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Additionally, the outcomes seem to assistance the hypothesis that selection stimulates students' motivation, but in addition indicate that this could possibly last only to get a short time frame. Selected students reported greater strength of motivation than non-selected students, which can be in line with findings from other research [2, 25]. A purpose for this finding in our institute may be the demanding nature on the choice HS-173 web process for which time investment in healthcare activities is often a criterion. This may well result in essentially the most motivated students applying and succeeding in choice, as has previously been recommended by other researchers [20]. Research on variations in form of motivation amongst selected and nonselected students is scarce. Kusurkar et al. Additional ANCOVAs, comparing only chosen students (i.e. Y1selection, Y4selection and GE-Y1), revealed the exact same pattern. Strength of motivation for health-related school (F = 18.720, p = 0.000, Cohen's d = 0.47, impact size tiny to medium), autonomous motivation (F = 12.248, p = 0.001, Cohen's d = 0.62, impact size medium to big), and controlled motivation (F = 6.647, p = 0.011, Cohen's d = 0.84, effect size big) had been drastically greater for Y1selection students and GE-Y1 students in comparison with the Y4selection students. The effect sizes for the variations in autonomous and controlled motivation improved when the recently selected students have been compared with only the students who were selected three years ago."By being a part of a special group" "Because being part of a group of lucky men and women is definitely an honour" "Because I got the possibility to study what I often wanted" "Because the choice is hard, you reflect on why you want this so badly" "... and you are constantly asked about your motivation by your atmosphere and by yourself"Getting acquainted with course material Result of effort"During choice you might already get a taste of your study, which (luckily) felt good" "Because in the dozens of further hours I put into my preparation for decentralized selection I am extra motivated. You put in far more `effort' in an effort to be able to study this, as a result you need to go for it even more!"Wouters et al. BMC Healthcare Education (2016) 16:Page 7 ofDiscussion The key goal of this study was to examine the association among choice and motivation. The results indicate that selected students are a lot more motivated, but do not show distinct types of motivation in comparison to non-selected students. Moreover, the results appear to help the hypothesis that selection stimulates students' motivation, but additionally indicate that this may well final only for a quick time period. Chosen students reported higher strength of motivation than non-selected students, which is in line with findings from other analysis [2, 25]. A explanation for this obtaining in our institute might be the demanding nature of the selection procedure for which time investment in healthcare activities is really a criterion. This could possibly result in probably the most motivated students applying and succeeding in choice, as has previously been suggested by other researchers [20]. Research on differences in type of motivation in between selected and nonselected students is scarce.