Objective　To investigate the current learning status of medical students and related influencing factors

and to improve the quality of medical education. Methods　The method of formative assessment and summative assessment was used. Questionnaire survey and data collection were performed among 11 760 students from 11 medical colleges and universities in China to analyze their learning motivations

learning attitudes

academic record

and expectations. An analysis of variance and the t-test were used for comparison of general demographic factors. Results　The overall score of learning motivations was (1.95±0.57) points (with a full score of 3 points)

while there were significant differences between the colleges and universities in different regions

the colleges/universities at different levels

and different specialties (F=49.694

12.354

and 8.094

P<0.01). The overall score of self-appraised learning attitudes was (2.68±0.78) points (with a full score of 4 points)

and there were significant differences between the medical students from different regions

different types of colleges/universities

and colleges at different levels

between the medical students with different sexes

specialties

and grades

and between the military and non-military medical students (F/t=49.476

19.241

57.275

11.513

4.660

30.177

and 42.788

P<0.01). The score of expectations for academic record was (2.14±0.95) points (with a full score of 4 points)

and there were significant differences between different groups of medical students (F/t=458.503

149.679

553.090

409.184

29.584

199.268

and 821.113

P<0.01). The score of overall academic record was (2.43±0.79) points (with a full score of 4 points)

and there were significant differences between different groups of medical students (F/t=44.938

20.305

47.850

45.174

3.769

20.819

and 81.909

P<0.01). There were significant differences in academic record between the medical students with different learning motivations

expectations

and self-appraised learning attitudes (F/t=78.845

1 146.000

and 715.012

P<0.01). Conclusion　Medical students in China generally have good learning status

which is greatly influenced by general demographic factors. The academic score of medical students in China is positively correlated with learning expectations and attitudes

and learning motivations have a special effect on academic record.