Exploring the timing of medical student research internships: Before or after clerkships?

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Abstract

Background: The objective of this study was to determine the optimal positioning of the research internship, either before clinical clerkships, at the beginning of the medical Master's programme, or at the end. Methods: A mixed methods study was carried out. We compared characteristics such as duration, location and grades for internships performed and students' motives for choosing to perform their research internship before or after clinical clerkships. We analysed students' answers to open-ended questions about the reasons for their choices, using the Self-Determination Theory of motivation. Results: Students performing their research internship before clinical clerkships (n = 338) opted more often for an extended internship (OR = 3.16, 95% CI = 2.32-4.31) and an international location (OR = 2.22, 95% CI = 1.46-3.36) compared to those performing their research internships after clinical clerkships (n = 459). Neither the internship grades nor the number of international publications differed significantly between the two groups. Most of the students' motives (102 participants) were classified as extrinsic motivation for research. Students performing research before clinical clerkships more often showed intrinsic motivation for research, students performing research after clinical clerkships were mainly motivated by their career choice. Conclusion: To accommodate both groups of students, offering research internships before and after clinical clerkships, is recommended.
Original languageEnglish
Article number259
JournalBMC Medical Education
Volume18
Issue number1
DOIs
Publication statusPublished - 2018

Cite this

@article{4da991b15c914406aa7775cd77f314fe,
title = "Exploring the timing of medical student research internships: Before or after clerkships?",
abstract = "Background: The objective of this study was to determine the optimal positioning of the research internship, either before clinical clerkships, at the beginning of the medical Master's programme, or at the end. Methods: A mixed methods study was carried out. We compared characteristics such as duration, location and grades for internships performed and students' motives for choosing to perform their research internship before or after clinical clerkships. We analysed students' answers to open-ended questions about the reasons for their choices, using the Self-Determination Theory of motivation. Results: Students performing their research internship before clinical clerkships (n = 338) opted more often for an extended internship (OR = 3.16, 95{\%} CI = 2.32-4.31) and an international location (OR = 2.22, 95{\%} CI = 1.46-3.36) compared to those performing their research internships after clinical clerkships (n = 459). Neither the internship grades nor the number of international publications differed significantly between the two groups. Most of the students' motives (102 participants) were classified as extrinsic motivation for research. Students performing research before clinical clerkships more often showed intrinsic motivation for research, students performing research after clinical clerkships were mainly motivated by their career choice. Conclusion: To accommodate both groups of students, offering research internships before and after clinical clerkships, is recommended.",
keywords = "Research internship, Curriculum, Position, Self determination theory, Motivation",
author = "{van Wijk}, {Inge J.} and Daelmans, {Hester E. M.} and Anouk Wouters and Gerda Croiset and Kusurkar, {Rashmi A.}",
year = "2018",
doi = "10.1186/s12909-018-1367-z",
language = "English",
volume = "18",
journal = "BMC Medical Education",
issn = "1472-6920",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Exploring the timing of medical student research internships: Before or after clerkships?

AU - van Wijk, Inge J.

AU - Daelmans, Hester E. M.

AU - Wouters, Anouk

AU - Croiset, Gerda

AU - Kusurkar, Rashmi A.

PY - 2018

Y1 - 2018

N2 - Background: The objective of this study was to determine the optimal positioning of the research internship, either before clinical clerkships, at the beginning of the medical Master's programme, or at the end. Methods: A mixed methods study was carried out. We compared characteristics such as duration, location and grades for internships performed and students' motives for choosing to perform their research internship before or after clinical clerkships. We analysed students' answers to open-ended questions about the reasons for their choices, using the Self-Determination Theory of motivation. Results: Students performing their research internship before clinical clerkships (n = 338) opted more often for an extended internship (OR = 3.16, 95% CI = 2.32-4.31) and an international location (OR = 2.22, 95% CI = 1.46-3.36) compared to those performing their research internships after clinical clerkships (n = 459). Neither the internship grades nor the number of international publications differed significantly between the two groups. Most of the students' motives (102 participants) were classified as extrinsic motivation for research. Students performing research before clinical clerkships more often showed intrinsic motivation for research, students performing research after clinical clerkships were mainly motivated by their career choice. Conclusion: To accommodate both groups of students, offering research internships before and after clinical clerkships, is recommended.

AB - Background: The objective of this study was to determine the optimal positioning of the research internship, either before clinical clerkships, at the beginning of the medical Master's programme, or at the end. Methods: A mixed methods study was carried out. We compared characteristics such as duration, location and grades for internships performed and students' motives for choosing to perform their research internship before or after clinical clerkships. We analysed students' answers to open-ended questions about the reasons for their choices, using the Self-Determination Theory of motivation. Results: Students performing their research internship before clinical clerkships (n = 338) opted more often for an extended internship (OR = 3.16, 95% CI = 2.32-4.31) and an international location (OR = 2.22, 95% CI = 1.46-3.36) compared to those performing their research internships after clinical clerkships (n = 459). Neither the internship grades nor the number of international publications differed significantly between the two groups. Most of the students' motives (102 participants) were classified as extrinsic motivation for research. Students performing research before clinical clerkships more often showed intrinsic motivation for research, students performing research after clinical clerkships were mainly motivated by their career choice. Conclusion: To accommodate both groups of students, offering research internships before and after clinical clerkships, is recommended.

KW - Research internship

KW - Curriculum

KW - Position

KW - Self determination theory

KW - Motivation

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