However if you wish to medicine as a career are you approaching getting high
STEM A levels with the an inherent passion for the subjects or a source of personal enlightenment? I would imagine a lot of medics may want to get high grades simply to enter the profession.
I'm not sure if I understand the question. Firstly, I would make the point that I'm not approaching this in any particular way at all. It is my dd who has chosen medicine as her preferred path, and it is my dd who will choose how she approaches her A-levels.
As far as her choice of subjects is concerned, I think the desire to pursue a career in medicine has certainly played a part, but that in turn was sparked by a particular interest in the medical topics that she studied in year 9 biology. Having thought long and hard about career options, she felt that medicine was a career that would play to her academic strengths as well as her people skills and her desire to make a difference. I guess that decision has largely dictated her choice of A-levels.
Does she have a particular passion for the subjects that she is going to do at A-level? I'm not actually sure that she does tbh. She loves all of her GCSE options equally, and could very easily have gone down a different route. She does find her chosen subjects really interesting, but it is my impression that she just enjoys learning in lots of different areas tbh. Does she have a real flair for the subjects that she has chosen for A-level? Yes, absolutely, but again, she has an equal flair for some of those which she is dropping.
As for what will motivate her to work for high grades, I don't actually think she would know how to do anything else. She has never been strategic with her effort in any way. She just works incredibly hard at everything she does - both academic and extracurricular - because she wants to do the best she can. She won't be focusing on getting high grades because that's what she needs to get into medicine. She'll be focusing on performing to the very best of her ability because that is how she approaches everything - even subjects like PE that she isn't naturally that good at.
Medicine is very much a profession where academic attainment is used a filter. Also a career where possibly fulfilment may be achievable but happiness at times may be debatable.
Happiness and fulfillment are pretty subjective things, I guess. DD has determined that, in order to be happy, she needs to feel that she is fulfilling her potential and making a positive difference to others. She feels that medicine will offer her a route to do this. She understands that there will be significant challenges, but she also understands that she is the type of person who thrives when challenged. She is talking to people in the profession to get a better understanding of what those challenges might be. She is going in with her eyes as wide open as they can be.
Ultimately, none of us really know what our choices will hold for us. I went in to my absolute "dream career" a few years after graduating. I left a few years later because I absolutely hated it! It's therefore important for our kids to know that they can change direction at any time!