Perceived Clinical Teaching Performance and Associated Factors Among Medical Students at a Peruvian University: a Cross-Sectional Study

Rojas-Miliano C.; Vargas-Armas J.; Mejia J.R.; Custodio M. · Medical Science Educator (2026) · DOI: 10.1007/s40670-026-02683-x

Resumen

Objective: To assess the characteristics and factors associated with the perception of clinical teaching performance among medical students at a Peruvian university. Methods: We conducted a cross-sectional study in 2023 among medical students from the Universidad Nacional del Centro del Perú who had completed clinical rotations. A structured questionnaire was administered, comprising five sections: sociodemographic data; the “Motivated Strategies for Learning Questionnaire” (MSLQ) to assess intrinsic motivation; the “Depression Anxiety Stress Scale-21” (DASS-21) to measure stress, anxiety, and depression symptoms; clinical rotation characteristics; and a clinical teaching performance scale. Multiple linear regression was used to identify associated factors, adjusting for variables with p < 0.2 in bivariate analyses and additional confounders supported by existing literature. Results: We analyzed 104 student responses covering 218 clinical rotations. Out of 54.8% were male, with a median age of 23 years (interquartile range [IQR]: 22–25). At least one inappropriate teaching behavior was reported in 11.9% of the clinical rotations, including disinterest (6%), verbal mistreatment (3.2%), unfair evaluation (2.8%), or sexual harassment/humor (1.4%). The median clinical teaching performance score was 124 (IQR: 112–142; range: 31–155). Significant associated factors included clinical rotations at public social security hospitals (β = -8.53; P = 0.006), perception of inappropriate teaching behaviors (β = -19.22; P = 0.001), and intrinsic motivation (β = 0.66; P = 0.027). Conclusions: Overall, the perception of clinical teaching performance was positive, and it was significantly associated with the clinical rotation setting, perceived inappropriate teaching behaviors, and intrinsic motivation. © The Author(s) under exclusive licence to International Association of Medical Science Educators 2026.

Instituciones: Universidad Científica del Sur; Universidad Nacional del Centro del Perú