评估跨医学培训阶段学术动机的变化:马来西亚的一项纵向研究
Che Rafidah Aziz1, Mohamad Nabil Mohd Noor1, Muhammad Faiz Ibrahim1
1Medical Education and Research Development Unit (MERDU), Faculty of Medicine, Universiti Malaya, Malaysia.
Annals of medicine
|January 13, 2026
概括
医学学生 医学学生
科学领域:
- 医学教育研究 医学教育研究
- 学习心理学学习的心理学.
- 学生福利 学生福利
背景情况:
- 持续的学术动机对于医学学生的成功和福祉至关重要.
- 从临床前到临床培训的过渡可能会影响动机内化,与自决理论 (SDT) 保持一致.
- 与横截面设计相比,纵向研究可以更深入地了解动机的发展趋势.
研究的目的:
- 纵向研究医学学生学术动机的变化.
- 追踪医学院开始,临床前培训后和两年临床培训后的动机.
主要方法:
- 在马来西亚向292名本科医学学生分三个阶段进行了学术激励量表 (AMS).
- 从2016年到2022年 (七年) 纵向跟踪了三个队列.
- 使用确认因素分析 (CFA) 进行AMS验证,并重复测量ANOVA进行动机变化分析.
主要成果:
- 内在动机从第一年到第五年显著下降 (p < .05).
- 动机 (缺乏动力) 从第一年 (M=6.64) 到第五年 (M=10.27) 逐渐增加.
- 外部和内部监管在第三年达到顶峰,然后在第五年下降或稳定.
结论:
- 内在动机的下降和动机的增加给医学学生带来了挑战.
- 这些动机转变可能会影响学业成绩,心理健康和职业发展.
- 课程调整,指导和减压计划是必要的,以支持学生的动力.
相关概念视频
Longitudinal Studies
469
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
469
Longitudinal Research
13.1K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
13.1K
Stress Prevention and Stress Management Techniques VI
235
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
235
Secondary Motives: Power Motivation and Achievement Motivation
522
Power motivation and achievement motivation are two essential social motives identified by psychologist David McClelland. These motives influence behavior in various personal and professional contexts, shaping how individuals interact with others and pursue their goals.
Power motivation is characterized by the desire to influence, control, or have an impact on others. It is shaped by an individual's experiences, social environment, and cultural context. People with high power motivation are...
Power motivation is characterized by the desire to influence, control, or have an impact on others. It is shaped by an individual's experiences, social environment, and cultural context. People with high power motivation are...
522

