Educators’ consideration of learner motivation in ophthalmology education in medical school: Influences on teaching practice and course design

References

• Artino AR, Jr La Rochelle JS, Dezee KJ, Gehlbach H. 2014. Developing questionnaires for educational research: AMEE Guide No. 87. Med Teach. 36(6):463–474. doi:10.3109/0142159X.2014.889814.
   PubMed Web of Science ®Google Scholar
• Atta IS, Alghamdi AH. 2018. The efficacy of self-directed learning versus problem-based learning for teaching and learning ophthalmology: a comparative study. Adv Med Educ Pract. 9:623–630. eng. doi:10.2147/AMEP.S171328.
   PubMed Web of Science ®Google Scholar
• Baylis O, Murray PI, Dayan M. 2011. Undergraduate ophthalmology education–a survey of UK medical schools. Med Teach. 33(6):468–471. doi:10.3109/0142159X.2010.540594.
   PubMed Web of Science ®Google Scholar
• Bengtsson M, Ohlsson B. 2010. The nursing and medical students motivation to attain knowledge. Nurse Educ Today. 30(2):150–156. doi:10.1016/j.nedt.2009.07.005.
   PubMed Web of Science ®Google Scholar
• Berman NB, Durning SJ, Fischer MR, Huwendiek S, Triola MM. 2016. The role for virtual patients in the future of medical education. Acad Med. 91(9):1217–1222. doi:10.1097/ACM.0000000000001146.
   PubMed Web of Science ®Google Scholar
• Bisel RS, Adame EA. 2017. Post-positivist/functionalist approaches. The International Encyclopedia of Organizational Communication. p. 1–22.
   Google Scholar
• Bransford JD, Brown AL, Cocking RR. 2000. How People Learn. Vol. 11. Washington, DC: national academy press.
   Google Scholar
• Braun V, Clarke V. 2006. Using thematic analysis in psychology. Qual Res Psychol. 3(2):77–101. doi:10.1191/1478088706qp063oa.
   Google Scholar
• Braun V, Clarke V. 2021. Thematic analysis: a practical guide. UK: SAGE Publications.
   Google Scholar
• Clarke V, Braun V. 2013. Teaching thematic analysis: overcoming challenges and developing strategies for effective learning. The Psychologist. 26(2):120–123.
   Web of Science ®Google Scholar
• Cleland JA. 2017. The qualitative orientation in medical education research. Korean J Med Educ. 29(2):61–71. eng. doi:10.3946/kjme.2017.53.
   PubMedGoogle Scholar
• Dankbaar ME, Alsma J, Jansen EE, van Merrienboer JJ, van Saase JL, Schuit SC. 2016. An experimental study on the effects of a simulation game on students’ clinical cognitive skills and motivation. Adv Health Sci Educ Theory Pract. 21(3):505–521. doi:10.1007/s10459-015-9641-x.
   PubMed Web of Science ®Google Scholar
• Deci EL, Ryan RM. 1985. Intrinsic motivation and self-determination in human behavior. USA: Springer.
   Google Scholar
• Deci EL, Ryan RM. 2000. The “what" and “why" of goal pursuits: human needs and the self-determination of behavior. Psychol Inq. 11(4):227–268. doi:10.1207/S15327965PLI1104_01.
   Web of Science ®Google Scholar
• Deci EL, Ryan RM. 2008. Self-Determination Theory: A Macrotheory of Human Motivation, Development, and Health. Can Psychol. 49(3):182–185. English. doi:10.1037/a0012801.
   Web of Science ®Google Scholar
• Dolmans DHJM, Wolfhagen IHAP, Van Der Vleuten CPM. 1998. Thinking about student thinking: motivational and cognitive processes influencing tutorial groups. Acad Med. 73(10 Suppl):S22–S24. doi:10.1097/00001888-199810000-00034.
   PubMed Web of Science ®Google Scholar
• Dornan T, Littlewood S, Margolis SA, Scherpbier A, Spencer J, Ypinazar V. 2006. How can experience in clinical and community settings contribute to early medical education? A BEME systematic review. Med Teach. 28(1):3–18. doi:10.1080/01421590500410971.
