Abstract: New medical education puts forward new requirements for the quality and supply of curriculum resources in medical colleges. In order to analyze the quality problems of medical MOOC and solve the contradiction between supply and demand of medical MOOC, the applicability and change of MOOC for learners are taken as the main judgment standards of MOOC quality. Firstly, 1 118 medical courses in five MOOC platforms in China were investigated, 12 medical MOOC learning experiments were carried out, and 1 114 learners were investigated by questionnaire and some of them were interviewed. There are some quality problems such as unclear positioning, unbalanced distribution, imperfect content and inaccurate learning support service for the MOOC. Then, this paper analyzes the learning needs of medical MOOC learners from four aspects of learners identity characteristics, knowledge structure, age distribution and learning time, then explores medical MOOC learners learning expectation from internal and external learning motivation. Finally, According to the expectation model, the author puts forward countermeasures to improve the quality of medical MOOC construction from five aspects: market research, learner analysis, teaching strategy optimization, teacher-student interaction feedback and technical support service.

Key words: medical MOOC,  expectation model,  learning needs,  construction quality,  countermeasure