What Motivates Medical Educators? A Qualitative Study

Abstract

Background Medical educators face many challenges, including an absence of defined roles, lack of a standard career path, and limited support in a system that generally prioritizes research and clinical productivity over educational activities. This study examines the experiences of medical educators to better understand what motivates and challenges them. Methods A qualitative study was designed with a semi-structured interview guide. Purposeful sampling was used to identify participants from different institutions and geographical areas, who were categorized by gender and career stage. Reflexive thematic analysis was used to develop themes across items and participants. Results Twenty-two medical educators were interviewed (11 male, 11 female). Average age was 51 (range: 38-72). Average time from completion of training was 18 years (range: – 41 years). Three main themes were constructed which related to medical educators’ career motivations and challenges: 1. Joyful, meaningful work (Interaction with learners, Impact on the system, and Innovation) 2. “Everyone teaches” (Lack of recognition of the work of medical educators, Lack of reward for their work, Malalignment of metrics with the work of medical education) 3. The crucial role of support (Umbrella of support and Serendipity and opportunities in medical education) Conclusions The greatest source of motivation and satisfaction for medical educators in this study was the work itself. Dissatisfaction was primarily due to a lack of recognition and reward. Designing and implementing appropriate metrics and reward systems may help support medical educators and reduce this dissatisfaction. Study participants looked to mentors, sponsors, colleagues, and communities of practice for guidance, encouragement, collaboration, and emotional support. These supports may also be used to introduce people to the field of medical education. Intentional efforts are needed to avoid the effects of implicit bias and to increase opportunities, especially in creating and offering positions in medical education.