I have been reading an exceptional book on motivation called “Drive” by Daniel H. Pink.  It completely negates the general theories of dangling bananas, carrots and sticks etc.  The ideas are based on decades of research and the primary message is that true motivation is comprised of three categories: autonomy, mastery and purpose.  In other words, we strive to achieve in order to master out craft, whatever that may be.  We do it for ourselves, not for anyone else, and we find true purpose in the process.  I have been trying to apply these theories to emergency physicians and have found that, in many cases, the emergency physician who is seriously job searching after several years of experience applies more of these motivational principles than a graduating resident.  The grads tend to focus more on location and income.  I plan on doing a column on the topic shortly.

I would welcome any comments on this topic!