Wouters Anouk, Croiset Gerda, Schripsema Nienke R, Cohen-Schotanus Janke, Spaai Gerard W G, Hulsman Robert L, Kusurkar Rashmi A
VUmc School of Medical Sciences, Research in Education, Amsterdam, the Netherlands.
Center for Education Development and Research in Health Professions (CEDAR), University of Groningen the Netherlands.
Int J Med Educ. 2017 Jun 12;8:217-226. doi: 10.5116/ijme.5921.5090.
The aim was to examine main reasons for students' medical school choice and their relationship with students' characteristics and motivation during the students' medical study.
In this multisite cross-sectional study, all Year-1 and Year-4 students who had participated in a selection procedure in one of the three Dutch medical schools included in the study were invited to complete an online survey comprising personal data, their main reason for medical school choice and standard, validated questionnaires to measure their strength of motivation (Strength of Motivation for Medical School-Revised) and autonomous and controlled type of motivation (Academic Self-regulation Questionnaire). Four hundred seventy-eight students participated. We performed frequency analyses on the reasons for medical school choice and regression analyses and ANCOVAs to study their associations with students' characteristics and motivation during their medical study.
Students indicated 'city' (Year-1: 24.7%, n=75 and Year-4: 36.0%, n=52) and 'selection procedure' (Year-1: 56.9%, n=173 and Year-4: 46.9%, n=68) as the main reasons for their medical school choice. The main reasons were associated with gender, age, being a first-generation university student, ethnic background and medical school, and no significant associations were found between the main reasons and the strength and type of motivation during the students' medical study.
Most students had based their medical school choice on the selection procedure. If medical schools desire to achieve a good student-curriculum fit and attract a diverse student population aligning the selection procedure with the curriculum and taking into account various students' different approaches is important.
本研究旨在探究学生选择医学院校的主要原因，以及这些原因与学生在医学学习期间的特征和动机之间的关系。
在这项多中心横断面研究中，邀请了参与研究的三所荷兰医学院校之一选拔程序的所有一年级和四年级学生完成一项在线调查，该调查包括个人数据、选择医学院校的主要原因，以及用于测量其动机强度（修订后的医学院校动机强度量表）和自主与受控动机类型（学业自我调节问卷）的标准、经过验证的问卷。478名学生参与了调查。我们对选择医学院校的原因进行了频率分析，并进行了回归分析和协方差分析，以研究这些原因与学生在医学学习期间的特征和动机之间的关联。
学生们表示“城市”（一年级：24.7%，n = 75；四年级：36.0%，n = 52）和“选拔程序”（一年级：56.9%，n = 173；四年级：46.9%，n = 68）是他们选择医学院校的主要原因。主要原因与性别、年龄、是否为第一代大学生、种族背景和医学院校有关，且在学生医学学习期间，未发现主要原因与动机强度和类型之间存在显著关联。
大多数学生选择医学院校是基于选拔程序。如果医学院校希望实现良好的学生与课程匹配，并吸引多样化的学生群体，使选拔程序与课程相匹配并考虑到不同学生的不同方法很重要。
