title: Career motivation and burnout among medical students in Hungary - could altruism be a protection factor?
abstract: BACKGROUND
  Burnout is a major issue among medical students. Its general characteristics are loss of interest in study and lack of motivation. A study of the phenomenon must extend beyond the university environment and personality factors to consider whether career choice has a role in the occurrence of burnout.
  
  
  METHODS
  Quantitative, national survey (n = 733) among medical students, using a 12-item career motivation list compiled from published research results and a pilot study. We measured burnout by the validated Hungarian version of MBI-SS.
  
  
  RESULTS
  The most significant career choice factor was altruistic motivation, followed by extrinsic motivations: gaining a degree, finding a job, accessing career opportunities. Lack of altruism was found to be a major risk factor, in addition to the traditional risk factors, for cynicism and reduced academic efficacy. Our study confirmed the influence of gender differences on both career choice motivations and burnout.
  
  
  CONCLUSIONS
  The structure of career motivation is a major issue in the transformation of the medical profession. Since altruism is a prominent motivation for many women studying medicine, their entry into the profession in increasing numbers may reinforce its traditional character and act against the present trend of deprofessionalization.
authors.affiliation: Institute of Behavioural Sciences, Semmelweis University, Nagyvárad Square 4, Budapest, H-1089, Hungary. gyorffy@chello.hu.
authors.forename: Zsuzsa
authors.initials: Z
authors.lastname: Győrffy
authors.affiliation: Institute of Behavioural Sciences, Semmelweis University, Nagyvárad Square 4, Budapest, H-1089, Hungary.
authors.forename: Emma
authors.initials: E
authors.lastname: Birkás
authors.affiliation: Institute of Behavioural Sciences, Semmelweis University, Nagyvárad Square 4, Budapest, H-1089, Hungary.
authors.forename: Imola
authors.initials: I
authors.lastname: Sándor
mesh_terms: D000328:Adult; D000533:Altruism; D002055:Burnout, Professional; D002321:Career Choice; D005260:Female; D006801:Humans; D006814:Hungary; D008297:Male; D009042:Motivation; D012737:Sex Factors; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult