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Abstract

Professionalism and goal-oriented behavior are essential constructs within psychological and educational growth of medical residents. Based on self-determination theory and achievement goal theory, the present research explored the relationship between professionalism dimensions and goal-oriented behaviors within postgraduate residents in Pakistan. A cross-sectional quantitative design was used with 150 medical residents of CMH Multan Institute of Medical Sciences. Professionalism was determined with the Professionalism Assessment Tool (PAT), and motivational orientation was determined with the General Achievement Goal Orientation Scale (GAGOS). High professionalism was found, with ethics and altruism as the highest rated, followed by communication as the lowest. Mastery and global motivation were the most prominent goal orientations. Pearson correlation revealed a moderately positive and significant association between goal-oriented behavior and professionalism (r = 0.656, p < .001). Linear regression indicated that goal-oriented behavior accounted for 43% of the variance in professionalism (R² = 0.43). Regression analysis showed that goal-oriented behavior was moderately positively correlated with professionalism, and global motivation was the best predictor. The results highlight the significance of intrinsic motivation and self-regulated learning to promote professionalism and justify the integration of psychological concepts in medical training. The current research adds to the psychological body of knowledge in motivation and identity formation in clinical education settings.

Keywords

professionalism goal-oriented behavior motivation medical education self-determination theory achievement goals

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References

ABIM FoundationACP-ASIM FoundationEuropean Federation of Internal Medicine . (2014). Medical professionalism in the new millennium: A physician charter. Annals of Internal Medicine, 136(3), 243–246. https://doi.org/10.7326/0003-4819-136-3-200202050-00012

Accreditation Council for Graduate Medical Education . (2006). Outcome project: General competencies. ACGME.

Ahmad

Shah

M. A. U. H.

Saeed

(2020). Assessing psychometrics of goal orientation scale in Pakistani context. Global Regional Review, 5(1), 425–433. https://doi.org/10.31703/grr.2020(v-i).46

Ames

(1992). Classrooms: Goals, structures, and student motivation. Journal of Educational Psychology, 84(3), 261–271. https://doi.org/10.1037/0022-0663.84.3.261

Baker

Young

(2022). Cultural competence in healthcare leadership education and development. Societies, 12(2). Article 39. https://doi.org/10.3390/soc12020039

Chun

M. B. J.

(2010). Pitfalls to avoid when introducing a cultural competency training initiative. Medical Education, 44(6), 613–620. https://doi.org/10.1111/j.1365-2923.2010.03635.x

Cochran

W. G.

(1977). Sampling techniques (3rd ed.). Wiley.

Cruess

R. L.

Cruess

S. R.

(2008). Expectations and obligations: Professionalism and medicine’s social contract with society. Perspectives in Biology and Medicine, 51(4), 579–598. https://doi.org/10.1353/pbm.0.0045

Cruess

S. R.

Johnston

Cruess

R. L.

(2004). Profession: A working definition for medical educators. Teaching and Learning in Medicine, 16(1), 74–76. https://doi.org/10.1207/s15328015tlm1601_15

10.

Deci

E. L.

Ryan

R. M.

(1985). Intrinsic motivation and self-determination in human behavior. Springer.

11.

Elliot

A. J.

(2005). A conceptual history of the achievement goal construct. Educational Psychologist, 34(3), 169–189. https://doi.org/10.1207/s15326985ep3403_3

12.

Gonnella

J. S.

Hojat

Erdmann

J. B.

Veloski

J. J.

(1998). The role of resident performance evaluation in board certification. In Mancall

E. L.

Bashook

P. G.

(Eds.), Evaluating residents for board certification (pp. 3–14): Evanston, IL, American Board of Medical Specialties.

13.

Gonnella

J. S.

Hojat

Erdmann

J. B.

Veloski

J. J.

(1993b). What have we learned, and where do we go from here? In Gonnella

J. S.

(Eds.), Assessment measures in medical school, residency, and practice: The connections (pp. 155–173): Springer.

14.

