title: Autonomy support for autonomous motivation in medical education.
abstract: BACKGROUND
  Medical students often study only to fare well in their examinations or pursue a specific specialty, or study only those topics that they perceive to be useful in medical practice. The motivation for study in these cases comes from external or internal pressures or from the desire to obtain rewards. Self-determination theory (SDT) classifies this type of motivation as controlled motivation and the type of motivation that comes from genuine interest or personal value as autonomous motivation. Autonomous motivation, in comparison with controlled motivation, has been associated with better learning, academic success, and less exhaustion. SDT endorses autonomous motivation and suggests that autonomy support is important for autonomous motivation. The meaning of autonomy is misinterpreted by many. This article tries to focus on how to be autonomy-supportive in medical education.
  
  
  CONCLUSIONS
  Autonomy support refers to the perception of choice in learning. Some of the ways of supporting autonomy in medical education are small group teaching, problem-based learning, and gradual increase in responsibility of patients. Autonomy-supportive teaching behavior is not a trait and can be learned. Autonomy support in medical education is not limited to bringing in changes in the medical curriculum for students; it is about an overall change in the way of thinking and working in medical schools that foster autonomy among those involved in education. Research into autonomy in medical education is limited. Some topics that need to be investigated are the ideas and perceptions of students and teachers about autonomy in learning.
  
  
  CONCLUSIONS
  Autonomy support in medical education can enhance autonomous motivation of students for medical study and practice and make them autonomy-supportive in their future medical practice and teaching.
authors.affiliation: Research in Education, VUmc School of Medical Sciences, Amsterdam, The Netherlands; R.Kusurkar@vumc.nl.
authors.forename: Rashmi A
authors.initials: RA
authors.lastname: Kusurkar
authors.affiliation: Research in Education, VUmc School of Medical Sciences, Amsterdam, The Netherlands.
authors.forename: Gerda
authors.initials: G
authors.lastname: Croiset
mesh_terms: D004501:Education, Medical / Q000458:organization & administration*; D006801:Humans; D007858:Learning; D009042:Motivation; D026684:Personal Autonomy; D011582:Psychological Theory; D013337:Students, Medical / Q000523:psychology*
keywords: autonomous motivation; autonomy; controlled motivation; self-determination theory