Department of Gynecology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Orthopaedic Department of Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
Front Public Health. 2022 Apr 29;10:825279. doi: 10.3389/fpubh.2022.825279. eCollection 2022.
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.
医学生对医学院学习环境（MSLE）的看法对他们的专业发展和身心健康有重要影响。很少有研究报道影响医学生对 MSLE 看法的潜在因素。因此，本研究的主要目的是确定影响医学生对 MSLE 感知水平的因素。MSLE 的感知水平通过约翰霍普金斯学习环境量表进行评估。采用单因素和多因素逻辑回归分析确定 MSLE 感知的显著预测因素。建立列线图预测医学生对 MSLE 的感知水平。在多因素逻辑回归模型中，性别、大学类别、年级、母亲受教育程度、学校学习环境、对医学的兴趣和科尔布学习体验与医学生对 MSLE 的看法显著相关。相应地，根据单因素逻辑回归分析确定的显著变量建立了列线图。列线图的验证表明，该模型具有良好的预测准确性、区分度和一致性（曲线下面积（AUC）=0.751）。本研究确定了医学生对 MSLE 看法的影响因素。实施相应的干预措施以改善医学生的看法至关重要。
