What motivates medical students to select medical studies: a systematic literature review

BackgroundThere is a significant shortage of health workers across and within countries. It is of utmost importance to determine the factors that motivate students to opt for medical studies. The objective of this study is to group and review all the studies that investigated the motivational factors that underpin students’ selection of medical study in recent years.MethodsThe literature search was carried out by two researchers independently in PubMed, Google Scholar, Wiley and IndMED databases for articles published from year 2006 till 2016. A total of 38 combinations of MeSH words were used for search purpose. Studies related to medical students and interns have been included. The application of inclusion and exclusion criteria and PRISMA guidelines for reporting systematic review led to the final selection of 24 articles.ResultsThe majority of the studies (n = 16; 66.6%) were from high-income countries followed by an equal number from upper-middle and lower-middle income countries (n = 4,16.7%). None of the studies were from low-income countries. All of the studies were cross-sectional in nature. The main motivating factors that emerged were scientific (interest in science / medicine, social interest and academia, flexible work hours and work independence), societal (prestige, job security, financial security) and humanitarian (serving the poor and under priviledged) in high-, upper-middle and lower-middle income countries, respectively. The findings were comparable to Maslow’s hierarchy of needs theory of motivation.ConclusionThis systematic review identifies the motivational factors influencing students to join medical studies in different parts of the globe. These factors vary per country depending on the level of income. This study offers cues to policy makers and educators to formulate policy in order to tackle the shortage of health workers, i.e. medical doctors. However, more research is needed to translate health policy into concrete and effective measures.

[1]  J. Kang,et al.  Comparison of Career Choice Motivation and Moral Reasoning Ability between Students in Baccalaureate and Graduate-entry Programs , 2007 .

[2]  Edmond Girasek,et al.  The medical career choice motivations — Results from a Hungarian study , 2011 .

[3]  D. Howes,et al.  Motivation In Medical Education: A Systematic Review , 2010 .

[4]  Chan Yiong Huak,et al.  Motivation, study habits, and expectations of medical students in Singapore , 2009, Medical teacher.

[5]  V. Mericq,et al.  [Interests and perspectives of first and last year medical students]. , 2012, Revista medica de Chile.

[6]  A. Liebelt,et al.  Warum Medizin studieren? , 2015, DMW Deutsche Medizinische Wochenschrift.

[7]  S. Hurst.  Eroding students' rural motivation: first do no harm? , 2014, Swiss medical weekly.

[8]  D. Niakas,et al.  Motivation and job satisfaction among medical and nursing staff in a Cyprus public general hospital , 2010, Human resources for health.

[9]  M. Smith,et al.  Facing the health worker crisis in developing countries: a call for global solidarity. , 2006, Bulletin of the World Health Organization.

[10]  O. ten Cate,et al.  Effects of age, gender and educational background on strength of motivation for medical school , 2009, Advances in health sciences education : theory and practice.

[11]  Jacqueline I. Wilson.  A Two Factor Model of Performance Approach Goals in Student Motivation for Starting Medical School. , 2009 .

[12]  E. B. Puertas,et al.  Factors that influence a career choice in primary care among medical students from high-, middle-, and low-income countries: a systematic review. , 2013, Revista panamericana de salud publica = Pan American journal of public health.

[13]  R. Kusurkar,et al.  A qualitative analysis of statements on motivation of applicants for medical school , 2014, BMC medical education.

[14]  P. Topsever,et al.  Factors affecting choice of specialty among first-year medical students of four universities in different regions of Turkey. , 2008, Croatian medical journal.

[15]  S. O’Flynn,et al.  Studying medicine – a cross-sectional questionnaire-based analysis of the motivational factors which influence graduate and undergraduate entrants in Ireland , 2014, JRSM open.

[16]  Kenneth E. Sumner,et al.  Applicants to the University of Adelaide Medical School: Influences, motivation and alternative career choices , 2013 .

[17]  D. Ruwaard,et al.  Development and Validation of the Motivations for Selection of Medical Study (MSMS) Questionnaire in India , 2016, PloS one.

[18]  R. Malhotra,et al.  Career aspirations and apprehensions regarding medical education among first year medical students in Delhi , 2007 .

[19]  R. Kusurkar,et al.  Motivation as an independent and a dependent variable in medical education: A review of the literature , 2011, Medical teacher.

[20]  Howard Rosenbaum,et al.  Effects of reading proficiency on embedded stem priming in primary school children , 2021 .

[21]  SOMAYEH KAVOUSIPOUR,et al.  Achievement motivation level in students of Shiraz University of Medical Sciences and its influential factors , 2015, Journal of advances in medical education & professionalism.

[22]  Giovanni Asproni,et al.  Motivation, Teamwork, and Agile Development , 2004 .

[23]  Daniel Pagnin,et al.  Burnout and career choice motivation in medical students , 2013, Medical teacher.

[24]  I. McManus,et al.  The attractions of medicine: the generic motivations of medical school applicants in relation to demography, personality and achievement , 2006, BMC medical education.

[25]  M. Pittler.  Systematic Reviews in Health Care: Meta‐analysis in Context , 2010 .

[26]  Y. Şenol,et al.  The Characteristics of Medical Students and Motivation towards Career Choice: Implications for Curriculum , 2013 .

[27]  Z. Győrffy,et al.  Career motivation and burnout among medical students in Hungary - could altruism be a protection factor? , 2016, BMC medical education.

[28]  A. De Costa,et al.  Indian medical students in public and private sector medical schools: are motivations and career aspirations different? – studies from Madhya Pradesh, India , 2013, BMC medical education.

[29]  M. I. Hernández,et al.  Intereses y perspectiva sobre la carrera de medicina: un contraste entre estudiantes de medicina de primero y séptimo año , 2012 .

[30]  M. Logaraj,et al.  Why become a Doctor? Exploring the Career Aspirations and Apprehensions among Interns in South India , 2012 .

[31]  James C. Hyatt,et al.  Maslow’s Hierarchy of Needs , 2018 .

[32]  L. Puljak,et al.  Demographics and motives of medical school applicants in Croatia , 2007, Medical teacher.

[33]  Kyong-Jee Kim,et al.  Differences in medical students’ academic interest and performance across career choice motivations , 2016, International journal of medical education.