   PubMed Web of Science ®Google Scholar
• Fan JC, Sherwin T, McGhee CN. 2007. Teaching of ophthalmology in undergraduate curricula: a survey of Australasian and Asian medical schools. Clin Exp Ophthalmol. 35(4):310–317. doi:10.1111/j.1442-9071.2006.01414.x.
   PubMed Web of Science ®Google Scholar
• Gostimir M, Sharma RA, Bhatti A. 2018. Status of Canadian undergraduate medical education in ophthalmology. Can J Ophthalmol. 53(5):474–479. doi:10.1016/j.jcjo.2017.11.015.
   PubMed Web of Science ®Google Scholar
• Han J, Yin H. 2016. Teacher motivation: definition, research development and implications for teachers. Cogent Educ. 3(1):1217819. doi:10.1080/2331186X.2016.1217819.
   Web of Science ®Google Scholar
• Hartnett MK. 2015. Influences that undermine learners’ perceptions of autonomy, competence and relatedness in an online context. Austral J Educ Tech. 31(1):86–99.
   Web of Science ®Google Scholar
• Helena B, Miller GC, Henderson J, Bayram C, Valenti L, Harrison C, Charles J, Pan Y, Wong C, Pollack AJ. 2014. General practice activity in Australia 2013-14. Vol. 36. Australia: Sydney University Press.
   Google Scholar
• Hill S, Dennick R, Amoaku W. 2017. Present and future of the undergraduate ophthalmology curriculum: a survey of UK medical schools. Int J Med Educ. 8:389–395. doi:10.5116/ijme.59ac.f69b.
   PubMed Web of Science ®Google Scholar
• Hosseini LJ, Rafiemanesh H, Bahrami S. 2022. Levels of motivation and basic psychological need satisfaction in nursing students: in perspective of self-determination theory. Nurse Educ Today. 119:105538. doi:10.1016/j.nedt.2022.105538.
   PubMed Web of Science ®Google Scholar
• Huang Z, Li M, Zhou Y, Ao Y, Xin W, Jia Y, Yang Y, Cai Y, Xu C, Yang Y, et al. 2016. Modified team-based learning in an ophthalmology Clerkship in China. PLoS One. 11(4):e0154250. doi:10.1371/journal.pone.0154250.
   PubMed Web of Science ®Google Scholar
• Johnson RB, Christensen L. 2019. Educational research: quantitative, qualitative, and mixed approaches. UK; Sage Publications.
   Google Scholar
• Kiger ME, Varpio L. 2020. Thematic analysis of qualitative data: AMEE Guide No. 131. Med Teach. 42(8):846–854. doi:10.1080/0142159X.2020.1755030.
   PubMed Web of Science ®Google Scholar
• Kunanitthaworn N, Wongpakaran T, Wongpakaran N, Paiboonsithiwong S, Songtrijuck N, Kuntawong P, Wedding D. 2018. Factors associated with motivation in medical education: a path analysis. BMC Med Educ. 18(1):140. doi:10.1186/s12909-018-1256-5.
   PubMedGoogle Scholar
• Kusurkar R. 2012. [Motivation in medical students: a]. [PhD thesis report]. Springer.
   Google Scholar
• Kusurkar R, Ten Cate TJ, Van Asperen M, Croiset G. 2011. Motivation as an independent and a dependent variable in medical education: a review of the literature. Med Teach. 33(5):e242–e262. doi:10.3109/0142159X.2011.558539.
   PubMed Web of Science ®Google Scholar
• Kusurkar RA, Croiset G, Mann KV, Custers E, Ten Cate O. 2012. Have motivation theories guided the development and reform of medical education curricula? A review of the literature. Acad Med. 87(6):735–743. eng. doi:10.1097/ACM.0b013e318253cc0e.
   PubMed Web of Science ®Google Scholar
• Kusurkar RA, Croiset G, Ten Cate OTJ. 2011. Twelve tips to stimulate intrinsic motivation in students through autonomy-supportive classroom teaching derived from self-determination theory. Med Teach. 33(12):978–982. doi:10.3109/0142159X.2011.599896.
   PubMed Web of Science ®Google Scholar
• Larsen DP, Butler AC, Roediger HL. III 2008. Test‐enhanced learning in medical education. Med Educ. 42(10):959–966. doi:10.1111/j.1365-2923.2008.03124.x.
