中国本科临床医学专业学生境外访学与交流情况及其影响因素分析  

Analyses on undergraduate medical students'overseas visits and exchanges in China and its influencing factors

作　　者：侯建林 于晨 程化琴 方晨晨 王维民 Hou Jianlin;Yu Chen;Cheng Huaqin;Fang Chenchen;Wang Weimin(Institute of Medical Education,Peking University,Beijing 100191,China;Peking University Health Science Center,Beijing 100191,China)

机构地区：[1]北京大学医学教育研究所,北京100191 [2]北京大学医学部,北京100191

出　　处：《中华医学教育杂志》2025年第4期283-287,共5页Chinese Journal of Medical Education

基　　金：2022年国家社会科学基金教育学一般课题(BLA220228)。

摘　　要：目的使用中国医学生调查数据,分析本科临床医学专业学生境外访学与交流情况及其影响因素。方法采用描述性分析方法、卡方检验和Logit模型进行数据分析。结果全国123所医学院校本科临床医学专业219396名学生参与了此次调查,其中有境外访学与交流经历者占比2.0%。就参加境外访学与交流的可能性而言,城市生源高于农村生源(β=0.405,P<0.001);家庭年收入为“15万元以上~30万元”者和“30万元以上”者高于“不足1万元”者(β=0.375,P<0.001;β=0.845,P<0.001);就读院校位于“西部”者低于位于“东部”者(β=-0.159,P<0.001);就读院校主管部门为“中央部委”者高于为“省市区教育厅(委)”者(β=0.305,P=0.039);就读院校层次为“世界一流大学建设高校”和“世界一流学科建设高校”者高于就读于“独立学院”者(β=0.493,P=0.009;β=0.546,P<0.001)。结论赴境外访学与交流的本科临床医学专业学生所占比例过低,应当得到稳步提高。弱势群体医学生参与境外访学与交流的可能性较低,需要完善经济资助制度加以解决。此外,本科临床医学专业学生的境外访学与交流在不同类型院校之间存在显著差异,应当引起关注。Objectives To analyze the situation and influencing factors of overseas visits and exchanges among undergraduate clinical medicine students using data collected from China Medical Student Survey.Methods Descriptive analysis,chi-square test,Logit model were used.Results A total of 219396 medical undergraduate students from 123 medical colleges across the country participated in the survey,of which only 2.0%had overseas visiting and exchange experiences.In terms of the likelihood of participating in overseas visits and exchanges,urban students were higher than rural students(β=0.405,P<0.001),students from families with an annual income of over 150000 to 300000 Yuan and over 300000 Yuan exceeded those with an annual income of less than 10000 Yuan(β=0.375,P<0.001;β=0.845,P<0.001),students whose universities located in western China were lower than those located in eastern China(β=-0.159,P<0.001),students who studying at universities affiliated to the central government were higher than those studying at universities affiliated to provincial sectors(β=0.305,P=0.039),students who studying at world-class university and discipline construction programs were higher than those who studying at independent colleges(β=0.493,P=0.009;β=0.546,P<0.001).Conclusions The proportion of medical undergraduate students who participated in overseas visits and exchanges is too low and should be steadily increased.The likelihood of medical students from disadvantaged groups participating in overseas visits and exchanges is relatively low,and it is necessary to improve the financial aid system to address this issue.In addition,there are significant differences in undergraduate medical students'overseas visits and exchanges among different types of universities,which should be taken seriously.

关 键 词：医学 医学教育国际化 临床医学专业本科生 境外访学与交流 LOGIT模型 

分 类 号：R-4[医药卫生]