2015). A qualidade da investigação qualitativa: Da avaliação à concretização. Texto e Contexto Enfermagem, 24(3), 883–890. https://doi.org/10.1590/0104-070720150001150015
Deci, E. L., & Ryan, R. M. (2000). The “what” and “why” of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227–268. https://doi.org/10.1207/S15327965PLI1104_01
Delgado Arias, C. (2012). La teoría fundamentada:desición entre perspectivas (1st ed.). AuhorHouse.
Díaz-Hernández, D. P., Arango- Ravé, M. E., & Galindo- Cárdenas, L. A. (2014). Evaluación del currículo del Programa de Medicina de la Universidad de Antioquia (1st ed.). Editorial Redipe.
Freire, P. (1997). Pedagogía de la autonomía: saberes necesarios para la práctica educativa. siglo XXI.
Glaser, B. G., & Strauss, A. L. (2017). Discovery of Grounded Theory: Strategies for Qualitative Research. Taylor & Francis Group. https://books.google.com.co/books?id=2hx3tAEACAAJ
Gómez-Gómez, M. M., Osorio-Ramírez, A., Díaz-Hernández, D. P., Gómez-Gómez, M. M., Osorio-Ramírez, A., & Díaz-Hernández, D. P. (2018). Formación e identidad profesional: egresados de medicina. Revista de La Facultad de Medicina, 66(3), 307–312. https://doi.org/10.15446/revfacmed.v66n3.62616
Granero-Gallegos, A., Hortigüela-Alcalá, D., Hernando-Garijo, A., & Carrasco-Poyatos, M. (2021). Estilo docente y competencia en educación superior: mediación del clima motivacional. Educación XX1, 24(2 SE-Estudios), 43–64. https://doi.org/10.5944/educxx1.28172
Knowles, M., Holton, E., & Richard, S. (2004). Una teoría del aprendizaje de adultos: la andragogía. In Oxford University Press México (Ed.), Andragogía. El aprendizaje de los adultos (5ta ed., Vol. 1, pp. 39–77). Oxford University Press México SA.
Kusurkar, R. A., Croiset, G., & Ten Cate, T. J. (2011). Twelve tips to stimulate intrinsic motivation in students through autonomy-supportive classroom teaching derived from self-determination Theory. Medical Teacher, 33(12), 978–982. https://doi.org/10.3109/0142159X.2011.599896
Kusurkar, Rashmi A. (2019). Autonomous motivation in medical education. Medical Teacher, 41(9), 1083–1084. https://doi.org/10.1080/0142159X.2018.1545087
Kusurkar, Rashmi A., & Croiset, G. (2015). Autonomy support for autonomous motivation in medical education. Medical Education Online, 20(1). https://doi.org/10.3402/meo.v20.27951
Kusurkar, Rashmi A, Croiset, G., Mann, K. V, Custers, E., & Ten Cate, O. (2012). Have motivation theories guided the development and reform of medical education curricula? A review of the literature. Academic Medicine, 87(6), 735–743.
Larrosa, J. (1997). Aloma revista de psicologia, ciències de l’educació i de l’esport Blanquerna. Universitat Ramon Llull. http://diposit.ub.edu/dspace/handle/2445/96984#.Yr4X431wTxY.mendeley
Ministerio de la Protección Social. (2010). Decreto 2376. https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=76013
Moll-Khosrawi, P., Cronje, J. S., Zöllner, C., Kubitz, J. C., & Schulte-Uentrop, L. (2021). Understanding how the motivational dimension of learning is influenced by clinical teaching in medical education: A prospective cohort study. Annals of Medicine and Surgery, 65, 102366. https://doi.org/10.1016/J.AMSU.2021.102366
Nolla Domenjó, M. (2019). Aprendizaje y prácticas clínicas. Educación Médica, 20(2), 100–104. https://doi.org/10.1016/J.EDUMED.2018.12.019
Patias, N. D., Von Hohendorff, J., Cozzer, A. J., Flores, P. A., & Scorsolini-Comin, F. (2021). Mental Health and Coping Strategies in Undergraduate and Graduate Students During COVID-19 Pandemic. Trends in Psychology, 1–20. https://doi.org/10.1007/s43076-021-00069-z
Ryan, R. M., & Deci, E. L. (2000). Intrinsic and Extrinsic Motivations: Classic Definitions and New Directions. Contemporary Educational Psychology, 25(1), 54–67. https://doi.org/10.1006/CEPS.1999.1020
Salazar Blanco, O. (2017). El universo relacional en las prácticas académicas en un pregrado de medicina vistos por los docentes médicos [Universidad de Antioquia]. https://teleducacion.medicinaudea.co/pluginfile.php/259077/mod_resource/content/1/MESS06 2017 Olga Salazar.pdf
Sandars, J., & Cleary, T. J. (2011). Self-regulation theory: Applications to medical education: AMEE Guide No. 58. Medical Teacher, 33(11), 875–886. https://doi.org/10.3109/0142159X.2011.595434
Savater, F. (1997). El valor de educar. Editorial Ariel.
Strauss, A., & Corbin, J. (2012). Bases de la investigación Cualitativa. Técnicas y procedimientos para desarrollar la teoría fundamentada (2nd ed.). Editorial Universidad de Antioquia.
Tapia, J. A. (2009). Motivar en la escuela, motivar en la familia. Ediciones Morata.
Universidad de Antioquia. (2014). Política Integral de Prácticas para los programas de pregrado (p. 20). http://200.24.17.24:10039/wps/wcm/connect/udea/1ef6a59d-69d6-47d7-a156-926aa8a34c3c/acuerdo+superior++418+2014.pdf?MOD=AJPERES&CVID=kTEGlJ8
Zimmerman, B. J., & Schunk, D. H. (2011). Self-regulated learning and performance. Handbook of Self-Regulation of Learning and Performance, 1–12.
