Song In-Kyung, Jang Hwa-Young, Chae Su Jin
Department of Anaesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Department of Anaesthesiology and Pain Medicine, Asan Medical Center, Seoul, Korea.
Korean J Med Educ. 2025 Mar;37(1):13-21. doi: 10.3946/kjme.2025.319. Epub 2025 Feb 26.
This study aimed to identify the factors influencing premedical students' satisfaction with early clinical experience and determine the mediating effect of self-efficacy on the relationship between learning motivation and satisfaction.
This cross-sectional study included 35 second-year premedical students who completed the early clinical experience course and responded to course evaluation questionnaires on self-efficacy, transfer motivation, and student satisfaction. The data were analyzed using descriptive statistics, Pearson's correlation, Baron and Kenny's hierarchical multiple regression analyses, and the Sobel test.
Student satisfaction was significantly correlated with self-efficacy (r=0.724, p<0.01) and transfer motivation (r=0.538, p<0.01). Self-efficacy and transfer motivation were also highly correlated (r=0.789, p<0.01). Multiple regression analyses and Sobel test indicated that self-efficacy fully mediated the relationship between student satisfaction and transfer motivation (Z=2.704, p<0.01).
In this study, early clinical experience program increased premedical students' self-efficacy and transfer motivation for clinical knowledge and confirmed that self-efficacy mediated student satisfaction. These findings demonstrate the positive effects of early clinical experience on the medical school curriculum and suggest the need for educational strategies to increase self-efficacy in learning.
本研究旨在确定影响医学预科学生对早期临床体验满意度的因素，并确定自我效能感在学习动机与满意度之间关系中的中介作用。
这项横断面研究纳入了35名完成早期临床体验课程并对自我效能感、迁移动机和学生满意度进行课程评价问卷调查的医学预科二年级学生。数据采用描述性统计、Pearson相关性分析、Baron和Kenny层次多元回归分析以及Sobel检验进行分析。
学生满意度与自我效能感（r = 0.724，p < 0.01）和迁移动机（r = 0.538，p < 0.01）显著相关。自我效能感与迁移动机也高度相关（r = 0.789，p < 0.01）。多元回归分析和Sobel检验表明，自我效能感完全中介了学生满意度与迁移动机之间的关系（Z = 2.704，p < 0.01）。
在本研究中，早期临床体验项目提高了医学预科学生对临床知识的自我效能感和迁移动机，并证实自我效能感中介了学生满意度。这些发现证明了早期临床体验对医学院课程的积极影响，并表明需要采取教育策略来提高学习中的自我效能感。
