Bias in student evaluations of teaching in undergraduate medical education: a qualitative study from a medical school in Northern China

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Argitaratua izan da:BMC Medical Education vol. 25 (2025), p. 1
Egile nagusia: Li, Yuanheng
Beste egile batzuk: Sun, Chao, Wang, Yazhou, Chi, Haoyu, Tang, Hanye, Ma, Mingxue, Wei, Lifeng, Zhong, Linjun, Li, Jida, Wei, Kun, Sha, Zhuowa, Fan, Chao, Zhang, Gangyu, Sun, Peihang, Jiao, Mingli
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Springer Nature B.V.
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Sarrera elektronikoa:Citation/Abstract
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001 3216559149
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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-07300-w  |2 doi 
035 |a 3216559149 
045 2 |b d20250101  |b d20251231 
084 |a 58506  |2 nlm 
100 1 |a Li, Yuanheng 
245 1 |a Bias in student evaluations of teaching in undergraduate medical education: a qualitative study from a medical school in Northern China 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundStudent evaluations of teaching (SET) are widely used in medical education as a tool to improve teaching quality. However, biases in SET can undermine their effectiveness. While numerous studies have explored bias factors in SET within higher education, few have specifically investigated these factors among medical students in China. This study aims to systematically explore the multidimensional causes of bias in Chinese undergraduate medical students’ teaching evaluations.MethodsA qualitative study was conducted using semi-structured interviews with medical students from a medical university in northern China. Participants were selected through purposive sampling to ensure diversity in gender, academic year, and major. Interviews were transcribed verbatim and analyzed using thematic analysis to identify themes and subthemes related to biases in teaching evaluations.ResultsThe analysis revealed several key themes contributing to biases in SET among medical students: (1) Teacher-Student Interaction: High personal affinity of teachers led to positive bias, while strict classroom management and poor teacher-student relationships resulted in negative bias. (2) Aspects Related to Medical Students: Course attributes and personal interest influenced evaluations, with elective courses and low-interest subjects leading to arbitrary bias. Group influences, such as peer effects and conformity, also contributed to bias. (3) Evaluation System Factors: Doubts about the anonymity of the evaluation system and lack of timely feedback led to self-protective scoring behaviors and arbitrary bias. The presence of informal agreements between teachers and students introduced moral hazards that further skewed evaluations.ConclusionsBiases in medical students’ teaching evaluations are multifaceted and can primarily be attributed to teacher-student interpersonal relationships, student perceptions, and systemic issues within the evaluation process. To enhance the objectivity and effectiveness of SET, it is essential to address these biases by reshaping students’ understanding of evaluations, improving teacher-student communication, and establishing a digital evaluation system that ensures anonymity and timely feedback. 
651 4 |a United States--US 
651 4 |a Germany 
651 4 |a China 
653 |a Higher education 
653 |a Medical education 
653 |a Teaching methods 
653 |a Medical students 
653 |a Interviews 
653 |a Teachers 
653 |a Bias 
653 |a Research methodology 
653 |a Medical research 
653 |a Data collection 
653 |a Qualitative research 
653 |a Information technology 
653 |a Learning 
653 |a Instructional Improvement 
653 |a Educational Quality 
653 |a Semi Structured Interviews 
653 |a Educational Practices 
653 |a Literature Reviews 
653 |a Rating Scales 
653 |a Educational Resources 
653 |a Influence of Technology 
653 |a Graduate Students 
653 |a Physical Education 
653 |a Structured Interviews 
653 |a College Administration 
653 |a Medical Evaluation 
653 |a Educational Administration 
653 |a Educational Environment 
653 |a Methods Research 
653 |a Individual Characteristics 
700 1 |a Sun, Chao 
700 1 |a Wang, Yazhou 
700 1 |a Chi, Haoyu 
700 1 |a Tang, Hanye 
700 1 |a Ma, Mingxue 
700 1 |a Wei, Lifeng 
700 1 |a Zhong, Linjun 
700 1 |a Li, Jida 
700 1 |a Wei, Kun 
700 1 |a Sha, Zhuowa 
700 1 |a Fan, Chao 
700 1 |a Zhang, Gangyu 
700 1 |a Sun, Peihang 
700 1 |a Jiao, Mingli 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1 
786 0 |d ProQuest  |t Healthcare Administration Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3216559149/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3216559149/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3216559149/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch