Two-dimensional analysis and collaborative governance of the “mentor-student contradiction” in medical postgraduate education: an empirical study based on the structure-process model

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Author: LIU Yanquan ¹ SHEN Jianzhen ² NI Jindong ³ HE Honghua ⁴ ZHONG Zhihong ⁵ CHEN Xiaojun ⁶ HUANG Jinlong ⁷ WANG Yili ⁸ HONG Xiaomei ⁹ LIAO Linying ¹  ZHANG Jingdong ¹

Affiliation: 1. Teaching and Research Division, Department of Hematology, The Affiliated Ganzhou Hospital of Nanchang University (Nanfang Hospital - Ganzhou Hospital), Ganzhou 341000, Jiangxi Province, China 2. School of Clinical Medical, Fujian Medical University, Fuzhou 350001, China 3. The Graduate School, Guangdong Medical University (Dongguan Campus), Dongguan 523808, Guangdong Province, China 4. The First School of Clinical Medicine, Guangdong Medical University (Zhanjiang Campus), Zhanjiang 524023, Guangdong Province, China 5. Department of Development Planning and Discipline Construction, Gannan Medical University, Ganzhou 341000, Jiangxi Province, China 6. Department of Hematology, The Affiliated Hospital of Putian University, Putian 351100, Fujian Province, China 7. The First School of Clinical Medicine, Fujian Medical University, Fuzhou 350004, China 8. The First Clinical Medical College, Gannan Medical University, Ganzhou 341000, Jiangxi Province, China 9. Department of Public Health and Medical Technology, Xiamen Medical College, Xiamen 361023, Fujian Province, China

Keywords: Medical postgraduate students Mentor-student contradiction Structure-process model Two-dimensional analysis Collaborative governance Empirical research

DOI: 10.12173/j.issn.1004-4337.202508011

Reference: Liu YQ, Shen JZ, Ni JD, He HH, Zhong ZH, Chen XJ, Huang JL, Wang YL, Hong XM, Liao LY, Zhang JD. Two-dimensional analysis and collaborative governance of the “mentor-student contradiction” in medical postgraduate education: an empirical study based on the structure-process model[J]. Journal of Mathematical Medicine, 2025, 38(11): 873-882. DOI: 10.12173/j.issn.1004-4337.202508011[Article in Chinese]  Copied

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Abstract

With the continuous expansion of the medical postgraduate education scale in China, the dual predicament of ambiguous mentor's responsibilities and the insufficient protection of student rights have constructed the deep structure of the potential contradiction between supervisors and postgraduates (hereinafter referred to as "mentor-student contradiction") in contemporary medical postgraduate education. The covert nature of conflict development and the lack of proactive engagement have further intensified this conflicts under the dual pressures of clinical practice and academic research. Focusing on the “mentor-student contradiction” in medical postgraduate education, this study conducts an empirical investigation into two-dimensional analysis and collaborative governance based on the structure-process model. Furthermore, the study proposes strategies for collaborative governance of “mentor-student contradiction”, including optimizing institutional frameworks, improving resource allocation, innovating communication mechanisms, and reconstructing the evaluation system, in order to provide theoretical basis and practical reference for higher medical institutions in China to enhance the quality of medical postgraduate education and training.

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