Background. Critical to any resident's success is that individual's co
mmitment and desire to succeed. Rarely do surgical educators consider
the impact of a programmatic change on a resident's motivation. Recent
ly much attention has centered around the impact of IL-372 on medical
practice. In this article we instead focus on the impact that a progra
mmatic change can have on resident motivation and use IL-372 as an exa
mple. Methods. This article is a review of literature on motivation re
levant to surgical education. Results. Motivation theory can help surg
ical educators understand resident (1) choice to engage in an activity
, (2) the quantity of effort someone invests, and (3) the willingness
to persist at tasks. It can also help educators identify and understan
d positive and negative behavioral reactions that can occur when there
is a mismatch between a resident's belief about his or her ability an
d expectations in the operating room. Conclusions. This article conclu
des with a number of strategies to improve resident motivation.