{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T05:45:51Z","timestamp":1780638351955,"version":"3.54.1"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Guangdong Province Higher Education Teaching Research and Reform Project","award":["2021GDWTL01"],"award-info":[{"award-number":["2021GDWTL01"]}]},{"name":"Southern Medical University Ideological and Political Education Project","award":["XCBKT2023-13"],"award-info":[{"award-number":["XCBKT2023-13"]}]},{"name":"The Higher Education Scientific Research and Planning Project in 2024 of China Association of Higher Education","award":["24YJ0205"],"award-info":[{"award-number":["24YJ0205"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Medical Education and Curricular Development"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p> Studying the professional commitment of a student in an 8-year medical training program of China, especially its association with academic performance, can enhance the understanding of professional loyalty in future doctors. This study aimed to investigate the self-efficacy, academic performance, professional commitment, and learning engagement of 8-year program medical students, and explore the mediating roles of professional commitment and learning engagement on the associations between self-efficacy and academic performance. <\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p> We conducted a cross-sectional study in a Chinese medical university and collected the General Self-Efficacy Scale, Professional Commitment of Undergraduates Scales, and the Utrecht Work Engagement Scale-Student from self-reported students. Academic performance was ascertained using course examination scores in the most recent year. We conducted a structural equation model (SEM) analysis to examine the mediating roles of professional commitment and learning engagement on the relationship between self-efficacy and academic performance. <\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p> A total number of 402 medical students were included in this study. Students in the clinical practice stage had significantly lower professional commitment and learning engagement than students in the pre-medical and medical course stages. The professional commitment of students from low-income families was significantly lower than that of students from high-income families. Professional commitment and learning engagement were mediators in the relationship between self-efficacy and academic performance. <\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p> This study is the first to investigate professional commitment among students in the China 8-year medical program. Professional commitment plays an intermediary role between self-efficacy and academic performance. <\/jats:p><\/jats:sec>","DOI":"10.1177\/23821205241288035","type":"journal-article","created":{"date-parts":[[2024,10,13]],"date-time":"2024-10-13T22:46:31Z","timestamp":1728859591000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Professional Commitment of 8-Year Medical Doctoral Degree Program Students in China: The Mediating Role of Self-Efficacy, Learning Engagement, and Academic Performance"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3918-5397","authenticated-orcid":false,"given":"Yao","family":"Lu","sequence":"first","affiliation":[{"name":"Office of Academic Affairs, Southern Medical University, Guangzhou, Guangdong, People's Republic of China"},{"name":"School of Public Health, Southern Medical University, Guangzhou, Guangdong, People's Republic of 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