Factors associated with medical students’ self-regulated learning and its relationship with clinical performance: a cross-sectional study

Abstract Background The importance of self-regulated learning (SRL) has been broadly recognised by medical education institutions and medical professionals. Self-regulated learning, which is a context-specific process, is affected by personal, contextual and social factors. Although many studies on...

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Main Authors: Jia-Yu Zhang, Yi-Juan Liu, Tao Shu, Ming Xiang, Zhan-Chun Feng
Format: Article
Language:English
Published: BMC 2022-02-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-022-03186-0
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author Jia-Yu Zhang
Yi-Juan Liu
Tao Shu
Ming Xiang
Zhan-Chun Feng
author_facet Jia-Yu Zhang
Yi-Juan Liu
Tao Shu
Ming Xiang
Zhan-Chun Feng
author_sort Jia-Yu Zhang
collection DOAJ
description Abstract Background The importance of self-regulated learning (SRL) has been broadly recognised by medical education institutions and medical professionals. Self-regulated learning, which is a context-specific process, is affected by personal, contextual and social factors. Although many studies on exploring the factors that influenced SRL and the relationship of between SRL and clinical achievement levels have been carried out in western countries, little is known about the factors associated with self-regulated learning and its relationship with clinical performance among medical students in China. Methods A cross-sectional online survey was distributed to 3rd year clinical medicine students who were in the clinical clerkship stage in a medical college in Wuhan. We used Self-regulated Learning Scale for Undergraduates (SLSU) to measure the self-regulated learning of students and Objective Structured Clinical Examination (OSCE) in the national proficiency test to assess the clinical performance of students. The participation rate was 73.95% (193 students). An independent t-test and analysis of variance were used to analyse the factors associated with self-regulated learning. The relationship between self-regulated learning and clinical performance was analysed with multilinear regression analysis. Results Univariate analysis showed that having a clear career planning and a professional idol, providing full-time teaching clinical teachers in the clerkship department and seeking the help of the surrounding classmates and the guidance of teachers or senior students were significant predictors of self-regulated learning. Multilinear regression analysis has revealed a positive relationship among extrinsic goals (partial r = 0.171), clinical clerkship evaluation (partial r = 0.197) and clinical performance (F = 4.070, p = 0.004). Conclusions Motivation-related personal and social factors related to clinical context could promote the SRL level of medical students in China. Extrinsic goals and clinical clerkship evaluation could facilitate students’ clinical achievements on clinical skills. External support, such as clinical clerkship management, might improve clinical performance on clinical skills in clinical clerkship context.
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spelling doaj.art-c9cf20fbc6e641d68bed4a89550db2bd2022-12-22T01:34:02ZengBMCBMC Medical Education1472-69202022-02-012211810.1186/s12909-022-03186-0Factors associated with medical students’ self-regulated learning and its relationship with clinical performance: a cross-sectional studyJia-Yu Zhang0Yi-Juan Liu1Tao Shu2Ming Xiang3Zhan-Chun Feng4School of Medicine and Health Mangement, Tongji Medical College, Huazhong University of Science and TechnologyMedical academic affairs office, Tongji Medical College, Huazhong University of Science and TechnologyMedical academic affairs office, Tongji Medical College, Huazhong University of Science and TechnologyMedical academic affairs office, Tongji Medical College, Huazhong University of Science and TechnologySchool of Medicine and Health Mangement, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Background The importance of self-regulated learning (SRL) has been broadly recognised by medical education institutions and medical professionals. Self-regulated learning, which is a context-specific process, is affected by personal, contextual and social factors. Although many studies on exploring the factors that influenced SRL and the relationship of between SRL and clinical achievement levels have been carried out in western countries, little is known about the factors associated with self-regulated learning and its relationship with clinical performance among medical students in China. Methods A cross-sectional online survey was distributed to 3rd year clinical medicine students who were in the clinical clerkship stage in a medical college in Wuhan. We used Self-regulated Learning Scale for Undergraduates (SLSU) to measure the self-regulated learning of students and Objective Structured Clinical Examination (OSCE) in the national proficiency test to assess the clinical performance of students. The participation rate was 73.95% (193 students). An independent t-test and analysis of variance were used to analyse the factors associated with self-regulated learning. The relationship between self-regulated learning and clinical performance was analysed with multilinear regression analysis. Results Univariate analysis showed that having a clear career planning and a professional idol, providing full-time teaching clinical teachers in the clerkship department and seeking the help of the surrounding classmates and the guidance of teachers or senior students were significant predictors of self-regulated learning. Multilinear regression analysis has revealed a positive relationship among extrinsic goals (partial r = 0.171), clinical clerkship evaluation (partial r = 0.197) and clinical performance (F = 4.070, p = 0.004). Conclusions Motivation-related personal and social factors related to clinical context could promote the SRL level of medical students in China. Extrinsic goals and clinical clerkship evaluation could facilitate students’ clinical achievements on clinical skills. External support, such as clinical clerkship management, might improve clinical performance on clinical skills in clinical clerkship context.https://doi.org/10.1186/s12909-022-03186-0Self-regulated learningClinical skillClinical performanceMedical education
spellingShingle Jia-Yu Zhang
Yi-Juan Liu
Tao Shu
Ming Xiang
Zhan-Chun Feng
Factors associated with medical students’ self-regulated learning and its relationship with clinical performance: a cross-sectional study
BMC Medical Education
Self-regulated learning
Clinical skill
Clinical performance
Medical education
title Factors associated with medical students’ self-regulated learning and its relationship with clinical performance: a cross-sectional study
title_full Factors associated with medical students’ self-regulated learning and its relationship with clinical performance: a cross-sectional study
title_fullStr Factors associated with medical students’ self-regulated learning and its relationship with clinical performance: a cross-sectional study
title_full_unstemmed Factors associated with medical students’ self-regulated learning and its relationship with clinical performance: a cross-sectional study
title_short Factors associated with medical students’ self-regulated learning and its relationship with clinical performance: a cross-sectional study
title_sort factors associated with medical students self regulated learning and its relationship with clinical performance a cross sectional study
topic Self-regulated learning
Clinical skill
Clinical performance
Medical education
url https://doi.org/10.1186/s12909-022-03186-0
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