   PubMed Web of Science ®Google Scholar
• Li B, Curts D, Iordanous Y, Proulx A, Sharan S. 2016. Evaluation of Canadian undergraduate ophthalmology medical education at Western University. Can J Ophthalmol. 51(5):373–377. doi:10.1016/j.jcjo.2016.04.024.
   PubMed Web of Science ®Google Scholar
• Lincoln YS, Guba Y, Guba EG, Publishing S. 1985. Naturalistic inquiry. UK: SAGE Publications.
   Google Scholar
• Malterud K, Siersma VD, Guassora AD. 2016. Sample size in qualitative interview studies: guided by information power. Qual Health Res. 26(13):1753–1760. doi:10.1177/1049732315617444.
   PubMed Web of Science ®Google Scholar
• Mann KV. 1999. Motivation in medical education: how theory can inform our practice. Acad Med. 74(3):237–239. doi:10.1097/00001888-199903000-00011.
   PubMed Web of Science ®Google Scholar
• Misch DA. 2002. Andragogy and medical education: are medical students internally motivated to learn? Adv Health Sci Educ Theory Pract. 7(2):153–160. doi:10.1023/a:1015790318032.
   PubMed Web of Science ®Google Scholar
• Moulaert V, Verwijnen MG, Rikers R, Scherpbier AJ. 2004. The effects of deliberate practice in undergraduate medical education. Med Educ. 38(10):1044–1052. doi:10.1111/j.1365-2929.2004.01954.x.
   PubMed Web of Science ®Google Scholar
• Nowell LS, Norris JM, White DE, Moules NJ. 2017. Thematic analysis: striving to meet the trustworthiness criteria. Int J Qual Methods. 16(1):160940691773384. 1609406917733847. doi:10.1177/1609406917733847.
   Web of Science ®Google Scholar
• Orsini C, Binnie V, Wilson S, Villegas MJ. 2018. Learning climate and feedback as predictors of dental students’ self-determined motivation: the mediating role of basic psychological needs satisfaction. Eur J Dent Educ. 22(2):e228–e236. doi:10.1111/eje.12277.
   PubMed Web of Science ®Google Scholar
• Orsini C, Binnie VI, Wilson SL. 2016. Determinants and outcomes of motivation in health professions education: a systematic review based on self-determination theory. J Educ Eval Health Prof. 13:19. doi:10.3352/jeehp.2016.13.19.
   PubMed Web of Science ®Google Scholar
• Orsini CA, Binnie VI, Jerez OM. 2019. Motivation as a predictor of dental students’ affective and behavioral outcomes: does the quality of motivation matter? J Dent Educ. 83(5):521–529. doi:10.21815/JDE.019.065.
   PubMed Web of Science ®Google Scholar
• Paas F, Tuovinen JE, Van Merrienboer JJ, Aubteen Darabi A. 2005. A motivational perspective on the relation between mental effort and performance: optimizing learner involvement in instruction. ETR&D. 53(3):25–34. doi:10.1007/BF02504795.
   Web of Science ®Google Scholar
• Pelletier LG, Séguin-Lévesque C, Legault L. 2002. Pressure from above and pressure from below as determinants of teachers’ motivation and teaching behaviors. J Educ Psychol. 94(1):186–196. doi:10.1037/0022-0663.94.1.186.
   Web of Science ®Google Scholar
• Petrarca CA, Warner J, Simpson A, Petrarca R, Douiri A, Byrne D, Jackson TL. 2018. Evaluation of eLearning for the teaching of undergraduate ophthalmology at medical school: a randomised controlled crossover study. Eye (Lond). 32(9):1498–1503. doi:10.1038/s41433-018-0096-1.
   PubMed Web of Science ®Google Scholar
• Quillen DA, Harper RA, Haik BG. 2005. Medical student education in ophthalmology: crisis and opportunity. Ophthalmology. 112(11):1867–1868. doi:10.1016/j.ophtha.2005.05.005.
   PubMed Web of Science ®Google Scholar
• Radel R, Sarrazin P, Legrain P, Wild TC. 2010. Social contagion of motivation between teacher and student: Analyzing underlying processes. J Educ Psychol. 102(3):577–587. doi:10.1037/a0019051.
