Altruistic Motivations and Career Satisfaction in Argentine Medical Students: a Cross-Sectional Study
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Abstract
Introduction: although altruism is a significant driver of a physician’s career satisfaction, there is no information on whether this association presents itself in medical students. This study aimed to evaluate the relationship between the motivation profile and professional satisfaction in medical students.
Materials and methods: we conducted a cross-sectional study in a convenience sample of students in their first and fifth (and or last) year of Medical School in Argentina. We gathered data prospectively via an online survey that covered sociodemographic, academic, and motivational information.
Results: we enrolled 2,301 students, of whom 44% reported altruistic motivations and 77% expressed satisfaction with studying medicine. Professional satisfaction was significantly more frequent among students with altruistic motivations (84% vs. 72%; X2 = 46.0; p <0.001). Such association persisted even after adjusting for multiple covariates (OR 1.94; 95%CI 1.57-2.41; p <0.001).
Discussion and conclusions: medical students in Argentina with altruistic motivations may exhibit
greater satisfaction with studying Medicine compared to other students. Further research studies need to establish the role of motivational profiles in academic evaluations during the study and in the selection of medical students and to consider encouraging altruism as part of an institutional policy.
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Garcia LC, Shanafelt TD, West CP, et al. Burnout, depression, career satisfaction, and work-life integration by physician race/ethnicity. JAMA Netw Open. 2020;3(8):e2012762. https://doi.org/10.1001/jamanetworkopen.2020.12762.2. Sandvei MS, Jacobsen GW, et al. A national intercalated medical student research program - student perceptions, satisfaction, and factors associated with pursuing a PhD. Med Educ Online. 2022;27(1):2122105. https://doi.org/10.1080/10872981.2022.2122105. DOI: https://doi.org/10.1080/10872981.2022.2122105
DeWitt D, Canny BJ, Nitzberg M, et al. Medical student satisfaction, coping and burnout in direct-entry versus graduate-entry programmes. Med Educ. 2016;50(6):637-645. https://doi.org/10.1111/medu.12971. DOI: https://doi.org/10.1111/medu.12971
Anderson N, Lett E, Asabor EN, et al. The association of microaggressions with depressive symptoms and institutional satisfaction among a national cohort of medical students. J Gen Intern Med. 2022;37(2):298-307. https://doi.org/10.1007/s11606-021-06786-6. DOI: https://doi.org/10.1007/s11606-021-06786-6
Ayatollahi J, Akhondimeybodi Z, Raeisyazdi MS, et al. Medical students' satisfaction from the clinical education processes in Yazd. J Med Res. 2021;7(6):195-198. DOI: https://doi.org/10.31254/jmr.2021.7608
Cieza Zevallos J, Castillo Velásquez AB, Garay Buitrón FA, et al. Satisfacción de los estudiantes de una facultad de medicina peruana. Rev Med Herediana. 2018;29(1):22-28. https://doi.org/10.20453/rmh.v29i1.3257. DOI: https://doi.org/10.20453/rmh.v29i1.3257
Mayta-Tristán P, Pereyra-Elías R, Montenegro-Idrogo JJ,et al. Profile and professional expectations of medical students from 11 Latin American countries: the Red-LIRHUS project. BMC Res Notes. 2017;10(1):159. https://doi.org/10.1186/s13104-017-2479-y. DOI: https://doi.org/10.1186/s13104-017-2479-y
Peng P, Chen S, Hao Y, et al. Network of burnout, depression, anxiety, and dropout intention in medical undergraduates. Int J Soc Psychiatry. 2023;69(6):1520-1531. https://doi.org/10.1177/00207640231166629. DOI: https://doi.org/10.1177/00207640231166629
Faizullina K, Kausova G, Kalmataeva Z, et al. Career intentions and dropout causes among medical students in Kazakhstan. Medicina (Kaunas). 2013;49(6):284-290. DOI: https://doi.org/10.3390/medicina49060045
Pisaniello MS, Asahina AT, Bacchi S, et al. Effect of medical student debt on mental health, academic performance and specialty choice: a systematic review. BMJ Open. 2019;9(7):e029980. https://doi.org/10.1136/bmjopen-2019-029980. DOI: https://doi.org/10.1136/bmjopen-2019-029980
Aina C, Baici E, Casalone G, et al. The economics of university dropouts and delayed graduation: a survey. Bonn: Institute of Labor Economics; 2018. (IZA Discussion Papers, no. 11421). DOI: https://doi.org/10.2139/ssrn.3153385
Caulfield M, Redden G, Sondheimer H. Graduation rates and attrition factors for US medical school students. AAMC Analysis in Brief. 2014;14(5).
