title: Training demands on clerk burnout: determining whether achievement goal motivation orientations matter.
abstract: BACKGROUND
  In the education field, learning experiences are considered learners' properties and are viewed as a key determinant in explaining learners' learning processes, especially for training novices such as clerks with varying levels of commitment to the medical profession. This study explored whether clerks' achievement goal motivation orientations might buffer the negative well-being to a certain extent, considering their training demands during clinical training.
  
  
  METHODS
  Ninety-four clerks at a tertiary medical center were longitudinally traced during their 2-year clerkship spanning from September 2013 to April 2015. Web-based, validated, structured, self-administered questionnaires were used to evaluate the clerks' properties of achievement goal motivation orientation and personal background at the beginning of the clerkship. Regular surveys were conducted to evaluate their perceptions of training demands and burnout at each specialty rotation. Overall, 2230 responses were analyzed, and linear mixed-effects models were used to examine the repeated measures of the clerks.
  
  
  RESULTS
  The results revealed that higher perceived psychological and physical demands of training were related to higher perceived burnout during the 2-year clerkship. Although both the clerks' task and ego orientations were related to reduced burnout (direct effects), only task orientation was indicated to exert a buffering effect on their perception of physical demands on burnout in the 1st year of the clerkship.
  
  
  CONCLUSIONS
  Considering the negative effects of training demands (psychological and physical), we observed a limited effect of the task achievement motivation orientation of medical students; therefore, additional studies might focus on strategies to facilitate medical students in clerkships in addressing both the psychological and physical demands inherent in training workplaces to improve their learning experience and well-being.
authors.affiliation: Department of Education, Department of Otolaryngology, China Medical University Hospital, Taichung, Taiwan, Republic of China.
authors.forename: Chia-Der
authors.initials: CD
authors.lastname: Lin
authors.affiliation: School of Medicine, Medical Sociology, China Medical University, No.91, Hsueh-Shih Road, Taichung, 40402, Taiwan, Republic of China. yenju1115@hotmail.com.
authors.forename: Blossom Yen-Ju
authors.initials: BY
authors.lastname: Lin
mesh_terms: D000124:Achievement; D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology*; D002982:Clinical Clerkship; D004501:Education, Medical; D005260:Female; D006040:Goals; D006801:Humans; D008297:Male; D009042:Motivation; D010552:Personality Assessment; D011446:Prospective Studies; D018570:Risk Assessment; D013337:Students, Medical / Q000523:psychology* / Q000706:statistics & numerical data; D013624:Taiwan / Q000453:epidemiology
keywords: Achievement goal motivation; Burnout; Clerkship; Medical students; Training demands