   Web of Science ®Google Scholar
• Reeve J. 2002. Self-determination theory applied to educational settings. Handbook of Self-Determination Research. 2:183–204.
   Google Scholar
• Roth G, Assor A, Kanat-Maymon Y, Kaplan H. 2007. Autonomous motivation for teaching: how self-determined teaching may lead to self-determined learning. J Educ Psychol. 99(4):761–774. doi:10.1037/0022-0663.99.4.761.
   Web of Science ®Google Scholar
• Ryan AB. 2006. Post-positivist approaches to research. Researching and Writing Your Thesis: a Guide for Postgraduate Students. 12–26.
   Google Scholar
• Ryan RM, Deci EL. 2000a. Intrinsic and extrinsic motivations: classic definitions and new directions. Contemp Educ Psychol. 25(1):54–67. doi:10.1006/ceps.1999.1020.
   PubMed Web of Science ®Google Scholar
• Ryan RM, Deci EL. 2000b. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 55(1):68–78. doi:10.1037//0003-066x.55.1.68.
   PubMed Web of Science ®Google Scholar
• Sahoo S. 2016. Finding self-directed learning readiness and fostering self-directed learning through weekly assessment of self-directed learning topics during undergraduate clinical training in ophthalmology. Int J Appl Basic Med Res. 6(3):166–169. eng. doi:10.4103/2229-516X.186959.
   PubMedGoogle Scholar
• Sahoo S, Venkatesan P, Myint KT, Moe S. 2015. Peer-assisted learning activities during undergraduate ophthalmology training: how the medical students of Asia Pacific Region perceive. Asia Pac J Ophthalmol (Phila). 4(2):76–79. doi:10.1097/APO.0000000000000094.
   PubMedGoogle Scholar
• Sandbergh J. 1997. Are phenomenographic results reliable? High Educ Res Dev. 16(2):203–212. doi:10.1080/0729436970160207.
   Google Scholar
• Scott TM, Succar T, Petsoglou C. 2022. Ophthalmology teaching in Australian medical schools: a national survey. Med Teach. 44(10):1173–1178. doi:10.1080/0142159X.2022.2072283.
   PubMed Web of Science ®Google Scholar
• Sharma R, Gordon M, Dharamsi S, Gibbs T. 2015. Systematic reviews in medical education: a practical approach: AMEE guide 94. Med Teach. 37(2):108–124. doi:10.3109/0142159X.2014.970996.
   PubMed Web of Science ®Google Scholar
• Sim D, Hussain A, Tebbal A, Daly S, Pringle E, Ionides A. 2008. National survey of the management of eye emergencies in the accident and emergency departments by senior house officers: 10 years on—has anything changed? Emerg Med J. 25(2):76–77. doi:10.1136/emj.2007.049999.
   PubMed Web of Science ®Google Scholar
• Sobral DT. 2004. What kind of motivation drives medical students’ learning quests? Med Educ. 38(9):950–957. doi:10.1111/j.1365-2929.2004.01913.x.
   PubMed Web of Science ®Google Scholar
• Stark D, Beinssen A, Morrey C. 1992. Ophthalmology in the undergraduate curriculum. A review in Queensland. Aust N Z J Ophthalmol. 20(4):297–303. eng. doi:10.1111/j.1442-9071.1992.tb00741.x.
   PubMedGoogle Scholar
• Statham MO, Sharma A, Pane AR. 2008. Misdiagnosis of acute eye diseases by primary health care providers: incidence and implications. Med J Aust. 189(7):402–404. doi:10.5694/j.1326-5377.2008.tb02091.x.
   PubMed Web of Science ®Google Scholar
• Stenfors‐Hayes T, Hult H, Dahlgren MA. 2013. A phenomenographic approach to research in medical education. Med Educ. 47(3):261–270. doi:10.1111/medu.12101.
   PubMed Web of Science ®Google Scholar
• Succar T, Grigg J. 2010. A new vision for teaching ophthalmology in the medical curriculum: the Virtual Ophthalmology clinic. In C.H. Steel, M.J. Keppell, P. Gerbic & S. Housego (Eds.). Curriculum, technology & transformation for an unknown future: Proceedings ascilite Sydney 2010; Australia
   Google Scholar
• Succar T, Grigg J. 2019. The role of educational technology in promoting the inclusion of rural clinical schools for ophthalmology teaching using virtual patients. In Strategies for fostering inclusive classrooms in higher education: international perspectives on equity and inclusion. UK: Emerald Publishing Limited.
