"A fine balance between both intrinsic and extrinsic motivation works best in propelling me towards taking action."
Dr Eugene Sern-Ting Tan is a Senior Consultant Dermatologist at the National Skin Centre. He graduated from the National University of Singapore with a Bachelor of Medicine and Bachelor of Surgery (MBBS) degree in 2006, and subsequently obtained a Diploma in Dermatology from the Royal College of Physicians and Surgeons in Glasgow, a Diploma in Practical Dermatology with distinction from Cardiff University in Wales, and Fellowship of the Academy of Medicine Singapore (Dermatology). He holds a Diploma in Public Speaking from the London College of Music, Thames Valley University. After completing his dermatology training at the National Skin Centre in 2013, he underwent advanced subspecialty training in photodermatology, psoriasis and paediatric dermatology at St John’s Institute of Dermatology at Guy’s and St Thomas’ Hospitals in London under the Health Manpower Development Program (HMDP). He was awarded the Ego Dermatology Registrar Fellowship in 2012, National Healthcare Group Teaching Award for Junior Clinicians in 2013, and the Clinician Leadership in Research award in 2015.
Over the years, Eugene has been actively involved in research and has published over 30 articles in regional and international scientific journals. He volunteers as an ad-hoc reviewer for several medical and dermatology journals, and is currently the Chief Editor of the Journal of Business, Sciences and Technology. He has been an invited speaker and has delivered numerous talks at various local and regional conferences. He is actively committed to teaching, with appointed academic roles in Yong Loo Lin School of Medicine (National University of Singapore), Lee Kong Chian School of Medicine (Nanyang Technological University) and Duke-NUS Medical School. At the National Skin Centre, he serves as the Chief Clinical Informatics Officer, Chief of the Photodermatology Unit, and Head of the Teledermatology Workstream. He also serves as a Medical Adviser to the Eczema Support Group and Psoriasis Association of Singapore.
Eugene has co-authored 3 books related to personal development, namely “Love Clinic – How To Lose Your Bachelor’s Degree”, “Street-Smart Strategies for Time Mastery”, and “Turbo Motivation - Igniting Your Inner Engine to Supercharge and Sustain Your Motivation”. Pertaining to the field of Dermatology, he is the co-editor of the book “Phototherapy and Photodiagnostic Methods for the Practitioner”, and has contributed chapters to Dermatology books such as “Asian Skin Atlas”, “Handbook for Acne in Asian Skin” and “Pigmentary Skin Disorders”.
Despite his hectic schedule, Eugene makes it a point to exercise regularly and spend quality time with his family. He has a keen interest in personal development and believes that igniting and sustaining self-motivation is an essential skill for anyone who desires greater achievement and happiness in life.
My fascination with the art and science of personal motivation
I first discovered the exciting world of personal development during a trip to Perth during my school days. I can still remember vividly that I entered a Dymocks bookstore and came across a book titled “You Can Do It!” by Paul Hanna. I read a few pages and was instantly hooked. The content was simply mind-blowing. Honestly at that time, I never knew that life skills such as self-motivation and peak performance can be learnt. To cut a long story short, I bought the book and it was easily the most precious gift I brought home from that trip. This book still sits proudly in my bookshelf today, though the pages have turned yellow after more than 20 years. After my interest was piqued, I began to regularly scour the National Library and local bookstores for similar books related to motivation and other topics in personal development, and became a voracious reader of this genre. I also made it a point to attend motivational talks to learn valuable tips and strategies from motivational gurus whenever I come across such opportunities. That’s how my journey in learning about personal motivation began.
Motivation can be regarded as both a science and an art. Neuroscience research has elucidated the basic neuronal pathways that drives motivation in humans. Nerve cells, or neurons, transmit signals to each other via chemical molecules known as neurotransmitters. Dopamine is the most important neurotransmitter in controlling motivation, particularly in the midbrain. For example, it has been shown that higher levels of dopamine in the midbrain is associated with a higher level of motivation. The dopaminergic pathway between the midbrain and the forebrain is known as the reward pathway, as its activity corresponds to motivational triggers that we encounter in life and guides our behaviour in seeking pleasure or avoiding pain.
There are many different forms of motivation. One way to look at it is push versus pull, as in what pushes you to take an action and what pulls you towards taking an action. What makes most sense to me is to broadly classify motivation as either internal or external. This is also known as intrinsic and extrinsic motivation.
In my personal experience, extrinsic motivation is a highly effective driver as I am naturally motivated by the rules and standards set by others. For instance, back then when I was a secondary school student, I needed to arrive in school early in the morning before the assembly started or face potential disciplinary action by the strict discipline master whom almost everyone feared. Right now at my place of work, I need to start my clinic session at 8am everyday (okay, give and take 10 minutes), or else face potential admonishment from early morning patients who in the process of waiting for me, become unnecessarily delayed for their work, class or other personal appointments. Hence, this becomes a fairly strong motivational force that invariably gets me out of bed on time every morning, though there are also some days when I jump out of bed because I did some motivational self-talk or there is something special to look forward to. These are examples of extrinsic motivation that have worked very well across different phases in my life, and both of these examples are tied to potential punishment or embarrassment.
I am also naturally motivated by rewards, which is another form of extrinsic motivation. During my student days, I loved to participate in lucky draws because of the potential to win a prize. A few books I read talked about the topic of luck, and I learnt that in order to increase my luck in a particular area, I needed to create more opportunities. Therefore, I participated in as many lucky draws as I could find and was lucky enough to win a few prizes from time to time. The advice worked! Looking back, what made me massively motivated to put in effort to look for and participate in lucky draws, was the promise of a potential reward. Nowadays, I am a little bit more hesitant to freely participate in lucky draws, because I am worried about potentially getting a lot of spam messages and calls if I give out my contact details on lucky draw forms too frequently. Again, that is the extrinsic motivating force of pain that shapes my evolving attitude towards lucky draws.
Having said that, intrinsic motivation is paramount in influencing my daily thoughts and actions. I can’t survive on extrinsic motivation alone, because that will be hollow. When I was a student, I was motivated to study hard and do well because of the personal pride of accomplishment. As a medical doctor and dermatologist, I am naturally motivated to do my best to help my patients improve and manage their skin and related medical conditions, to counsel, comfort and uplift them. That’s because the joy of making a difference in other peoples’ lives has been strongly rooted in me since a young age. Generally, though extrinsic motivation is highly effective for me, intrinsic motivation has proven to be more sustainable and uplifting. Hence, I firmly believe that a fine balance between both intrinsic and extrinsic motivation works best in propelling me towards taking action.
Overall, I find it fascinating to delve into the intricacies of personal motivation. Through the years, I have learnt how to optimize these pieces of the puzzle to drive me forward on a consistent basis and occasionally give me a booster shot of extra motivation if needed. Through this book, I am privileged and excited to share these ideas with you, and I sincerely hope that you too will be inspired to learn more about harnessing the powerful forces of motivation to move you closer towards your goals and dreams in life.