High- and low-achieving international medical students' perceptions of the factors influencing their academic performance at Chinese universities.

IF 3.1 2区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-01-03 DOI:10.1080/10872981.2023.2300194
Qinxu Jiang, Hugo Horta, Mantak Yuen
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Abstract

China has become an attractive destination for international medical students, particularly those from developing countries in Asia and Africa. These students are known to face difficulties in adapting to Chinese medical universities and they tend to score poorly on subsequent examinations to enter the medical profession in their home or in a third country. To date, limited research concerning the factors that affect the academic performance of this group of students in China has been conducted. In particular, there have been very few comparisons between high and low achievers to identify the factors that high- and low-achieving international medical students in all years of study perceive as affecting their academic performance. A qualitative research approach was implemented at two medical universities. Semi-structured interviews were conducted with 18 high achievers and 22 low achievers in their second, third, fourth, fifth, sixth, and post-graduation years. Interviews were audio-recorded, transcribed, and coded using a thematic analysis approach.A few key overlapping factors were identified: social support, learning motivation and interest, exam preparation and strategies, time management, and coping. The high achievers manipulated these strategies successfully while the low achievers did not. The high achievers demonstrated efficient learning methods (efficient use of class time, good note-taking habits, preview and review strategies, expanded learning, self-study and group learning, deep learning, choosing an appropriate study location, and focusing on basics and concepts). They also achieved a good balance between studying and leisure. The low achievers mentioned learning challenges, health issues, English language barriers, and problems with online classes. This study allowed us to identify important factors that international medical students at Chinese institutions perceive to influence their performance. The findings contribute to the literature on the topic and provide a solid basis for practice and policy development.

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成绩优秀和成绩较差的医科留学生对影响其在中国大学学习成绩的因素的看法。
中国已成为吸引国际医科学生的目的地,尤其是那些来自亚洲和非洲发展中国家的学生。众所周知,这些学生在适应中国的医科大学时会遇到困难,而且他们往往在随后的考试中成绩不佳,无法进入本国或第三国的医学专业。迄今为止,有关影响这部分学生在中国学习成绩的因素的研究十分有限。特别是,很少有研究对成绩优秀和成绩较差的学生进行比较,以确定各年级成绩优秀和成绩较差的医学留学生认为哪些因素影响了他们的学业成绩。我们在两所医科大学采用了定性研究方法。对第二、第三、第四、第五、第六和毕业后各年级的 18 名成绩优秀学生和 22 名成绩较差学生进行了半结构式访谈。对访谈进行了录音、转录,并采用主题分析法进行了编码。确定了几个关键的重叠因素:社会支持、学习动机和兴趣、备考和策略、时间管理和应对。成绩优秀的学生成功地运用了这些策略,而成绩较差的学生则没有。成绩优秀的学生表现出了高效的学习方法(有效利用课堂时间、良好的记笔记习惯、预习和复习策略、拓展学习、自学和小组学习、深度学习、选择合适的学习地点、专注于基础知识和概念)。他们还在学习和休闲之间取得了良好的平衡。学习成绩较差的学生提到了学习挑战、健康问题、英语语言障碍以及网络课程的问题。通过这项研究,我们发现了中国院校的国际医学生认为影响其学习成绩的重要因素。研究结果为相关文献做出了贡献,并为实践和政策制定提供了坚实的基础。
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来源期刊
Medical Education Online
Medical Education Online EDUCATION & EDUCATIONAL RESEARCH-
CiteScore
6.00
自引率
2.20%
发文量
97
审稿时长
8 weeks
期刊介绍: Medical Education Online is an open access journal of health care education, publishing peer-reviewed research, perspectives, reviews, and early documentation of new ideas and trends. Medical Education Online aims to disseminate information on the education and training of physicians and other health care professionals. Manuscripts may address any aspect of health care education and training, including, but not limited to: -Basic science education -Clinical science education -Residency education -Learning theory -Problem-based learning (PBL) -Curriculum development -Research design and statistics -Measurement and evaluation -Faculty development -Informatics/web
期刊最新文献
Medical law; promotion of medicine curriculum: a letter to editor. Tips for developing a coaching program in medical education. High- and low-achieving international medical students' perceptions of the factors influencing their academic performance at Chinese universities. A Medical Education Research Library: key research topics and associated experts. Financial barriers and inequity in medical education in India: challenges to training a diverse and representative healthcare workforce.
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