Nomograms for Predicting Medical Students' Perceptions of the Learning Environment: Multicenter Evidence From Medical Schools in China

作者全名："Zhou, Zhitong; Huang, Runzhi; Zhang, Guoyang; Gong, Meiqiong; Xian, Shuyuan; Yin, Huabin; Meng, Tong; Wang, Xiaonan; Wang, Yue; Chen, Wenfang; Zhang, Chongyou; Du, Erbin; Lin, Min; Liu, Xin; Lin, Qing; Ji, Shizhao; Wu, Hongbin; Huang, Zongqiang; Zhang, Jie"

作者地址："[Zhou, Zhitong; Huang, Runzhi; Zhang, Jie] Tongji Univ, Shanghai Matern & Infant Hosp 1, Dept Gynecol, Sch Med, Shanghai, Peoples R China; [Zhou, Zhitong; Huang, Runzhi; Zhang, Jie] Tongji Univ, Orthopaed Dept Tongji Hosp, Key Lab Spine & Spinal Cord Injury Repair & Regene, Minist Educ,Sch Med, Shanghai, Peoples R China; [Zhou, Zhitong; Huang, Runzhi; Xian, Shuyuan; Zhang, Jie] Tongji Univ, Sch Med, Shanghai, Peoples R China; [Zhang, Guoyang] Shanghai Jiao Tong Univ, Sch Educ, Shanghai, Peoples R China; [Gong, Meiqiong] Shanghai Univ, Off Educ Adm, Shanghai, Peoples R China; [Yin, Huabin; Meng, Tong] Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Sch Med, Dept Orthoped, Shanghai, Peoples R China; [Wang, Xiaonan] Capital Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Beijing, Peoples R China; [Wang, Yue] Forth Mil Med Univ PLA, Sch Publ Hlth, Dept Hlth Stat, Xi'an, Peoples R China; [Chen, Wenfang] Jinggangshan Univ, Fac Med, Ji'an, Peoples R China; [Zhang, Chongyou] Harbin Med Univ, Ctr Sci & Technol Res & Dev & Ind Management, Heilongjiang, Peoples R China; [Du, Erbin] Mudanjiang Med Univ, Clin Med Coll 1, Mudanjiang, Peoples R China; [Lin, Min] Chongqing Med Univ, Mental Hlth Educ & Consultat Ctr, Chongqing, Peoples R China; [Liu, Xin] Naval Med Univ, Affiliated Hosp 2, Dept Rheumatol & Immunol, Shanghai, Peoples R China; [Lin, Qing] Fujian Med Univ, Sch Basic Med Sci, Dept Human Anat, Lab Clin Appl Anat, Fuzhou, Peoples R China; [Ji, Shizhao] Naval Med Univ, Affiliated Hosp 1, Dept Burns, Shanghai, Peoples R China; [Wu, Hongbin] Peking Univ, Inst Med Educ, Natl Ctr Hlth Profess Educ Dev, Beijing, Peoples R China; [Huang, Zongqiang] Zhengzhou Univ, Affiliated Hosp 1, Dept Orthoped, Zhengzhou, Peoples R China"

通信作者："Zhang, J (通讯作者)，Tongji Univ, Shanghai Matern & Infant Hosp 1, Dept Gynecol, Sch Med, Shanghai, Peoples R China.; Zhang, J (通讯作者)，Tongji Univ, Orthopaed Dept Tongji Hosp, Key Lab Spine & Spinal Cord Injury Repair & Regene, Minist Educ,Sch Med, Shanghai, Peoples R China.; Zhang, J (通讯作者)，Tongji Univ, Sch Med, Shanghai, Peoples R China.; Yin, HB; Meng, T (通讯作者)，Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Sch Med, Dept Orthoped, Shanghai, Peoples R China.; Wang, XA (通讯作者)，Capital Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Beijing, Peoples R China.; Wang, Y (通讯作者)，Forth Mil Med Univ PLA, Sch Publ Hlth, Dept Hlth Stat, Xi'an, Peoples R China.; Chen, WF (通讯作者)，Jinggangshan Univ, Fac Med, Ji'an, Peoples R China.; Zhang, CY (通讯作者)，Harbin Med Univ, Ctr Sci & Technol Res & Dev & Ind Management, Heilongjiang, Peoples R China.; Du, ER (通讯作者)，Mudanjiang Med Univ, Clin Med Coll 1, Mudanjiang, Peoples R China.; Lin, M (通讯作者)，Chongqing Med Univ, Mental Hlth Educ & Consultat Ctr, Chongqing, Peoples R China.; Liu, X (通讯作者)，Naval Med Univ, Affiliated Hosp 2, Dept Rheumatol & Immunol, Shanghai, Peoples R China.; Lin, Q (通讯作者)，Fujian Med Univ, Sch Basic Med Sci, Dept Human Anat, Lab Clin Appl Anat, Fuzhou, Peoples R China.; Ji, SZ (通讯作者)，Naval Med Univ, Affiliated Hosp 1, Dept Burns, Shanghai, Peoples R China.; Wu, HB (通讯作者)，Peking Univ, Inst Med Educ, Natl Ctr Hlth Profess Educ Dev, Beijing, Peoples R China.; Huang, ZQ (通讯作者)，Zhengzhou Univ, Affiliated Hosp 1, Dept Orthoped, Zhengzhou, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:000796203300001

JCR分区：Q1

影响因子：5.2

年份：2022

卷号：10

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：medical students; perceptions; learning environment; nomograms; prediction

摘要："Medical students' perceptions of the medical school learning environment (MSLE) have an important impact on their professional development, and physical and mental health. Few studies reported potential factors that influenced medical students' perceptions of MSLE. Thus, the main goal of this study was to identify influencing factors for medical students' perception levels of MSLE. The perception levels of MSLE were assessed by the Johns Hopkins Learning Environment Scale. The univariate and multivariate logistic regression analyses were performed to identify significant predictors for the perceptions of MSLE. The nomograms were established to predict medical students' perception levels of MSLE. In the multivariate logistic regression model, gender, university category, grade, mother education level, learning environment of schools, interests in medicine, and Kolb learning experience were significantly associated with medical students' perceptions of MSLE. Correspondently, the nomograms were built based on significant variables identified by the univariate logistic regression analysis. The validation of the nomograms showed that the model had promising predictive accuracy, discrimination, and accordance (area under the curve (AUC) = 0.751). This study identified influencing factors of medical students' perceptions of MSLE. It is essential to implement corresponding interventions to improve medical students' perceptions."

基金机构："National Natural Science Foundation of China [81702659, 81772856, 81801620]; Youth Fund of Shanghai Municipal Health Planning Commission [2017YQ054, 2017Y0117]; Interdisciplinary Program of Shanghai Jiao Tong University [YG2017MS26]; Shanghai Talent Development Fund [2018094]; Shanghai Municipal Health Commission [201940306]; Henan medical science and technology research project [201602031]; Key project of provincial and ministerial co-construction of Henan Medical Science and Technology [SBGJ202002031]"

基金资助正文："This study was supported in part by the National Natural Science Foundation of China (Grant Nos. 81702659, 81772856, and 81801620); Youth Fund of Shanghai Municipal Health Planning Commission (Nos. 2017YQ054 and 2017Y0117); Interdisciplinary Program of Shanghai Jiao Tong University (No. YG2017MS26); Shanghai Talent Development Fund (No. 2018094); Shanghai Municipal Health Commission (No. 201940306); Henan medical science and technology research project (No. 201602031); and Key project of provincial and ministerial co-construction of Henan Medical Science and Technology (No. SBGJ202002031). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript."