ArticleBMC medical education2024
A multicenter cross-sectional study in China revealing the intrinsic relationship between medical students' grade and their perceptions of the learning environment.
Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- Article
- Psychometric Validation of the Persian Johns Hopkins Learning Environment Scale: A Cross-Sectional Validation Study Among Iranian Medical Students.Advances in medical education and practice · 2026Article
- Parental education level and medical student engagement: a multi-center cross-sectional study.BMC psychology · 2025Article
- Top-tier ranking university bring worse perception of medical learning environment to students: a cross-sectional study across 12 universities.Medical education online · 2025Article
- Computer vision syndrome with academic burnout among college students in majors of medical and health-related fields and the moderating effect of gender.Scientific reports · 2025Article
- The impact of grade point average on medical students' perception of the learning environment: a multicenter cross-sectional study across 12 Chinese medical schools.BMC medical education · 2025Article
- Learning environment as a predictor for medical students' empathy: a multicenter cross-sectional study from 12 medical schools in China.BMC psychology · 2025Article
- Exploring the association between grade point average and work engagement: insights from a cross-sectional study of medical students.Frontiers in medicine · 2025Article
- Article
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31 authors.
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Abstract
backgroundMedical school learning environment (MSLE) has a holistic impact on students' psychosomatic health, academic achievements, and personal development. Students in different grades perceive MSLE in different ways. Thus, it is essential to investigate the specific role of student's grade in the perception of MSLE.
methodsUsing the Johns Hopkins Learning Environment Scale (JHLES) as a quantification instrument for the perception level of MSLE, 10,901 medical students in 12 universities in China were categorized into low or high JHLES group according to their questionnaires. We investigated the relationship between student's grade and JHLES category by univariate analysis employing Pearson Chi-square test and Welch's ANOVA. Then multivariable logistic regression analysis confirmed the predictive efficacy of student's grade. A nomogram concerning the prediction of low JHLES score probability in medical students was also constructed.
resultsA significant difference between two JHLES categories among students in different grades was observed (p < 0.001), with the proportion of the high JHLES group dominating in grade 1, 5, and the graduate subgroups (p < 0.001). The mean JHLES score declined especially in the third and fourth graders compared to freshmen (p < 0.001), while the mean score among the fifth graders had a remarkable rebound from the third graders (p < 0.001). Most imperatively, identified by multivariable logistic regression analysis, students in grade 3 (OR = 1.470, 95% CI = 1.265-1.709, p < 0.001) and 4 (OR = 1.578, 95% CI = 1.326-1.878, p < 0.001) perceived more negatively than freshmen. The constructed nomogram provided a promising prediction model for student's low JHLES score probability, with accuracy, accordance, and discrimination (area under the curve (AUC) = 0.627).
conclusionThe student's grade was a significant influencing factor in medical students' perception of MSLE. The perceptions among the third and fourth graders got worse, probably due to the worrying changes in various aspects of MSLE during that period. The relevant and appropriate interventions to improve medical students' perceptions are urgently needed.
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