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Motivational Factors Influencing the Choice of Medical Studies and Future Career Plans among Montenegrin Students Cover

Motivational Factors Influencing the Choice of Medical Studies and Future Career Plans among Montenegrin Students

Open Access
|Jun 2024

Figures & Tables

One way analysis of variance (ANOVA) of the academic motivation scores between students by study year and age_

ScaleStudy YearAge


FOverall p-valueFOverall p-value
Intrinsic motivation (IM)0.7210.6081.1130.331
IM to know0.5080.7700.2740.761
IM towards accomplishment1.5620.1722.3450.098
IM to experience stimulation0.2560.9361.0470.353
Extrinsic motivation (EM)1.4990.1920.6080.545
EM external regulation3.4630.0052.9180.056
EM introjected regulation1.4250.2170.7100.493
EM identified regulation1.4590.2050.2460.782
Amotivation2.2980.0532.9470.057
*Autonomous motivation0.7600.5801.0100.366
**Controlled motivation1.2690.2790.8890.413

The mean value, standard deviation and ranking of all 28 items of the Academic Motivation Scale_

ScaleStatementsmean±SDRanking according to the mean value
Intrinsic motivation to know2. Because I experience pleasure and satisfaction while learning new things.5.76±1.419
9. For the pleasure I experience when I discover new things never seen before.5.84±1.427
16. For the pleasure that I experience in broadening my knowledge about subjects which appeal to me.5.89±1.295
23. Because my studies allow me to continue to learn about many things that interest me.5.88±1.326

Intrinsic motivation towards accomplishment6. For the pleasure I experience while surpassing myself in my studies.4.90±1.7918
13. For the pleasure that I experience while I am surpassing myself in one of my personal accomplishments.5.55±1.6110
20. For the satisfaction I feel when I am in the process of accomplishing difficult academic activities.4.42±1.9422
27. Because college allows me to experience a personal satisfaction in my quest for excellence in my studies.5.37±1.6314

Intrinsic motivation to experience stimulation4. For the intense feelings I experience when I am communicating my own ideas to others.5.28±1.5716
11. For the pleasure that I experience when I read interesting authors.5.39±1.7312
18. For the pleasure that I experience when I feel completely absorbed by what certain authors have written.4.59±1.8820
25. For the “high” feeling that I experience while reading about various interesting subjects.5.37±1.5913

Extrinsic motivation: external regulation1. Because with only a high-school degree I would not find a high-paying job later on.4.37±2.2223
8. In order to obtain a more prestigious job later on.5.54±1.6611
15. Because I want to have “the good life” later on.5.78±1.578
22. In order to have a better salary later on.5.36±1.7015

Extrinsic motivation: introjected regulation7. To prove to myself that I am capable of completing my college degree.4.55±2.1221
14. Because of the fact that when I succeed in college, I feel important.4.73±1.9819
21. To show myself that I am an intelligent person.4.12±1.9424
28. Because I want to show myself that I can succeed in my studies.5.23±1.7917

External motivation: identified regulation3. Because I think that a college education will help me better prepare for the career I have chosen.6.40±1.051
10. Because eventually it will enable me to enter the job market in a field that I like.6.15±1.332
17. Because this will help me make a better choice regarding my career orientation.6.11±1.163
24. Because I believe that a few additional years of education will improve my competence as a worker.6.04±1.324

Amotivation5. Honestly, I don’t know; I really feel that I am wasting my time in school.1.76±1.3826
12. I once had good reasons for going to college; however, now I wonder whether I should continue.2.49±1.9525
19. I can’t see why I go to college and frankly, I couldn’t care less.1.56±1.2928
26. I don’t know; I can’t understand what I am doing in school.1.61±1.5027

Difference in academic motivation scores between students by gender, and between students who have a medical doctor among their family members vs_ those who do not_

