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 219 396 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 150 000 to 300 000 Yuan and over 300 000 Yuan exceeded those with an annual income of less than 10 000 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.
Hou Jianlin
,
Yu Chen
,
Cheng Huaqin
,
Fang Chenchen
,
Wang Weimin
. Analyses on undergraduate medical students' overseas visits and exchanges in China and its influencing factors[J]. Chinese Journal of Medical Education, 2025
, 45(4)
: 283
-287
.
DOI: 10.3760/cma.j.cn115259-20240705-00702
[1] Sopdie E, Prasad S. Characteristics of international rotations for undergraduate medical education at United States medical schools: a national study [J]. Adv Med Educ Pract, 2022,13: 1475-1488. DOI: 10.2147/AMEP.S380891.
[2] Chmura M, Nagraj S. A scoping review of the ethical impacts of international medical electives on local students and patient care[J]. BMC Med Ethics, 2024, 25(1): 5. DOI: 10.1186/s12910-023-00998-7.
[3] Law I. R, Worley P. S, Langham F. J. International medical electives undertaken by Australian medical students: current trends and future directions[J]. Medical Journal of Australia, 2013, 198(6): 324-326. DOI: 10.5694/mja12.11463.
[4] 杜伟伟, 张蕾, 徐白羽, 等. 医学生选择境外交流项目影响因素研究[J]. 中华医学教育杂志, 2024,44(3): 166-170. DOI: 10.3760/cma.j.cn115259-20230912-00240.
[5] 刘焰葳, 陈娟. 境外临床短期见(实)习对医学生人文素养的影响[J]. 中国高等医学教育, 2021(9): 4-5. DOI: 10.3969/j.issn.1002-1701.2021.09.002.
[6] 张韵榆, 李金芯. 医学生海外短期实习交换项目的实践与思考[J]. 继续医学教育, 2019,33(09): 65-67. DOI: 10.3969/j.issn.1004-6763.2019.09.031.
[7] Storz M. A. International medical electives during and after the COVID-19 pandemic - current state and future scenarios: a narrative review[J]. Global Health, 2022,18(1): 44. DOI: 10.1186/s12992-022-00838-0.
[8] 杜伟伟, 张蕾, 孙秋丹. 境外短期交流对医学生医学人文素养影响的研究[J]. 中华医学教育杂志, 2019,39(6):420-424. DOI: 10.3760/cma.j.issn.1673-677X.2019.06.002.
[9] Fruhstorfer B. H., Jenkins S. P., Davies D. A., et al. International short-term placements in health professions education-a meta-narrative review[J]. Med Educ, 2024, 58(7): 797-811. DOI: 10.1111/medu.15294.
[10] Beckschulte K., Lederer A. K., Storz M. A. Long-term trends in international medical electives fees: a database mining study[J]. BMC Med Educ, 2024,24(1): 152.
[11] Global Health Programs, Department of Global and Public Health, McGill University. Travel awards [EB/OL]. [2024-07-03]. https://www.mcgill.ca/globalhealth/funding/travel-awards.
[12] 朱雪波, 夏露, 刘燕楠. 地方医学院校国际化发展的实践与研究[J]. 温州医科大学学报, 2019,49(10): 777-780, 封3. DOI: 10.3969/j.issn.2095-9400.2019.10.017.
[13] 汪露. “一带一路”视域的医学生国际视野培养路径的探索与研究分析[J]. 空中美语,2022,11: 340-342.DOI: 10.12255/j.issn.1672-6677.2022.11.114.
[14] 何兰萍. “一带一路”视域下中医学生国际视野的培养路径——以形势与政策课为中心[J]. 南京中医药大学学报(社会科学版), 2017,18(1): 62-66. DOI: 10.20060/j.cnki.issn1009-3222.2017.01.012 .