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Impact of a change from A–F grading to honors/pass/fail grading on academic performance at Yonsei University College of Medicine in Korea: a cross-sectional serial mediation analysis

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Purpose: This study aimed to explore how the grading system affected medical students’ academic performance based on their perceptions of the learning environment and intrinsic motivation in the context of changing from norm-referenced A–F grading to criterion-referenced honors/pass/fail grading. Methods: The study involved 238 second-year medical students from 2014 (n=127, A–F grading) and 2015 (n=111, honors/pass/fail grading) at Yonsei University College of Medicine in Korea. Scores on the Dundee Ready Education Environment Measure, the Academic Motivation Scale, and the Basic MedicalScience Examination were used to measure overall learning environment perceptions, intrinsic motivation, and academic performance, respectively. Serial mediation analysis was conducted to examine the pathways between the grading system and academic performance, focusing on the mediating roles of studentperceptions and intrinsic motivation. Results: The honors/pass/fail grading class students reported more positive perceptions of the learning environment, higher intrinsic motivation, and betteracademic performance than the A–F grading class students. Mediation analysis demonstrated a serial mediation effect between the grading system and academic performance through learning environment perceptions and intrinsic motivation. Student perceptions and intrinsic motivation did not independently mediate the relationship between the grading system and performance. Conclusion: Reducing the number of grades and eliminating rank-based grading might have created an affirming learning environment that fulfills basic psychological needs and reinforces the intrinsic motivation linked to academic performance. The cumulative effect of these 2 mediators suggests that a comprehensive approach should be used to understand student performance.

Abstract

Purpose: This study aimed to explore how the grading system affected medical students’ academic performance based on their perceptions of the learning environment and intrinsic motivation in the context of changing from norm-referenced A–F grading to criterion-referenced honors/pass/fail grading. Methods: The study involved 238 second-year medical students from 2014 (n=127, A–F grading) and 2015 (n=111, honors/pass/fail grading) at Yonsei University College of Medicine in Korea. Scores on the Dundee Ready Education Environment Measure, the Academic Motivation Scale, and the Basic MedicalScience Examination were used to measure overall learning environment perceptions, intrinsic motivation, and academic performance, respectively. Serial mediation analysis was conducted to examine the pathways between the grading system and academic performance, focusing on the mediating roles of studentperceptions and intrinsic motivation. Results: The honors/pass/fail grading class students reported more positive perceptions of the learning environment, higher intrinsic motivation, and betteracademic performance than the A–F grading class students. Mediation analysis demonstrated a serial mediation effect between the grading system and academic performance through learning environment perceptions and intrinsic motivation. Student perceptions and intrinsic motivation did not independently mediate the relationship between the grading system and performance. Conclusion: Reducing the number of grades and eliminating rank-based grading might have created an affirming learning environment that fulfills basic psychological needs and reinforces the intrinsic motivation linked to academic performance. The cumulative effect of these 2 mediators suggests that a comprehensive approach should be used to understand student performance.

참고문헌 (15)

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관련 논문AI추천

Erratum : Impact of a change from A–F grading to honors/pass/fail grading on academic performance at Yonsei University College of Medicine in Korea: a cross-sectional serial mediation analysis김민경, 김혜원한국보건의료인국가시험원 · Journal of Educational Evaluation for Health Professions2024 · 제21권 Changing Perceptions of Graduating Students on a Decade of Criterion-Referenced Assessment and Grading System Implementation안신기, 오유경, 이은혜, 정한나연세대학교 의과대학 · 의학교육논단2025 · 제27권 제1호일개 의과대학에서 준거참조평가와 규준참조평가 간 학업성취 및 심리·정서 상태의 차이성지동, 송미령연세대학교 의과대학 · 의학교육논단2025 · 제27권 제1호Changes in academic performance in the online, integrated system-based curriculum implemented due to the COVID-19 pandemic in a medical school in Korea강예지한국보건의료인국가시험원 · Journal of Educational Evaluation for Health Professions2021 · 제18권 의과대학생들의 성취목표성지향성과 자기효능감이 수업에 대한 흥미와 학업성취도에 미치는 영향소연희한국의학교육학회 · Korean Journal of Medical Education2008 · 제20권 제1호Personality and Learning Behavioral Characteristics as Predictors of Academic Achievement of Medical Students김미지, 김장락, 지영아, 함종렬연세대학교 의과대학 · 의학교육논단2024 · 제26권 제1호

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