Grant

Dweck

C. S.

(2003). Clarifying achievement goals and their impact. Journal of Personality and Social Psychology, 85(3), 541–553. https://doi.org/10.1037/0022-3514.85.3.541

15.

Kay

(1990). Traumatic deidealization and the future of medicine. JAMA, 263(4), 572–573. https://doi.org/10.1001/jama.1990.03440040111039

16.

Kumas-Tan

Beagan

Loppie

MacLeod

Frank

(2007). Measures of cultural competence. Academic Medicine, 82(6), 548–557.

17.

Kusurkar

R. A.

Croiset

Mann

K. V.

Custers

ten Cate

(2012). Factors associated with motivation in medical education. BMC Medical Education, 12(1). Article 10. https://doi.org/10.1186/1472-6920-12-10

18.

Locke

E. A.

Latham

G. P.

(2002). Building a practically useful theory of goal setting and task motivation. A 35-year odyssey. American Psychologist, 57(9), 705–717. https://doi.org/10.1037//0003-066x.57.9.705

19.

Makoul

Schofield

(1999). Communication teaching and assessment in medical education. Patient Education and Counseling, 37(2), 191–195. https://doi.org/10.1016/s0738-3991(99)00023-3

20.

McInerney

D. M.

Marsh

H. W.

Yeung

A. S.

(2003). Toward a hierarchical goal theory model of school motivation. Journal of Applied Measurement, 4(4), 335–357.

21.

Nasir

Shah

M. A.

Khilji

S. A.

(2014). Assessment of professionalism among postgraduate trainees. Pakistan Journal of Medical Sciences, 30(3), 483–487. https://doi.org/10.12669/pjms.303.4792

22.

Naz

Shah

S. A.

Qayum

(2020). Gender differences in motivation and academic achievement. Global Regional Review, 5(1), 70–72. https://doi.org/10.31703/grr.2020(V-I).09

23.

Noreen

Zuberi

R. W.

Aftab

Fatima

(2023). Development and psychometric analysis of the Professionalism assessment tool (PAT). Pakistan Journal of Medical Sciences, 39(2), 330–337. https://doi.org/10.12669/pjms.39.2.6608

24.

Ross

Pirraglia

(2021). Mastery goal orientation in competency-based medical education. Medical Teacher, 43(12), 1360–1366. https://doi.org/10.1080/0142159X.2021.2004307

25.

Skeff

K. M.

Stratos

G. A.

Mygdal

DeWitt

T. A.

Manfred

Quirk

Roberts

Greenberg

Bland

C. J.

(1997). Faculty development. A resource for clinical teachers. Journal of General Internal Medicine, 12(Suppl 2), S56–S63. https://doi.org/10.1046/j.1525-1497.12.s2.8.x

26.

Steinert

Naismith

Mann

(2016). Faculty development initiatives to promote leadership. Medical Teacher, 38(1), 3–18.

27.

Swick

H. M.

(2000). Toward a normative definition of medical professionalism. Academic Medicine: Journal of the Association of American Medical Colleges, 75(6), 612–616. https://doi.org/10.1097/00001888-200006000-00010

28.

Ten Cate

Hart

Ankel

Busari

Englander

Glasgow

Holmboe

Iobst

Lovell

Snell

L. S.

Touchie

Van Melle

Wycliffe-Jones

International Competency-Based Medical Education Collaborators . (2016). Entrustment decision making in clinical training. Academic Medicine: Journal of the Association of American Medical Colleges, 91(2), 191–198. https://doi.org/10.1097/ACM.0000000000001044

29.

Theobald

E. J.

Eddy

S. L.

Grunspan

D. Z.

Wiggins

B. L.

Crowe

A. J.

(2017). Student perception of group dynamics predicts individual performance: Comfort and equity matter. PLoS ONE, 12(7), Article e0181336. https://doi.org/10.1371/journal.pone.0181336

Psychological Correlates of Professionalism and Goal-Oriented Behavior Among Postgraduate Medical Residents in Pakistan

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