Miras L, Molino G, Saulo H, et al. (2018). Anuario de Estadísticas Universitarias. Departamento de Información Universitaria, Secretaría de Políticas Universitarias (SPU), Ministerio de Educación de la Nación Argentina. Página web: https://www.argentina.gob.ar/educacion/universidades/informacion/publicaciones/anuarios
Centeno ÁM, Campos S. La educación médica en argentina. FEM Rev Fund Educ Méd. 2017;20(6):265-271. DOI: https://doi.org/10.33588/fem.206.924
Valerga M, Trombetta L. Deserción universitaria en la Facultad de Medicina de la Universidad de Buenos Aires. Rev Asoc Méd Argent. 2019;132(2):32-35.
Organización Panamericana de la Salud. Manual de medición y monitoreo de indicadores de las metas regionales de recursos humanos para la salud: un compromiso compartido. Washington, DC: OPS; 2011.
Moller AC, Jager AJ, Williams GC et al. US Physicians' work motivation and their occupational health: a national survey of practicing physicians. Med Care. 2019;57(5):334-340. https://doi.org/10.1097/MLR.0000000000001101. DOI: https://doi.org/10.1097/MLR.0000000000001101
Kusurkar RA, Croiset G, Galindo-Garré F, et al. Motivational profiles of medical students: association with study effort, academic performance and exhaustion. BMC Med Educ. 2013;13:87. https://doi.org/10.1186/1472-6920-13-87. DOI: https://doi.org/10.1186/1472-6920-13-87
Ten Cate TJ, Kusurkar RA, Williams GC. How self-determination theory can assist our understanding of the teaching and learning processes in medical education. AMEE guide No. 59. Med Teach. 2011;33(12):961-973. https://doi.org/10.3109/0142159X.2011.595435. DOI: https://doi.org/10.3109/0142159X.2011.595435
Torres-Roman JS, Cruz-Avila Y, Suarez-Osorio K, et al. Motivation towards medical career choice and academic performance in Latin American medical students: a cross-sectional study. PLoS One. 2018;13(10):e0205674. https://doiorg/10.1371/journal.pone.0205674. DOI: https://doi.org/10.1371/journal.pone.0205674
Tak HJ, Curlin FA, Yoon JD. Association of intrinsic motivating factors and markers of physician well-being: a national physician survey. J Gen Intern Med. 2017;32(7):739-746. https://doi.org/10.1007/s11606-017-3997-y. DOI: https://doi.org/10.1007/s11606-017-3997-y
Mayta-Tristán P, Holguín EM, González DC,et al. Validación de una escala para medir las motivaciones para estudiar medicina (MEM-12) en estudiantes latinoamericanos. Arch Med. 2015;11(3):7. https://doi.org/10.3823/1257.
Viera-Pachas R, Helguero-Santin LM, Santiago B, et al. Factores asociados con la satisfacción del conocimiento, puntualidad y evaluaciones que realizan los docentes de diecisiete facultades de medicina peruanas. Rev Cubana Educ Méd Superior. 2018;32(2):1-11.
Chow SC, Shao J, Wang H, et al. Sample size calculations in clinical research. New York: CRC Press; 2017. https://doi.org/10.1201/9781315183084. DOI: https://doi.org/10.1201/9781315183084
Peduzzi P, Concato J, Kemper E, et al. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol. 1996;49(12):1373-1379. https://doi.org/10.1016/s0895-4356(96)00236-3. DOI: https://doi.org/10.1016/S0895-4356(96)00236-3
Tung YC, Chou YY, Chang YH, et al. Association of intrinsic and extrinsic motivating factors with physician burnout and job satisfaction: a nationwide cross-sectional survey in Taiwan. BMJ Open. 2020;10(3):e035948. https://doi.org/10.1136/bmjopen-2019-035948. DOI: https://doi.org/10.1136/bmjopen-2019-035948
Reed VA, Jernstedt GC, McCormick TR. A longitudinal study of determinants of career satisfaction in medical students. Med Educ Online. 2004;9(1):4351. https://doi.org/10.3402/meo.v9i.4351. DOI: https://doi.org/10.3402/meo.v9i.4351
Heredia Alarcón M, Andía Ticona M, Ocampo Guabloche H, et al. Deserción estudiantil en las carreras de ciencias de la salud en el Perú. Anales de la Facultad de Medicina. 2015; 76(No. SPE):57-61. https://doi.org/10.15381/anales.v76i1.10972. DOI: https://doi.org/10.15381/anales.v76i1.10972
Powis D, Munro D, Bore M, et al. Why is it so hard to consider personal qualities when selecting medical students? Med Teach. 2020;42(4):366-371. https://doi.org/10.1080/0142159X.2019.1703919. DOI: https://doi.org/10.1080/0142159X.2019.1703919
World Directory of Medical Schools [Internet]. Copenhage: World Federation of Medical Education; 2022 [actualizado 2022 nov 4; citado 2023 jun 6]. Disponible en: https://www.wdoms.org/.