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Gher for the "recently selected" group in comparison title= fnhum.2013.00686 together with the "non-(recently) selected" group. Further ANCOVAs, comparing only chosen students (i.e. Y1selection, Y4selection and GE-Y1), revealed precisely the same pattern. T. 251:59?six. Oliveira, P., and P. Lindblad. 2009. Transcriptional regulation of the cyanobacterial strength of motivation for medical college (F = 18.720, p = 0.000, Cohen's d = 0.47, impact size compact to medium), autonomous motivation (F = 12.248, p = 0.001, Cohen's d = 0.62, impact size medium to significant), and controlled motivation (F = six.647, p = 0.011, Cohen's d = 0.84, effect size massive) had been significantly larger for Y1selection students and GE-Y1 students in comparison together with the Y4selection students. The effect sizes for the variations in autonomous and controlled motivation enhanced when the recently selected students have been compared with only the students who were selected 3 years ago."By being part of a unique group" "Because getting part of a group of fortunate folks is definitely an honour" "Because I got the chance to study what I generally wanted" "Because the choice is challenging, you reflect on why you would like this so badly" "... and also you are continuously asked about your motivation by your environment and by yourself"Getting acquainted with course material Result of effort"During selection you can already get a taste with the study, which (luckily) felt good" "Because from the dozens of additional hours I put into my preparation for decentralized choice I'm a lot more motivated. You put in more `effort' in order to have the ability to study this, thus you need to go for it even more!"Wouters et al. BMC Health-related Education (2016) 16:Page 7 ofDiscussion The principle purpose of this study was to examine the association amongst choice and motivation. The results indicate that selected students are extra motivated, but usually do not show various forms of motivation compared to non-selected students. The outcomes indicate that selected students are extra motivated, but do not show distinctive forms of motivation in comparison to non-selected students. Additionally, the results seem to assistance the hypothesis that selection stimulates students' motivation, but in addition indicate that this may final only to get a brief time frame. Selected students reported higher strength of motivation than non-selected students, which can be in line with findings from other study [2, 25]. A cause for this finding in our institute could be the demanding nature on the choice procedure for which time investment in healthcare activities can be a criterion. This could lead to one of the most motivated students applying and succeeding in selection, as has previously been suggested by other researchers [20]. Study on differences in form of motivation between selected and nonselected students is scarce. Kusurkar et al. discovered larger autonomous motivation in selected students [8]. The sample size of selected students within the Kusurkar et al. study was really modest. We could not replicate this getting in a bigger sample. In addition, this study provides a initial indication of a constructive, although possibly title= fpsyg.2017.00007 only temporary, impact of choice on motivation. Such an effect has been hypothesized just before [1?], but to our knowledge, this is the very first study which attempts to address this situation.