Donald, thanks for sharing. I specifically connected with your intrinsic motivation of seeing your students take care of their patients appropriately. I can easily see this as a two sided motivation in that it is intrinsic because you truly care and want to see your students become successful as healthcare professionals. It can become extrinsic as someday one of your students may be a caregiver to yourself and others you may know so the skills you pass on to your students will become the same skills used in your own care. Very interesting topic with respect to different levels of motivation and impacts many areas of education. Regards, James Jackson