Motivation, study habits, and expectations of medical students in Singapore

Abstract

Objectives: To determine the motivation and incentives in education, learning experience and teaching techniques, and expectations about future careers among medical students from a multi-ethnic Asian country.

Methods: Pre-validated questionnaire-based survey with stratified random sampling among medical students. The questionnaire combined qualitative responses with semi-quantitative measures of available alternatives.

Results: The response rate was 83.1%. The most important factor for pursuing university study was ‘prospect of finding an interesting challenging job’ (rank 1–75%). Family made a significant contribution in decision making. Given the chance, a majority (67.2%) of respondents would prefer to study overseas. The main deterring factors were cost (67.7%), distance from home (28%), and local opportunity for post-graduation (23.4%). Despite their inclination of study overseas, the majority (73.9%) of the respondents indicated they were either very satisfied or satisfied with their current choice of university study. Only 20% of students were comfortable in asking questions in classroom as asking questions was deemed ‘too risky’ and ‘unnecessary to get better grades’. Students adopted strategies related to assessment and competition to monitor their study. Senior students reported university education as less relevant to their future careers as compared to junior students (p = 0.002).

Conclusions: Students’ learning behaviour is determined by complex factors such as educational incentives, learning support, assessment and competition. Among several external factors, family, job prospects and expectations about the future play a critical role in education.

Additional information

Notes on contributors

Zubair Amin

Dr ZUBAIR AMIN is an Assistant Professor in Paediatrics and Deputy Head of Medical Education Unit at YLLSoM. His contributions are: study design, implementation, securing funding, data interpretation, writing the first draft of the manuscript and critical review and intellectual enhancement of the manuscript.

Massimiliano Tani

Dr MASSIMILIANO TANI is a Senior Lecturer in the Department of Economics at Macquarie University, New South Wales, Australia. His contributions are: developing the questionnaire, study design, securing funding and critical review and intellectual enhancement of the manuscript.

Khoo Hoon Eng

Dr KHOO HOON ENG was an Associate Professor in Biochemistry and Deputy Head of Medical Education Unit at YLLSoM at the time of this study. She is currently the Vice-President for Academic Planning at the Asian University for Women (AUW) Support Foundation, Cambridge, MA, USA. Her contributions are: study design, implementation, securing funding and critical review and intellectual enhancement of the manuscript.

Dujeepa D Samarasekara

Dr DUJEEPA D SAMARASEKARA was a Senior Medical Educationalist at the Medical Education Unit of YLLSoM at the time of this study. He is currently the Deputy Head of Medical Education. His contributions are: data interpretations and analysis and critical review and intellectual enhancement of the manuscript.

Chan Yiong Huak

Dr CHAN YIONG HUAK is the Head of Section of Biostatics’ at YLLSoM. His contributions are: study design, data analysis and interpretation and intellectual enhancement of the manuscript.