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. 2023 Dec;29(1):2212903.
doi: 10.1080/13814788.2023.2212903.

Development and internal validation of an instrument to measure the motivation of residents for family medicine

Nikolaos Sapoutzis  1   2 , Antonius Schneider  3 , Tom Brandhuber  3 , Pascal O Berberat  1 , Marjo Wijnen-Meijer  1
Affiliations

Development and internal validation of an instrument to measure the motivation of residents for family medicine

Nikolaos Sapoutzis et al. Eur J Gen Pract. 2023 Dec.

Abstract

Background: For several decades, medical school graduates' motivation to specialise in family medicine is decreasing. Therefore, residents in family medicine must be motivated for the profession and finish their residency.

Objectives: Goal of the current study is the development and internal validation of an instrument to measure the residents' motivation for family medicine, which is based on the self-determination theory: STRength mOtivatioN General practitioner (STRONG).

Methods: We used an existing instrument, the 'Strength of Motivation for Medical School,' adapted the 15 items and added a 16th item to make it suitable for residency in family medicine. After a review by experts, the questionnaire was sent to 943 residents of family medicine in Bavaria, Germany, in December 2020. An exploratory factor analysis for the STRONG item scores was carried out. The items were analysed for grouping into subscales by using principal component analysis. Cronbach's alpha for internal consistency was determined for calculating the reliability of the subscales.

Results: After analysis, the questionnaire appeared to consist of two subscales: 'Willingness to sacrifice' (eight items, Cronbach's alpha is 0.82) and 'Persuasion' (five items, Cronbach's alpha is 0.61). The factor analysis with Promax rotation resulted in two factors explaining 39.6% of the variance. The Cronbach's alpha of the full scale is 0.73.

Conclusion: Based on the internal validation, the STRONG Instrument appears to have good reliability and internal validity, assuming a two-factor structure. This may therefore be a helpful instrument for measuring the strength of the motivation of (future) family medicine residents.

Keywords: Motivation; family medicine; primary care; residents; validation.

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Conflict of interest statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Figures

Figure 1.
Figure 1.
Screeplot of the factor analysis. The x-axis shows the questionnaire items. The y-axis shows the eigenvalues per item.
See this image and copyright information in PMC

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References

    1. Marchand C, Peckham S.. Addressing the crisis of GP recruitment and retention: a systematic review. Br J Gen Pract. 2017;67(657):e227–e237. - PMC - PubMed
    1. Avgerinos ED, Msaouel P, Koussidis GA, et al. . Greek medical students’ career choices indicate strong tendency towards specialization and training abroad. Health Policy. 2006;79(1):101–106. - PubMed
    1. Roos M, Watson J, Wensing M, et al. . Motivation for career choice and job satisfaction of GP trainees and newly qualified GPs across Europe: a seven countries cross-sectional survey. Educ Prim Care. 2014;25(4):202–210. - PubMed
    1. Brown RGS, Walker C.. Motivation and career-satisfaction in general practice. J R Coll Gen Pract. 1973;23:194. - PMC - PubMed
    1. Artino AR, La Rochelle JS, Durning SJ.. Second-year medical students’ motivational beliefs, emotions, and achievement. Med Educ. 2010;44(12):1203–1212. - PubMed

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