Article 2011

Motivation and support provided on training a longitudinal study of a cohort of family medicine residents; Motivação profissional e apoio fornecido no estágio estudo longitudinal de uma coorte de médicos do internato médico de medicina geral e familiar

Acta Medica Portuguesa
Journal · Vol. 24 · Issue SUPPL.2 · pp. 137-146
Abstract

Background: Having as main goal the development of a culture of professional excellence, the Family Medicine residency currently intends to correspond to the principles of adult learning approach, in which motivation for practicing is essential. Objectives: (1) To analyze the variability of Family Medicine residentes professional motivation, throughout the residency training; (2) To characterize Family Medicine residents perception about the support provided on training, during the residency; (3) To analyze the variability of Family Medicine residents perception about the support provided by the supervisor, throughout the residency. Method: Observational, quantitative and longitudinal study (2005-2008) of Family Medicine residents who participated in a survey on professional motivation. At the beginning of the residency in 2005 (N = 109) in Portugal, they were submitted to three assessment moments (n = 69) by a postal survey using a questionnaire with 57 Likert scale items, representing motivational variables - professional project, professional commitment, initial motivation, intrinsic motivation, self-efficacy expectations, self-control expectati ons,assertiveness and perception of the support provided on training program. Descriptive statistics and analytic tests (ANOVA - GLM repeated measures) were used to study the variability of the cognitive dimensions (a = 0,05). Results: Although motivated to Family Medicine practice (response rate = 47.8%, at the study entry), the physicians professional motivation variability along the residency has presented slightly positive, at the end of the study, but not statistically significant. The physicians of our cohort responded by assigning a relatively high average levels in almost all items of the scale support provided on training during the residency, and its variation showed a positive trend, at the end of the study. Conclusions: This study produced results of an important phenomenon on which there is no published information in Portugal. It provides substantial evidence on the progression of professional motivation of this physicians' cohort and on their perception about strategies used by the supervisor. The structuring of residency program may include individual strategies aimed to increase the Family Medicine residents' motivation, with benefits for their performance.

Keywords

Author Keywords

Not provided

Index Keywords

human questionnaire Cross-Sectional Studies Humans Internship and Residency Article self concept motivation longitudinal study Longitudinal Studies physician residency education clinical practice Social support quantitative analysis observational study cohort analysis Family Practice family medicine Portugal
Author Affiliations
Department of Psychology, Universidade do Algarve, Faro, Faro, Portugal
Departamento de Ciências Biomédicas e Medicina, Universidade do Algarve, Faro, Faro, Portugal
Funding & Acknowledgements
No funding information
References 10 References
1 Manual De Medicina Familiar, (1994)
2 undefined, (2006)
3 undefined, (1980)
4 Educ Med, (1997)
5 Caderneta De Estagio, (1990)
6 Caderneta De Estagio Coordenacao do Internato Complementar Da Zona Sul, (1992)
7 Programa De Formacao Caderneta De Estagio, (2009)
8 undefined, (2009)
9 Rev Port Clin Geral, (2005)
10 undefined, (2009)
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Document Identifiers
  • EID 2-s2.0-84863434162
  • PubMed 22849897
  • Language English