The Relationship Between Academic Motivation and Lifelong Learning During Residency: A Study of Psychiatry Residents.
OBJECTIVE
To examine the relationship between lifelong learning (LLL) and academic motivation for residents in a psychiatry residency program, trainee factors that influence LLL, and psychiatry residents' LLL practices.


METHODS
Between December 2014 and February 2015, 105 of 173 (61%) eligible psychiatry residents from the Department of Psychiatry, University of Toronto, completed a questionnaire with three study instruments: an LLL needs assessment survey, the Jefferson Scale of Physician Lifelong Learning (JeffSPLL), and the Academic Motivation Scale (AMS). The AMS included a relative autonomy motivation score (AMS-RAM) measuring the overall level of intrinsic motivation (IM).


RESULTS
A significant correlation was observed between JeffSPLL and AMS-RAM scores (r = 0.39, P < .001). Although there was no significant difference in JeffSPLL and AMS-RAM scores based on respondents' level of training (senior vs. junior resident), gender, or age, analysis of AMS subdomains showed that junior residents had a significantly higher score on the extrinsic motivation identification domain (mean difference [M] = 0.38; 95% confidence interval [CI] [0.01, 0.75]; P = .045; d = 0.44) compared with senior residents. Clinician scientist stream (CSS) residents had significantly higher JeffSPLL scores compared with non-CSS residents (M = 3.15; 95% CI [0.52, 5.78]; P = .020; d = 0.57).


CONCLUSIONS
The use of rigorous measures to study LLL and academic motivation confirmed prior research documenting the positive association between IM and LLL. The results suggest that postgraduate curricula aimed at enhancing IM, for example, through support for learning autonomously, could be beneficial to cultivating LLL in learners.
S. Sockalingam is deputy psychiatrist-in-chief, Toronto General Hospital and Princess Margaret Cancer Centre, University Health Network, and director of continuing professional and practice development and associate professor, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.D. Wiljer is senior director, Transformational Education and Academic Advancement, Centre for Addiction and Mental Health, and associate professor, Department of Psychiatry and Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.S. Yufe is an MA candidate, Department of Psychology, York University, Toronto, Ontario, Canada.M.K. Knox is psychiatrist and clinical lead in consultation-liaison psychiatry, St. Joseph's Health Centre, Toronto, Ontario, Canada.M. Fefergrad is director of postgraduate education and assistant professor, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.I. Silver is vice president of education, Centre for Addiction and Mental Health, and professor, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.I. Harris is professor, head, and director of graduate studies in health professions education, Department of Medical Education, University of Illinois College of Medicine at Chicago, Chicago, Illinois.A. Tekian is associate professor and director of international affairs, Department of Medical Education, University of Illinois College of Medicine at Chicago, Chicago, Illinois.
Sanjeev
S
Sockalingam
David
D
Wiljer
Shira
S
Yufe
Matthew K
MK
Knox
Mark
M
Fefergrad
Ivan
I
Silver
Ilene
I
Harris
Ara
A
Tekian