摘要目的：通过对在校医学生自主学习情况的调查，了解学生学习动机和策略，查找存在问题，为学校有针对性组织自主学习、提高教学质量提供依据。方法采用2005年朱祖德等人编制的《大学生自主学习量表》，对本校大一到大三1500名学生发放调查问卷，回收有效问卷1467份。以浙江师范大学相应调研情况为对照，采用SPSS 19.0对各类别学生作校内比较与校间比较，行t检验或q检验。结果本校大学生总体自主学习状况较好；本校女生平均总得分（312.51±14.03），优于本校男生总均分（286.16±13.69）和对照组女生总均分（302.67±10.37），差异有统计学意义（P<0.05）。本校大三学生平均总得分（307.92±13.84），优于大一、大二学生（P<0.05），提示大三学生自主学习能力最强。结论高校应依据大学生实际情况，从自主学习动机、男生寝室管理等方面，制定相应政策、措施，以保障教学质量稳定提升。

abstractsObjective Through a survey of medical students in autonomous learning, to understand students' learning motivation and learning strategies and find out the existing problems, and to provide the basis for the school to organize autonomous learning and improve the teaching quality. Methods Convenient sampling method was used to extract 1 500 students' autonomous learning scale who were freshman and sophomore, junior students and 1 467 valid questionnaires were collected. According to the corresponding research situation of Zhejiang Normal University, SPSS 19.0 was used to compare the different types of students in the school, and the t test or q test were also done. Results The situation of college students' autonomous learning was better. The girl's average score was (312.51 ±14.03) which was higher than the boys in the school (286.16 ±13.69)and the girls in the control group (302.67 ±10.37). The difference was statistically significant (P<0.05). The average total score of the junior college students (307.92 ±13.84) was better than&nbsp;that of freshman and sophomore (P<0.05), which suggested that junior students had the strongest independent learning ability. Conclusion Colleges and universities should be based on the actual situation of students and formulate corresponding policies and measures from the autonomous learning motivation, the boys dor-mitory management, to ensure the stability of teaching quality improvement.