Pensier Joris, Benoist Florent, Deffontis Lucas, Boulet Nicolas, Al Taweel Bader, Costa David, Deruelle Philippe, Capdevielle Delphine, De Jong Audrey, Morin Denis, Chanques Gérald
Anesthesiology and Intensive Care, Anesthesia and Critical Care Department B, Saint Eloi Teaching Hospital, PhyMedExp, University of Montpellier, INSERM U1046, Montpellier, France.
Department of Anesthesiology and Critical Care Medicine, Lapeyronie University Hospital, University of Montpellier, Montpellier, France.
Med Teach. 2025 Aug;47(8):1326-1335. doi: 10.1080/0142159X.2024.2429614. Epub 2024 Nov 25.
The latest reform of French medical studies has moved the National Ranking Examination before residency to the beginning of the sixth-year for undergraduate medical students, thus placing unprecedented workload during the preceding summer. The main objective was to determine whether study conditions and psychosocial factors were associated with student success in this model of intense workload.
An online survey designed with six student-partners was sent at a French Medical School after the examination in 2023. The primary outcome was student success in achieving their main goal (Ranking, Knowledge, Well-being). A machine-learning model (eXtreme Gradient Boosting) was developed and explained using Artificial Intelligence. An AI-guided multivariate logistic regression was performed, Odd Ratios were calculated.
Out of 123 responses, 75 (61%) of the students achieved their main goal. Motivation and socialization during the summer were the two most important variables for predicting student success. In guided multivariate logistic regression, summer motivation (Odd Ratio = 4.12, 95%CI[1.75-10.30]), summer loneliness (Odd Ratio = 0.35, 95%CI[0.14-0.86]), and student's main goal (Ranking, Odd Ratio = 2.94, 95%CI[1.15-7.79]) were associated with student success.
Motivation and socialization during the summer preceding high-stakes examinations are strongly predictive of undergraduate medical students' success. This study highlights the importance of well-being during summer for student success.
法国医学教育的最新改革将全国排名考试从住院医师培训阶段提前到本科医学生第六年开始时进行，这使得前一个暑假的工作量空前增加。主要目的是确定学习条件和社会心理因素是否与这种高强度工作量模式下学生的成功相关。
2023年考试后，在一所法国医学院校发送了一份与六名学生合作伙伴共同设计的在线调查问卷。主要结果是学生在实现其主要目标（排名、知识、幸福感）方面的成功情况。使用人工智能开发并解释了一个机器学习模型（极端梯度提升）。进行了人工智能引导的多变量逻辑回归分析，并计算了比值比。
在123份回复中，75名（61%）学生实现了他们的主要目标。暑假期间的动力和社交是预测学生成功的两个最重要变量。在引导多变量逻辑回归中，暑假动力（比值比 = 4.12，95%置信区间[1.75 - 10.30]）、暑假孤独感（比值比 = 0.35，95%置信区间[0.14 - 0.86]）以及学生的主要目标（排名，比值比 = 2.94，95%置信区间[1.15 - 7.79]）与学生的成功相关。
高风险考试前一个暑假的动力和社交对本科医学生的成功具有很强的预测性。本研究强调了暑假期间幸福感对学生成功的重要性。
