文献类型：期刊文献

英文题名：Top-tier ranking university bring worse perception of medical learning environment to students: a cross-sectional study across 12 universities

作者：Huang, Runzhi[1,2];Yang, Xinyue[3];Yao, Yuntao[4];Gao, Yan[1,2];Xian, Shuyuan[1,2];Zhang, Wei[1,2];Xu, Dayuan[1,2];Guo, Xinya[1,2];Chen, Yang[1,2];Li, Yixu[1,2];Tong, Xirui[1,2];Qian, Weijin[3];Lu, Bingnan[4];Lin, Min[5];Gong, Meiqiong[6];Wang, Xiaonan[7];Wang, Yue[8];Chen, Wenfang[9];Zhang, Chongyou[10];Du, Erbin[11];Lin, Qing[12];Huang, Zongqiang[13];Yin, Huabin[3,14];Zhang, Jie[15];Liu, Yifan[4];Qu, Xue[16];Ji, Shizhao[1,2]

机构：[1]Naval Med Univ, Affiliated Hosp 1, Dept Burn Surg, 168 Changhai Rd, Shanghai 200433, Peoples R China;[2]Chinese Acad Med Sci, Res Unit Key Tech Treatment Burns & Combined Burns, Shanghai, Peoples R China;[3]Shanghai Jiao Tong Univ, Sch Med, Shanghai, Peoples R China;[4]Shanghai Jiao Tong Univ, Xinhua Hosp, Sch Med, Dept Urol, Shanghai, Peoples R China;[5]Chongqing Med Univ, Mental Hlth Educ & Consultat Ctr, Chongqing, Peoples R China;[6]Shanghai Univ, Off Educ Adm, Shanghai, Peoples R China;[7]Capital Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Beijing, Peoples R China;[8]Air Force Med Univ, Sch Publ Hlth, Dept Hlth Stat, Ji An, Peoples R China;[9]Jinggangshan Univ, Fac Med, Ji An, Peoples R China;[10]Harbin Med Univ, Basic Med Coll, Harbin, Heilongjiang, Peoples R China;[11]Mudanjiang Med Univ, Clin Med Coll 1, Mudanjiang, Peoples R China;[12]Fujian Med Univ, Sch Basic Med Sci, Dept Human Anat, Lab Clin Appl Anat, Fuzhou, Peoples R China;[13]Zhengzhou Univ, Affiliated Hosp 1, Dept Orthoped, Zhengzhou, Peoples R China;[14]Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Sch Med, Dept Orthoped, Shanghai, Peoples R China;[15]Tongji Univ Sch Med, Shanghai Matern & Infant Hosp 1, Dept Gynecol, Shanghai, Peoples R China;[16]East China Univ Sci & Technol, Frontiers Sci Ctr Materiobiol & Dynam Chem, Sch Mat Sci & Engn, Key Lab Ultrafine Mat,Minist Educ, Shanghai, Peoples R China

年份：2025

卷号：30

期号：1

外文期刊名：MEDICAL EDUCATION ONLINE

收录：;WOS:【SSCI(收录号:WOS:001546851700001)】；

基金：This work was supported by the National Natural Science Foundation of China (Nos. 82472546 and 32071186); CAMS Innovation Fund for Medical Sciences (No. 2019-I2M-5-076); Clinical Key Discipline Project of Shanghai, Shanghai Top Priority Research Center Project (No. 2023ZZ02013); the Excellent Academic Leader Project of Shanghai Science and Technology Committee (No. 23XD1425000); National Key Research and Development Program (No. 2024YFA1108405); Postdoctoral Fellowship Program of CPSF (No. GZC20242278); Shanghai Rising-Star Program (Sailing Special Program) (No. 23YF1458400). Teacher Development Training Programs at Shanghai Jiao Tong University School of Medicine (No. JFXM202510). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

语种：英文

外文关键词：University category; medical learning environment; medical education; cross-sectional study; John Hopkins Learning Environment Scale (JHLES)

摘要：The medical learning environment (MLE) exerted a profound influence on students' physical, psychological, and professional development. University prestige and ranking significantly shape students' self-perception and self-esteem. Nevertheless, the relationship between university category and MLE perception remained unexplored. Our study collected 10,901 questionnaires from 12 universities, spanning six categories. John Hopkins Learning Environment Scale (JHLES) was administrated to assess MLE perceptions. Utilizing a cross-sectional design, we categorized participants into high or low JHLES groups. Next, we conducted Chi-square and parametric or non-parametric tests to analyze the relationship between perception of MLE and university category. Subsequently, we performed a multivariate logistic regression and developed a nomogram to predict the likelihood of low JHLES scores. And the model performance was assessed through receiver operating characteristic (ROC) curves, decision curve analysis (DCA), and calibration curves. Our study revealed a significant association between university category and MLE perception. Specifically, students from top-tier universities were prone to negative MLE perceptions. Through multivariate logistic regression analysis, we validated university category as an influencing factor (p < 0.001). Moreover, our nomogram demonstrated reliability and consistency in predicting students' MLE perspectives. The university category emerged as a predictor for perception of MLE. Students from prestigious institutions manifested an increased likelihood of negative MLE perceptions.