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Trainee-environment interactions that stimulate motivation: A rich pictures study
Wieke E van der Goot1,2, Sayra M Cristancho3, Marco Antonio de Carvalho Filho2,4
1Martini Academie, Martini Hospital, Groningen, the Netherlands.
Medical Education
|December 31, 2019
Summary
Understanding trainee motivation in complex clinical settings is key. Four environmental dimensions—social, organizational, technical, and physical—support motivation and can be optimized for better learning experiences.
Area of Science:
- Medical Education
- Workplace Psychology
- Systems Theory
Background:
- Motivation in complex workplaces is challenging for trainees.
- Existing motivation theories may not fully capture clinical environments.
- Clinical settings present unique factors influencing trainee motivation.
Purpose of the Study:
- To explore how the clinical environment influences trainee motivation.
- To understand the interplay between the clinical environment and motivation.
- To identify factors within clinical settings that support or hinder trainee motivation.
Main Methods:
- Utilized a systems approach and rich pictures drawing method.
- Conducted iterative data collection and analysis using constructivist grounded theory.
- Involved 15 trainees who drew motivating situations and were interviewed.
Main Results:
- Identified four key environmental dimensions supporting trainee motivation: social interactions, organizational features, technical possibilities, and physical space.
- Social interactions: Close collaboration enhanced motivation.
- Organizational features: Learning opportunities and autonomy supported motivation.
- Technical possibilities: Feedback and specific tools aided motivation.
- Physical space: Atmosphere and ability to modify the environment positively impacted motivation.
Conclusions:
- Clinical environment dimensions significantly impact trainee motivation.
- Modifying these dimensions can create optimal motivating situations.
- A holistic approach considering all environmental factors is crucial for supporting trainees in postgraduate medical education.
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