PURPOSE This study evaluated the validity of student feedback derived from Medicine Student Experience Questionnaire (MedSEQ), as well as the predictors of students' satisfaction in the Medicine program. METHODS Data from MedSEQ applying to the University of New South Wales Medicine program in 2017, 2019, and 2021 were analyzed. Confirmatory factor analysis (CFA) and Cronbach's α were used to assess the construct validity and reliability of MedSEQ respectively. Hierarchical multiple linear regressions were used to identify the factors that most impact students' overall satisfaction with the program. RESULTS A total of 1,719 students (34.50%) responded to MedSEQ. CFA showed good fit indices (root mean square error of approximation=0.051; comparative fit index=0.939; chi-square/degrees of freedom=6.429). All factors yielded good (α>0.7) or very good (α>0.8) levels of reliability, except the "online resources" factor, which had acceptable reliability (α=0.687). A multiple linear regression model with only demographic characteristics explained 3.8% of the variance in students' overall satisfaction, whereas the model adding 8 domains from MedSEQ explained 40%, indicating that 36.2% of the variance was attributable to students' experience across the 8 domains. Three domains had the strongest impact on overall satisfaction: "being cared for," "satisfaction with teaching," and "satisfaction with assessment" (β=0.327, 0.148, 0.148, respectively; all with P<0.001). CONCLUSION MedSEQ has good construct validity and high reliability, reflecting students' satisfaction with the Medicine program. Key factors impacting students' satisfaction are the perception of being cared for, quality teaching irrespective of the mode of delivery and fair assessment tasks which enhance learning.

中文翻译：

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什么对澳大利亚医学学生体验问卷中学生的满意度影响最大：一项有效性研究。

目的 本研究评估了来自医学学生体验问卷 (MedSEQ) 的学生反馈的有效性，以及学生对医学课程满意度的预测因素。方法 分析了 2017 年、2019 年和 2021 年申请新南威尔士大学医学项目的 MedSEQ 数据。验证性因素分析（CFA）和Cronbach's α分别用于评估MedSEQ的结构有效性和可靠性。使用分层多元线性回归来确定最能影响学生对该计划的总体满意度的因素。结果 共有 1,719 名学生 (34.50%) 对 MedSEQ 做出了回应。CFA 显示出良好的拟合指数（近似均方根误差 = 0.051；比较拟合指数 = 0.939；卡方/自由度 = 6.429）。所有因素都取得了良好的效果（α> 0.7) 或非常好 (α>0.8) 的可靠性水平，除了“在线资源”因素，其具有可接受的可靠性 (α=0.687)。仅具有人口统计特征的多元线性回归模型解释了学生总体满意度方差的 3.8%，而从 MedSEQ 添加 8 个领域的模型解释了 40%，表明 36.2% 的方差归因于学生在 8 个领域的经历. 三个领域对整体满意度的影响最大：“被照顾”、“教学满意度”和“评估满意度”（分别为β=0.327、0.148、0.148；均P<0.001）。结论 MedSEQ具有良好的结构效度和高信度，反映了学生对医学专业的满意度。