Advances in Medical Education and Practice (Dec 2021)
What Influences Students Choice for Health Professions Education at Makerere University?
Abstract
Noeline Nakasujja,1 Rhona Baingana,2 Joy Gumikiriza,1 Moses Galukande3 1Department of Psychiatry, College of Health Sciences, Makerere University, Kampala, Uganda; 2Department of Biochemistry, College of Health Sciences, Makerere University, Kampala, Uganda; 3Department of Surgery, College of Health Sciences, Makerere University, Kampala, UgandaCorrespondence: Noeline NakasujjaDepartment of Psychiatry, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, UgandaEmail [email protected]: Motivation to pursue health professions education may stem from external incentives such as wealth, fame, and popularity. For others it is for internal reasons like the desire to serve society. In this study, we aimed to identify what influences students’ choice for an undergraduate health professions program at Makerere University College of Health Sciences (MakCHS).Methods: A cross-sectional qualitative study was conducted among first-year undergraduate students pursuing bachelor degrees in medicine and surgery (MBChB), nursing (BNur), pharmacy (BPharm), medical radiology (BMR), and dental surgery (BDS). A self-administered questionnaire with open-ended questions was distributed to the students during a tutorial session in the second week of the first semester (academic year 2010/2011). Completed questionnaires were entered into a Microsoft Access database. Median (Interquartile range-IQR) and frequencies of respondents were used to describe the study sample. Content analysis with emergent coding was used to analyze the qualitative data.Results: Overall, 145 students (response rate = 72%, N = 201) with a median age of 20 (IQR: 19– 20) years responded to the study. The majority of the participants were male (75.2%, n = 109), and were pursuing MBChB (65.5%, n = 91). Two themes identified showed that students appeared to be motivated by internal motivation and external motivation factors. Personal desire, and a calling to serve, were the significant internal motivating factors, while nature of the education system and the need to upgrade were prominent external motivating factor.Conclusion: Multiple factors that are both extrinsic and intrinsic influence the choice for medical education among health professions student at this African institution.Keywords: health profession education, motivation, medical education, medical students, Uganda
