A study of adaptation challenges and coping strategies for medical students in Sino-foreign cooperative education programs from the perspective of internationalization at home: a qualitative analysis based on in-depth interviews

Tang Yige; Zhu Wenfen; Du Zhiyin

doi:10.3760/cma.j.cn116021-20251021-02269

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A study of adaptation challenges and coping strategies for medical students in Sino-foreign cooperative education programs from the perspective of internationalization at home: a qualitative analysis based on in-depth interviews

更新时间：2026-07-01

- A study of adaptation challenges and coping strategies for medical students in Sino-foreign cooperative education programs from the perspective of internationalization at home: a qualitative analysis based on in-depth interviews
- Chinese Journal of Medical Education Research Pages: 1-6(2026)
- 作者机构：
  
  1.重庆医科大学莱斯特大学联合学院，重庆 400016
  2.重庆医科大学护理学院，重庆 400016
  3.重庆医科大学人工智能医学学院，重庆 400016
- 作者简介：
  
  Du Zhiyin, Email: duzhiyin@cqmu.edu.cn
- 基金信息：
  
  Teaching Research and Reform Program of Chongqing Medical University(JY150204)
- DOI：10.3760/cma.j.cn116021-20251021-02269
  CLC： R-05
- Received：21 October 2025，
  
  Online First：27 April 2026，
- 稿件说明：
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Tang Yige, Zhu Wenfen, Du Zhiyin. A study of adaptation challenges and coping strategies for medical students in Sino-foreign cooperative education programs from the perspective of internationalization at home: a qualitative analysis based on in-depth interviews[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-6.
DOI：

Tang Yige, Zhu Wenfen, Du Zhiyin. A study of adaptation challenges and coping strategies for medical students in Sino-foreign cooperative education programs from the perspective of internationalization at home: a qualitative analysis based on in-depth interviews[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-6. DOI： 10.3760/cma.j.cn116021-20251021-02269.

摘要

目的

探讨中外合作办学医学生在适应过程中面临的主要挑战及其应对策略，为提升合作办学质量提供依据。

方法

采用质性研究方法，对重庆医科大学莱斯特大学联合学院20名中外合作办学项目学生进行半结构化深度访谈，运用Nvivo14软件对访谈资料进行三级编码分析。

结果

通过开放性编码获得41个初始范畴和328个参考点，通过主轴式编码归纳出10个主范畴，最终凝练出3个核心范畴：语言适应困境、学术文化适应困境、心理社会适应困境，并将其他次级范畴围绕核心范畴整合成为完整的理论模型。研究发现中外合作办学专业的医学生主要面临专业英语障碍、教学模式不适应、跨文化交际压力等挑战，成功适应者往往采用主动学习、资源整合、心理调适等策略。

结论

中外合作办学医学生的适应是一个多维度的过程，需要从语言准备、学术转型、心理支持等多方面构建系统的适应支持体系。

Abstract

Objective

To explore the primary challenges faced by medical students in Sino-foreign cooperative education programs during their adaptation process and the coping strategies they employed

and provide a basis for improving the quality of these programs.

Methods

A qualitative study was conducted. Semi-structured in-depth interviews were carried out with 20 students enrolled in Sino-foreign cooperative education programs at the Chongqing Medical University-University of Leicester Joint Institute. The interview data were analyzed using Nvivo 14 software through a three-level coding process (open

axial

and selective coding).

Results

The open coding process identified 41 initial categories and 328 reference points. Through axial coding

10 main categories were derived. Ultimately

three core categories were refined: language adaptation difficulties

academic and cultural adaptation difficulties

and psychosocial adaptation difficulties. A comprehensive theoretical model was constructed by integrating the other categories around these core categories. The findings revealed that medical students in Sino-foreign cooperative education programs primarily faced challenges such as barriers with specialized English

difficulty adapting to new teaching models

and stress from cross-cultural communication. Students who adapted successfully tended to employ strategies including proactive learning

resource integration

and psychological self-adjustment.

Conclusions

The adaptation process for medical students in Sino-foreign cooperative education programs is multidimensional. Constructing a support system that addresses language preparation

academic transition

and psychological well-being is of significant importance.

关键词

Keywords

references

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