   Google Scholar
• Succar T, Grigg J, Beaver HA, Lee AG. 2020. Advancing ophthalmology medical student education: international insights and strategies for enhanced teaching. Surv Ophthalmol. 65(2):263–271. doi:10.1016/j.survophthal.2019.08.006.
   PubMed Web of Science ®Google Scholar
• Succar T, Zebington G, Billson F, Byth K, Barrie S, McCluskey P, Grigg J. 2013. The impact of the Virtual Ophthalmology Clinic on medical students’ learning: a randomised controlled trial. Eye (Lond). 27(10):1151–1157. doi:10.1038/eye.2013.143.
   PubMed Web of Science ®Google Scholar
• Tan M, Driscoll P, Marsden J. 1997. Management of eye emergencies in the accident and emergency department by senior house officers: a national survey. J Accid Emerg Med. 14(3):157–158. doi:10.1136/emj.14.3.157.
   PubMedGoogle Scholar
• ten Cate OTJ, Kusurkar RA, Williams GC. 2011. How self-determination theory can assist our understanding of the teaching and learning processes in medical education. AMEE Guide No. 59. Med Teach. 33(12):961–973. doi:10.3109/0142159X.2011.595435.
   PubMed Web of Science ®Google Scholar
• Vansteenkiste M, Zhou M, Lens W, Soenens B. 2005. Experiences of autonomy and control among Chinese learners: vitalizing or immobilizing? J Educ Psychol. 97(3):468–483. doi:10.1037/0022-0663.97.3.468.
   Web of Science ®Google Scholar
• Vermunt JD. 1996. Metacognitive, cognitive and affective aspects of learning styles and strategies: A phenomenographic analysis. High Educ. 31(1):25–50. doi:10.1007/BF00129106.
   Web of Science ®Google Scholar
• Vernon S. 1988. Eye care and the medical student: where should emphasis be placed in undergraduate ophthalmology? J R Soc Med. 81(6):335–337. doi:10.1177/014107688808100612.
   PubMed Web of Science ®Google Scholar
• Vidic B, Weitlauf HM. 2002. Horizontal and vertical integration of academic disciplines in the medical school curriculum. Clin Anat. 15(3):233–235. doi:10.1002/ca.10019.
   PubMed Web of Science ®Google Scholar
• White CB, Gruppen LD, Fantone JC. 2013. Self‐regulated learning in medical education. Understanding medical education: evidence, theory and practice. 201–211.
   Google Scholar
• Williams GC, Deci EL. 1998. The importance of supporting autonomy in medical education. Ann Intern Med. 129(4):303–308. doi:10.7326/0003-4819-129-4-199808150-00007.
   PubMed Web of Science ®Google Scholar
• Wu DJ, Greenberg PB. 2016. A self-directed preclinical course in ophthalmic surgery. J Surg Educ. 73(3):370–374. doi:10.1016/j.jsurg.2015.11.005.
   PubMed Web of Science ®Google Scholar
• Wu HL, Volker DL. 2009. The use of theory in qualitative approaches to research: application in end‐of‐life studies. J Adv Nurs. 65(12):2719–2732. doi:10.1111/j.1365-2648.2009.05157.x.
   PubMed Web of Science ®Google Scholar
• Yavner SD, Pusic MV, Kalet AL, Song HS, Hopkins MA, Nick MW, Ellaway RH. 2015. Twelve tips for improving the effectiveness of web-based multimedia instruction for clinical learners. Med Teach. 37(3):239–244. doi:10.3109/0142159X.2014.933202.
   PubMed Web of Science ®Google Scholar
• Zhang HH, Hepschke JL, Shulruf B, Francis IC, Spencer SK, Coroneo M, Agar A. 2018. Sharpening the focus on ophthalmology teaching: perceptions of medical students and junior medical officers. Clin Exp Ophthalmol. 46(9):984–993. doi:10.1111/ceo.13342.
   PubMed Web of Science ®Google Scholar