The number of international students who choose China as their destination for quality medical education is rising, particularly those from developing countries, but little is known about their adaptation and educational experiences at Chinese universities. This study explored the factors that these students perceived to have influenced their academic success.Semi-structured interviews were conducted with international students (N = 40) from developing countries from September 2020 to January 2021. Participants were graduates or in their second, third, fourth, fifth, or sixth academic year in two university medical schools. Interviews were audio-recorded, transcribed, and analyzed using a thematic analysis approach.The participants chose China to study medicine based on cost, teaching resources, quality of medical education, recommendation, and safety factors. They considered an increase in medical knowledge, clinical skills and communication skills as an indicator of academic success. Positive factors affecting academic success were the support system (family, friends, seniors) and campus resources (library, laboratories, extra-curricular activities, scholarship). Negative factors were (i) issues affecting learning (English language barrier), adjusting to the medical education system in China, learning difficulties, failing exams, internship difficulties, problems with online learning during the pandemic, (ii) sociocultural issues (lacking knowledge of the Chinese language, challenges in daily life, perceived discrimination, interpersonal relationships), (iii) wellbeing issues (physical and mental health issues), and (iv) other challenges (climate, food, finance, scholarship). The influence of teachers, administrators and classmates was perceived as both positive and negative.Factors affecting the academic success of international medical students at Chinese universities are multi-faceted. It is the collective responsibility of the host society, universities, teachers, administrators, classmates, families, and students themselves to address these factors in order to support and help students achieve academic success. Findings in our study support recommendations to improve teachers' English language skills and pedagogy and to invest in administrators' professional development. They also suggest that greater awareness of students' sociocultural and mental challenges and optimizing the positive influence of classmates could strengthen student support and better address student academic difficulties. The English proficiency and prior academic performance of international students should be considered during recruitment. Given the rapid growth in international MBBS programs in China, further research on the experiences of international students in China's medical programs is needed. 

/pdf/international-medical-students-perspectives-on-factors-2da7fjar.pdf

International medical students’ perspectives on factors affecting their academic success in China: a qualitative study

This study sought to probe the relationship between perceived affective L2 teacher variables (i.e. teacher support, teacher enthusiasm, and teacher appreciation) and students’ L2 grit. Drawing on a quantitative research design and a sample of 285 Turkish ELT undergraduate students, we employed structural equation modelling (SEM) analysis to identify the interplay among these latent affective L2 teacher variables and their subcomponents, and the way they influence learners’ L2 grit. The results indicated that Turkish EFL learners’ domain-specific grit was significantly influenced by teachers’ appreciation, support, and enthusiasm. Moreover, EFL teachers’ enthusiasm was found to play the strongest predictive role in learners’ L2 grit. This study implies that academically/emotionally supportive, enthusiastic, and appreciative attitudes in language classes can act as strong drives for enhancing language learners’ perseverance of effort and consistency of interest. The findings add to our understanding of teacher-related antecedents of L2 learner grit. 

An investigation into the association between student-perceived affective teacher variables and students’ L2-Grit

Abstract The objective has been to know the impact of the flipped classroom methodology on the academic performance of students during their training process in relation to the traditional methodology over time, in order to establish baselines in the academic grades in both models. The research is of a quasi-experimental type of non-equivalent groups, with a longitudinal trend design in the data collection process. The entire available population has been selected, with 1.236 students participating, exploring the grades as an analytical resource, from the 2010/2011 to the 2019/2020 academic years. The results show statistically significant differences in the improvement of academic performance with the flipped classroom methodology. Furthermore, the results reinforce that the flipped teaching model effectively promotes students’ interest, their capacity for autonomous learning and personal and cooperative relationships. 

https://link.springer.com/content/pdf/10.1007/s11423-022-10095-y.pdf

Implementation of the flipped classroom and its longitudinal impact on improving academic performance

With a sample of 651 university students experiencing emergency online learning during COVID-19, this study constructed a structural equation modelling to examine the effects of teacher support on students' academic achievement, with a particular focus on the mediating roles of academic self-efficacy and student engagement. The results show that teacher support had significant total influences on university students' academic achievement. Furthermore, academic self-efficacy and student engagement, respectively, mediated the effects of teacher support on students' academic achievement. In addition, academic self-efficacy and student engagement sequentially mediated the effects of teacher support on students' academic achievement. Research implications are also discussed. 

Teacher Support, Academic Self-Efficacy, Student Engagement, and Academic Achievement in Emergency Online Learning


Purpose
This paper aims to use a quantitative approach to explore the role of online learning behavior in students’ academic performance during the COVID-19 pandemic. Specifically, the authors probe its mediating effect in the relationship between student motivation (extrinsic and intrinsic) and academic performance in a blended learning context.


Design/methodology/approach
Survey data were collected from 148 students taking an organizational behavior course at one Chinese university. The data were paired and analyzed through regression analysis.


Findings
The results show that students should actively engage in online learning behavior to maximize the effects of blended learning. Extrinsic motivation was found to positively influence academic performance both directly and indirectly through online learning behavior, while intrinsic motivation affected academic performance only indirectly.


Originality/value
Through paired data on extrinsic and intrinsic motivation, online learning behavior and academic performance, this study provides a more nuanced understanding of how online learning behavior affects the focal relationship, and it advances research on the mechanisms underlying the focal relationship. Practitioners should enhance students’ online learning behavior to boost blended learning effects during the COVID-19 pandemic.


The relationship between student motivation and academic performance: the mediating role of online learning behavior

The effects of teacher support, parental monitoring, motivation and self-efficacy on academic performance over time

The reciprocal effects of learning motivation, perceived academic self-efficacy and academic performance in adolescence: a four-wave longitudinal study

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The effects of teacher support, parental monitoring, motivation and self-efficacy on academic performance over time

The reciprocal effects of learning motivation, perceived academic self-efficacy and academic performance in adolescence: a four-wave longitudinal study