title: Motivation and competence of participants in a learner-centered student-run clinic: an exploratory pilot study.
abstract: BACKGROUND
  The Learner-Centered Student-run Clinic (LC-SRC) was designed to teach and train prescribing skills grounded in a real-life context, to provide students with early clinical experience and responsibility. The current studies' theoretical framework was based on the Self-determination Theory. According to the Self-determination Theory, early involvement in clinical practice combined with a high level of responsibility makes the LC-SRC an environment that can stimulate intrinsic motivation. We investigated the different types of motivation and the proficiency in CanMEDS competencies of the participating students.
  
  
  METHODS
  Type of motivation was measured using the Academic Motivation Scale and Intrinsic Motivation Inventory. CanMEDS competencies were evaluated by faculty using a mini-clinical examination and by the students themselves using a post-participation questionnaire.
  
  
  RESULTS
  The 29 participating students were highly intrinsic motivated for this project on all subscales of the Intrinsic Motivation Inventory. Motivation for medical school on the Academic Motivation Scale was high before and was not significantly changed after participation. Students considered that their CanMEDS competencies "Collaborator", "Communicator", "Academic", and "Medical expert" had improved. Their actual clinical team competence was judged by faculty to be at a junior doctor level.
  
  
  CONCLUSIONS
  Students showed a high level of intrinsic motivation to participate in the LC-SRC and perceived an improvement in competence. Furthermore their actual clinical competence was at junior doctor level in all CanMEDS competencies. The stimulating characteristics of the LC-SRC, the high levels of intrinsic motivation and the qualitative comments of the students in this study makes the LC-SRC an attractive place for learning.
authors.affiliation: Department of Internal Medicine, Pharmacotherapy Section, VU University Medical Center, De Boelelaan 1117 - room ZH 4A50, 1081 HZ, Amsterdam, The Netherlands. t.schutte@vumc.nl.|RECIPE (Research & Expertise Center In Pharmacotherapy Education), Amsterdam, The Netherlands. t.schutte@vumc.nl.
authors.forename: Tim
authors.initials: T
authors.lastname: Schutte
authors.affiliation: Department of Internal Medicine, Pharmacotherapy Section, VU University Medical Center, De Boelelaan 1117 - room ZH 4A50, 1081 HZ, Amsterdam, The Netherlands.|RECIPE (Research & Expertise Center In Pharmacotherapy Education), Amsterdam, The Netherlands.
authors.forename: Jelle
authors.initials: J
authors.lastname: Tichelaar
authors.affiliation: Department of Internal Medicine, Pharmacotherapy Section, VU University Medical Center, De Boelelaan 1117 - room ZH 4A50, 1081 HZ, Amsterdam, The Netherlands.
authors.forename: Ramon S
authors.initials: RS
authors.lastname: Dekker
authors.affiliation: Department of Internal Medicine, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: Abel
authors.initials: A
authors.lastname: Thijs
authors.affiliation: Department of Internal Medicine, Pharmacotherapy Section, VU University Medical Center, De Boelelaan 1117 - room ZH 4A50, 1081 HZ, Amsterdam, The Netherlands.|RECIPE (Research & Expertise Center In Pharmacotherapy Education), Amsterdam, The Netherlands.
authors.forename: Theo P G M
authors.initials: TP
authors.lastname: de Vries
authors.affiliation: School of Medical Sciences, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: Rashmi A
authors.initials: RA
authors.lastname: Kusurkar
authors.affiliation: Department of Internal Medicine, Pharmacotherapy Section, VU University Medical Center, De Boelelaan 1117 - room ZH 4A50, 1081 HZ, Amsterdam, The Netherlands.|RECIPE (Research & Expertise Center In Pharmacotherapy Education), Amsterdam, The Netherlands.
authors.forename: Milan C
authors.initials: MC
authors.lastname: Richir
authors.affiliation: Department of Internal Medicine, Pharmacotherapy Section, VU University Medical Center, De Boelelaan 1117 - room ZH 4A50, 1081 HZ, Amsterdam, The Netherlands.|RECIPE (Research & Expertise Center In Pharmacotherapy Education), Amsterdam, The Netherlands.
authors.forename: Michiel A
authors.initials: MA
authors.lastname: van Agtmael
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D011307:Drug Prescriptions / Q000592:standards; D004504:Education, Medical, Undergraduate / Q000379:methods / Q000458:organization & administration / Q000592:standards; D006801:Humans; D008297:Male; D009042:Motivation; D009426:Netherlands; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration / Q000592:standards*; D010348:Patient Care Team / Q000458:organization & administration / Q000592:standards; D010600:Pharmacology / Q000193:education* / Q000592:standards; D010865:Pilot Projects; D018794:Problem-Based Learning / Q000379:methods / Q000592:standards*; D036301:Qualitative Research; D012044:Regression Analysis; D013337:Students, Medical / Q000523:psychology*
keywords: Medical education; Motivation; Pharmacotherapy; Student-run clinic