He students' desires for autonomy (being in manage of their admission

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Some important limitations needs to be considered when interpreting the results from this study. By far the most essential limitation is that this isn't a longitudinal, but a cross-sectional study. To study the effect of choice on motivation, a longitudinal study will be most desirable. Even so, the assessment of motivation within a high stakes situation, for example choice, is probably to generate social desirable answers [24, 39], which hampers a right pre- and post-selection comparison. Within the existing study, we tried to obtain insight in to the underlying mechanisms by combining qualitative and quantitative data. While the combined outcomes give an indication that such an effect may well exist, a much more direct approach to examine this effect is desirable. We are planning a longitudinal study to discover the evolution of students' motivation through their health-related study in relationship towards the distinct admission procedures. A second limitation will be the Cronbach's for the LSRQ, which was just under the desirable value of 0.7. Having said that, due to the fact the comparisons had been at group level and also the general sample size was excellent, we discovered it acceptable. Lastly, the study was carried out at 1 single university within the Netherlands, F the SCQ evaluation (correlation = 0.96). The essential point regarding the 5-factor limiting the generalizability from the findings. Extra studies around the association between selection and motivation, in different universities and settings, are suggested. Considering the motivation scores reported in our study, students are already motivated once they enter healthcare school. Additionally, students admitted by means of a demanding choice process expertise a rise in motivation in the initially period of their medical course.He students' requires for autonomy title= journal.pcbi.1005422 (being in control title= fnhum.2013.00686 of their admission), competence (feeling capable to deal with the programme) and relatedness (getting portion of a particular group). The motives supplied by the students also helped explain the enhancement of controlled motivation. Examples are that the choice committee (thus an external aspect) deemed the students to become match for health-related college, which made the students need to prove themselves to other people, and constantly becoming questioned about their motivation by men and women in their environment. Remarkably, some students described that choice enhanced their motivation only through the initially few weeks of their research. If choice has an enhancing impact on motivation, it might be of short-term nature, followed by a decrease of motivation during the 1st year of healthcare college, as was discovered inside a longitudinal study [28]. We may have identified an indication for any attainable temporary nature of an enhancing impact because of the exceptional Dutch setting. At first, selectedstudents might feel unique and privileged in comparison with students who have been admitted based on other, less demanding, procedures. As much more time due to the fact choice passes, nevertheless, the educational system could possibly have a larger influence on their motivation. As a result of government policy, the Dutch admission method is moving from 3 different procedures to selection-only. It would be interesting to investigate whether the present findings is often generalised to a selection-only predicament. Selection could nevertheless address students' requires for autonomy, competence and relatedness, but possibly to a lesser extent, because their peers will all be admitted through the exact same procedure.