This study examined the dissatisfaction among Chinese medical students with online medical English courses, which overemphasize grammar yet fail to provide practical opportunities related to medical situations. This study compared co-teaching’s effects, involving native and non-native instructors, with a single-instructor (traditional) model on student satisfaction in online medical English courses. Using a qualitative design, pre- and post-course interviews were conducted with 49 second-year medical students across seven classes, exploring their perceptions of instruction, curriculum, and course satisfaction. The findings indicated that the co-teaching model improved student engagement and satisfaction, not specifically due to the native English-speaking instructor but likely because of the focus on more interactive and discussion-oriented strategies. In contrast, the single-instructor model maintained the traditional grammar-focused instruction, leading to lower satisfaction levels. Both instructional models faced limitations related to their reliance on textbooks for delivering core material needed for the course’s comprehensive exam. These results suggest that the instruction design and approach, rather than the native instructor alone, was the main driver of positive outcomes in co-teaching. The study’s findings suggest a need for curriculum reforms that reduce textbook dependence and incorporate more practical, interactive learning strategies. Future research should consider applying various research techniques, such as mixed-method approaches, longitudinal studies, and experimental designs, to comprehensively assess the long-term effects of instructional strategies and curriculum innovations on student outcomes.

The intensification of urbanization worldwide, particularly in China, has led to significant challenges in maintaining sustainable urban environments, primarily due to the Urban Heat Island (UHI) effect. This effect exacerbates urban thermal stress, leading to increased energy consumption, poor air quality, and heightened health risks. In response, urban green spaces are recognized for their role in ameliorating urban heat and enhancing environmental resilience. This paper has studied the microclimate regulation effects of three representative classical gardens in Suzhou—the Humble Administrator's Garden, the Lingering Garden and the Canglang Pavilion. It aims to explore the specific impacts of water bodies, vegetation and architectural features on the air temperature and relative humidity within the gardens. With the help of Geographic Information System (GIS) technology and the Inverse Distance Weighted (IDW) spatial interpolation method, this study has analyzed the microclimate regulation mechanisms in the designs of these traditional gardens. The results show that water bodies and lush vegetation have significant effects on reducing temperature and increasing humidity, while the architectural structures and rocks have affected the distribution and retention of heat to some extent. These findings not only enrich our understanding of the role of the design principles of classical gardens in climate adaptability but also provide important theoretical basis and practical guidance for the design of modern urban parks and the planning of sustainable urban environments. In addition, the study highlights GIS-based spatial interpolation as a valuable tool for visualizing and optimizing thermal comfort in urban landscapes, providing insights for developing resilient urban green spaces.