BMC Medical Education (Jan 2025)
Nonacademic predictors of China medical licensing examination
- Jie Sun,
- Yingying Xie,
- Ningnannan Zhang,
- Jingliang Cheng,
- Meiyun Wang,
- Bing Zhang,
- Wenzhen Zhu,
- Hui Zhang,
- Shijun Qiu,
- Xiaojun Xu,
- Yongqiang Yu,
- Tong Han,
- Zuojun Geng,
- Weihua Liao,
- Bo Gao,
- Wen Qin,
- Feng Liu,
- Meng Liang,
- Qiang Xu,
- Jilian Fu,
- Jiayuan Xu,
- Mengge Liu,
- Peng Zhang,
- Wei Li,
- Dapeng Shi,
- Caihong Wang,
- Xi-Nian Zuo,
- Quan Zhang,
- Feng Chen,
- Jiance Li,
- Zhihan Yan,
- Wen Shen,
- Yanwei Miao,
- Junfang Xian,
- Longjiang Zhang,
- Kai Xu,
- Zhaoxiang Ye,
- Jing Zhang,
- Guangbin Cui,
- Chunshui Yu,
- for the CHIMGEN Consortium
Affiliations
- Jie Sun
- Department of Radiology and Tianjin Key Lab of Functional Imaging and Tianjin Institute of Radiology and State Key Laboratory of Experimental Hematology, Tianjin Medical University General Hospital
- Yingying Xie
- Department of Radiology, The First Affiliated Hospital of Fujian Medical University
- Ningnannan Zhang
- Department of Radiology and Tianjin Key Lab of Functional Imaging and Tianjin Institute of Radiology and State Key Laboratory of Experimental Hematology, Tianjin Medical University General Hospital
- Jingliang Cheng
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University
- Meiyun Wang
- Department of Radiology, Henan Provincial People’s Hospital and Zhengzhou University People’s Hospital
- Bing Zhang
- Department of Radiology, Drum Tower Hospital, Medical School of Nanjing University
- Wenzhen Zhu
- Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
- Hui Zhang
- Department of Radiology, The First Hospital of Shanxi Medical University
- Shijun Qiu
- Department of Medical Imaging, the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine
- Xiaojun Xu
- Department of Radiology, The Second Affiliated Hospital of Zhejiang University, School of Medicine
- Yongqiang Yu
- Department of Radiology, The First Affiliated Hospital of Anhui Medical University
- Tong Han
- Department of Radiology, Tianjin Huanhu Hospital
- Zuojun Geng
- Department of Medical Imaging, The Second Hospital of Hebei Medical University
- Weihua Liao
- Department of Radiology, Xiangya Hospital, Central South University
- Bo Gao
- Department of Radiology, The Affiliated Hospital of Guizhou Medical University
- Wen Qin
- Department of Radiology and Tianjin Key Lab of Functional Imaging and Tianjin Institute of Radiology and State Key Laboratory of Experimental Hematology, Tianjin Medical University General Hospital
- Feng Liu
- Department of Radiology and Tianjin Key Lab of Functional Imaging and Tianjin Institute of Radiology and State Key Laboratory of Experimental Hematology, Tianjin Medical University General Hospital
- Meng Liang
- School of Medical Imaging, Tianjin Medical University
- Qiang Xu
- Department of Radiology and Tianjin Key Lab of Functional Imaging and Tianjin Institute of Radiology and State Key Laboratory of Experimental Hematology, Tianjin Medical University General Hospital
- Jilian Fu
- Department of Radiology and Tianjin Key Lab of Functional Imaging and Tianjin Institute of Radiology and State Key Laboratory of Experimental Hematology, Tianjin Medical University General Hospital
- Jiayuan Xu
- Department of Radiology and Tianjin Key Lab of Functional Imaging and Tianjin Institute of Radiology and State Key Laboratory of Experimental Hematology, Tianjin Medical University General Hospital
- Mengge Liu
- Department of Radiology and Tianjin Key Lab of Functional Imaging and Tianjin Institute of Radiology and State Key Laboratory of Experimental Hematology, Tianjin Medical University General Hospital
- Peng Zhang
- Department of Radiology, Tianjin Medical University Cancer Institute and Hospital
- Wei Li
- Department of Radiology, Tianjin Medical University Cancer Institute and Hospital
- Dapeng Shi
- Department of Radiology, Henan Provincial People’s Hospital and Zhengzhou University People’s Hospital
- Caihong Wang
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University
- Xi-Nian Zuo
- IDG/McGovern Institute for Brain Research, Beijing Normal University
- Quan Zhang
- Department of Radiology, Characteristic Medical Center of Chinese People’s Armed Police Force
- Feng Chen
- Department of Radiology, Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University)
- Jiance Li
- Department of Radiology, The First Affiliated Hospital of Wenzhou Medical University
- Zhihan Yan
- Department of Radiology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University
- Wen Shen
- Department of Radiology, Tianjin First Center Hospital
- Yanwei Miao
- Department of Radiology, The First Affiliated Hospital of Dalian Medical University
- Junfang Xian
- Department of Radiology, Beijing Tongren Hospital, Capital Medical University
- Longjiang Zhang
- Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University
- Kai Xu
- Department of Radiology, The Affiliated Hospital of Xuzhou Medical University
- Zhaoxiang Ye
- Department of Radiology, Tianjin Medical University Cancer Institute and Hospital
- Jing Zhang
- Department of Magnetic Resonance, Lanzhou University Second Hospital
- Guangbin Cui
- Functional and Molecular Imaging Key Lab of Shaanxi Province and Department of Radiology, Tangdu Hospital, Air Force Medical University
- Chunshui Yu
- Department of Radiology and Tianjin Key Lab of Functional Imaging and Tianjin Institute of Radiology and State Key Laboratory of Experimental Hematology, Tianjin Medical University General Hospital
- for the CHIMGEN Consortium
- DOI
- https://doi.org/10.1186/s12909-025-06652-7
- Journal volume & issue
-
Vol. 25,
no. 1
pp. 1 – 10
Abstract
Abstract Background National Medical Licensing Examination (NMLE) is the entrance exam for medical practice in China, and its general medical knowledge test (GMKT) evaluates abilities of medical students to comprehensively apply medical knowledge to clinical practice. This study aimed to identify nonacademic predictors of GMKT performance, which would benefit medical schools in designing appropriate strategies and techniques to facilitate the transition from medical students to qualified medical practitioners. Methods In 1202 medical students, we conducted the deletion-substitution-addition (DSA) and structural equation model (SEM) analyses to identify nonacademic predictors of GMKT performance from 98 candidate variables including early life events, physical conditions, psychological and personality assessments, cognitive abilities, and socioeconomic conditions. The candidate variables were assessed using psychometrically or cognitively validated and accepted instruments. Results We identified seven nonacademic predictors for GMKT performance. Body mass index (BMI) and working memory reaction time showed direct negative effects on GMKT performance. Psychological and personality features (conscientiousness, state anxiety, and openness to experience) indirectly affected GMKT performance via BMI, while socioeconomic conditions (father’s education and mother’s occupation) indirectly affected GMKT performance by influencing psychological and personality features and further BMI. Conclusion The identified nonacademic predictors for GMKT performance and their pathways may be useful for improving medical education by strengthening favorable and weakening, rectifying, or compensating unfavorable factors that are modifiable.
Keywords
