Why did residents choose neurology? Motivational profile and influence of demographic and career factors.

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY

Revue neurologique Pub Date : 2026-10-15 DOI:10.1016/j.neurol.2026.09.008

D Andriuta, S Soudet, P-A Cervellera, I Masmoudi, M Ceccaldi, S Attarian, D Wallon, L Puy, O Martinaud, E Wiener, M Tir, E Ouin, Y Buron, M Devaluez, A Perron, M Aubignat, M Bereau, S Frismand, O Guerrier, V Ag Ricigliano, C Coclitu, J Poupart, C Amsallem, C Ammirati

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引用次数: 0

Abstract

Background: The global and European burden of neurological disorders is rising, with insufficient neurologists to meet current needs. Understanding residents' motivation to choose Neurology is crucial to optimize teaching. This study aimed to characterize the motivational profile of Neurology residents and examine its associations with demographic and career factors.

Methods: In this national cross-sectional observational survey, 131 French Neurology residents completed a validated motivation questionnaire assessing intrinsic, extrinsic, and amotivation components. Composite scores were calculated for each dimension, and a delta motivation score (intrinsic minus extrinsic) was computed. Associations between motivation and demographic/career variables, including intended academic/clinical scientist career, were analyzed. Correlation, linear regression, and repeated-measures ANCOVA were conducted.

Results: Participants were 54.2% female, mean age 27.1±3.0 years. Intrinsic motivation was significantly predominant (Wilks' Lambda=0.531, P<0.001) (knowledge M=24.5±2.9; stimulation M=21.5±3.9; achievement M=19.9±4.2), exceeding extrinsic motivation (identified M=23.4±3.0; introjected M=13.4±5.6; external regulation M=14.7±4.6) and amotivation (M=6.0±3.5). Delta motivation was negatively associated with age (β=-0.339, P=0.005) and positively with year of residency (β=0.277, P=0.002) and a planned academic/clinical scientist career (β=0.210, P=0.011). Residents planning an academic/clinical scientist career had a significantly different motivational profile (Wilks' Lambda=0.901, P=0.041) because of higher intrinsic motivation for achievement (P=0.006).

Conclusion: Neurology residents exhibit a predominantly intrinsic motivation profile. The factors associated with were: age, residency year, and academic career intentions. These findings highlight the importance of supporting and preserving intrinsic motivation throughout training to ensure engagement and prepare the future neurological workforce.

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为什么住院医生选择神经学？人口与职业因素的动机特征及影响。

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来源期刊

Revue neurologique 医学-临床神经学

CiteScore

4.80

自引率

0.00%

发文量

598

审稿时长

55 days

期刊介绍： The first issue of the Revue Neurologique, featuring an original article by Jean-Martin Charcot, was published on February 28th, 1893. Six years later, the French Society of Neurology (SFN) adopted this journal as its official publication in the year of its foundation, 1899. The Revue Neurologique was published throughout the 20th century without interruption and is indexed in all international databases (including Current Contents, Pubmed, Scopus). Ten annual issues provide original peer-reviewed clinical and research articles, and review articles giving up-to-date insights in all areas of neurology. The Revue Neurologique also publishes guidelines and recommendations. The Revue Neurologique publishes original articles, brief reports, general reviews, editorials, and letters to the editor as well as correspondence concerning articles previously published in the journal in the correspondence column.