Evidence map›Paper›PMID 40772885›Full record

ArticleMedical education online2025

Top-tier ranking university bring worse perception of medical learning environment to students: a cross-sectional study across 12 universities.

Runzhi Huang, Xinyue Yang, Yuntao Yao, Yan Gao, Shuyuan Xian, Wei Zhang, Dayuan Xu, Xinya Guo, Yang Chen, Yixu Li and 17 more

Abstract read
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In one paragraph

Article in Medical education online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Runzhi HuangDepartment of Burn Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Xinyue YangSchool of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Yuntao YaoDepartment of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yan GaoDepartment of Burn Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Shuyuan XianDepartment of Burn Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Wei ZhangDepartment of Burn Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Dayuan XuDepartment of Burn Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Xinya GuoDepartment of Burn Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Yang ChenDepartment of Burn Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Yixu LiDepartment of Burn Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Xirui TongDepartment of Burn Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Weijin QianSchool of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Bingnan LuDepartment of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Min LinMental Health Education and Consultation Center, Chongqing Medical University, Chongqing, China.
Meiqiong GongOffice of Educational Administration, Shanghai University, Shanghai, China.
Xiaonan WangDepartment of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, Beijing, China.
Yue WangDepartment of Health Statistics, School of Public Health, Air Force Medical University, Ji'An, China.
Wenfang ChenFaculty of Medicine, Jinggangshan University, Ji'An, China.
Chongyou ZhangBasic Medical College, Harbin Medical University, Heilongjiang, China.
Erbin DuFrist Clinical Medical College, Mudanjiang Medical University, Mudanjiang, China.
Qing LinDepartment of Human Anatomy, Laboratory of Clinical Applied Anatomy, School of Basic Medical Sciences, Fujian Medical University, Fuzhou, China.
Zongqiang HuangDepartment of Orthopedics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Huabin YinSchool of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Jie ZhangDepartment of Gynecology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
Yifan LiuDepartment of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xue QuKey Laboratory for Ultrafine Materials of Ministry of Education, School of Material Science and Engineering, Frontiers Science Center for Materiobiology and Dynamic Chemistry, East China University of Science and Technology, Shanghai, China.
Shizhao JiDepartment of Burn Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.ORCID 0000-0002-5083-288X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The medical learning environment (MLE) exerted a profound influence on students' physical, psychological, and professional development. University prestige and ranking significantly shape students' self-perception and self-esteem. Nevertheless, the relationship between university category and MLE perception remained unexplored. Our study collected 10,901 questionnaires from 12 universities, spanning six categories. John Hopkins Learning Environment Scale (JHLES) was administrated to assess MLE perceptions. Utilizing a cross-sectional design, we categorized participants into high or low JHLES groups. Next, we conducted Chi-square and parametric or non-parametric tests to analyze the relationship between perception of MLE and university category. Subsequently, we performed a multivariate logistic regression and developed a nomogram to predict the likelihood of low JHLES scores. And the model performance was assessed through receiver operating characteristic (ROC) curves, decision curve analysis (DCA), and calibration curves. Our study revealed a significant association between university category and MLE perception. Specifically, students from top-tier universities were prone to negative MLE perceptions. Through multivariate logistic regression analysis, we validated university category as an influencing factor (

Indexed as

LearningStudents, MedicalAdultCross-Sectional StudiesFemaleHumansMalePerceptionSelf ConceptSurveys and QuestionnairesUniversitiesYoung Adultcross-sectional studyJohn Hopkins Learning Environment Scale (JHLES)medical educationmedical learning environmentUniversity category

Identifiers

PMID40772885
PMCPMC12333035

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.