Scale GenderFamily members as medical doctors


Total (n=210) mean±SDMale (n=58) mean±SDFemale (n=152) mean±SDp-valueYes (n=91) mean±SDNo (n=119) mean±SDp-value
Intrinsic motivation (IM)5.35±1.195.40±1.205.33±1.190.7025.34±1.185.36±1.200.865
IM to know5.84±1.135.86±1.065.83±1.160.7865.83±1.125.85±1.150.928
IM towards accomplishment5.06±1.405.12±1.465.03±1.390.6875.04±1.315.07±1.480.906
IM to experience stimulation5.16±1.355.21±1.345.13±1.350.7145.13±1.435.18±1.290.801
Extrinsic motivation (EM)5.37±1.065.17±1.105.44±1.040.1055.54±0.915.23±1.150.031
EM external regulation5.26±1.455.14±1.635.31±1.380.4575.52±1.235.06±1.570.018
EM introjected regulation4.66±1.614.37±1.604.77±1.600.1034.85±1.454.52±1.710.134
EM identified regulation6.18±0.946.01±0.996.24±0.910.1226.25±0.796.12±1.040.295
Amotivation1.86±1.291.89±1.441.84±1.240.8251.89±1.261.83±1.320.738
*Autonomous motivation5.56±1.045.55±1.095.56±1.020.9855.56±1.005.55±1.070.935
**Controlled motivation4.96±1.324.75±1.385.04±1.290.1625.19±1.164.79±1.420.027

Comparison of sociodemographic characteristics and professional plans by gender_

Male n (%)Female n (%)Total n (%)*p-value
Year of study58 (27.62)152 (72.38)210 (100.00)0.284
1st185068 (32.38)
2nd62733 (15.71)
3rd71623 (10.95)
4th62127 (12.86)
5th112738 (18.10)
6th101121 (10.00)
Age (years) 0.683
19–20216586 (40.95)
21–23235376 (36.19)
24 and more143448 (22.86)
Most influential person in the choice to study medicine 0.349
Self47133180 (85.71)
Parent(s)61319 (9.05)
Other5611 (5.24)
Family members as medical doctors 1.000
No3386119 (56.67)
Yes256691 (43.33)
Father and/or mother121729 (13.81)
Grandfather and/or grandmother51015 (7.14)
Brother and/or sister7815 (7.14)
Other104353 (25.24)
Preferred sector of work 0.397
Public in Montenegro2991120 (57.14)
Private in Montenegro71825 (11.90)
Other country92534 (16.19)
Other plans224 (1.90)
Do not know111627 (12.87)
Preferred setting of work 0.396
Clinical Centre of Montenegro3269101 (48.10)
Hospital41620 (9.52)
Outpatient clinic11617 (8.10)
Private practice92332 (15.24)
Medical faculty268 (3.81)
Other51419 (9.05)
Do not know5813 (6.18)
Preferred professional plan 0.657
Surgical specialty162844 (20.95)
Non-surgical specialty144862 (29.53)
Family medicine134 (1.90)
Research work41115 (7.14)
Preclinical specialty167 (3.33)
Other144256 (26.67)
Do not know81422 (10.48)
Preferred specialization 0.079
Dermatovenerology257 (3.33)
Public health123 (1.43)
Gynaecology/Obstetrics21012 (5.71)
Surgery81523 (10.95)
Internal medicine101929 (13.81)
Neurosurgery336 (2.86)
Neurology3811 (5.24)
Ophthalmology01313 (6.19)
Orthopaedics303 (1.43)
Otorhinolaryngology224 (1.90)
Paediatrics21618 (8.58)
Family medicine022 (0.95)
Psychiatry224 (1.90)
Radiology459 (4.29)
Forensic medicine268 (3.81)
Other144458 (27.62)
DOI: https://doi.org/10.2478/sjph-2024-0018 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 132 - 141
Submitted on: Mar 5, 2024
Accepted on: May 13, 2024
Published on: Jun 14, 2024
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2024 Elvir Zvrko, Nataša Popović, Miodrag Radunović, Goran Nikolić, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.