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Effects of the Education and Training Programme for Excellent Physicians in China on medical students’ academic performance: a cross-sectional study
OBJECTIVES: To evaluate the effect of the Education and Training Programme for Excellent Physicians in China on medical students’ academic performance. DESIGN: This study is a secondary analysis of data from a cross-sectional survey of China Medical Student Survey (CMSS, 2021) and administrative dat...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514636/ https://www.ncbi.nlm.nih.gov/pubmed/37734887 http://dx.doi.org/10.1136/bmjopen-2023-072940 |
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author | Shi, Zehua Li, Chunqing Wu, Hongbin |
author_facet | Shi, Zehua Li, Chunqing Wu, Hongbin |
author_sort | Shi, Zehua |
collection | PubMed |
description | OBJECTIVES: To evaluate the effect of the Education and Training Programme for Excellent Physicians in China on medical students’ academic performance. DESIGN: This study is a secondary analysis of data from a cross-sectional survey of China Medical Student Survey (CMSS, 2021) and administrative data of the first-stage Medical Licensing Examination—the Standardised Competence Test for Clinical Medicine Undergraduates (the Test, 2021). CMSS used a stratified sampling process, with all undergraduate clinical medicine students participating voluntarily. SETTING: This programme is implemented at the class level within reformed medical schools, targeting undergraduate students in 5-year clinical medicine in China. The reformed medical schools run pilot classes and traditional classes simultaneously. The analytic sample was a total of 12 243 observations from pilot and traditional classes in 34 medical schools which implemented the reform across 19 provinces in China. METHODS: This study applied the propensity score matching method to estimate the effect of the reform by comparing the scores of the Test between pilot and traditional classes within the same medical schools. We further explored the potential mechanisms driving the effect from two facets of the Test: medical knowledge modules and cognitive levels. RESULTS: Pilot classes outperformed traditional classes by 0.104 SD on the Test (95% CI 0.037 to 0.171). Improvements were seen in basic medicine and clinical medicine modules (0.109 and 0.101 SD, respectively) and cognitive levels of memorisation and application (0.116 and 0.111 SD, respectively). CONCLUSION: These results suggest that the reform had a significant positive impact on medical students’ academic performance. Based on the components of this reform and the potential mechanism analysis of the two facets, this study indicates that curriculum reform in integrated learning and teaching methods reform in the adoption of problem-based learning may have been the possible drivers of this positive impact. |
format | Online Article Text |
id | pubmed-10514636 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-105146362023-09-23 Effects of the Education and Training Programme for Excellent Physicians in China on medical students’ academic performance: a cross-sectional study Shi, Zehua Li, Chunqing Wu, Hongbin BMJ Open Medical Education and Training OBJECTIVES: To evaluate the effect of the Education and Training Programme for Excellent Physicians in China on medical students’ academic performance. DESIGN: This study is a secondary analysis of data from a cross-sectional survey of China Medical Student Survey (CMSS, 2021) and administrative data of the first-stage Medical Licensing Examination—the Standardised Competence Test for Clinical Medicine Undergraduates (the Test, 2021). CMSS used a stratified sampling process, with all undergraduate clinical medicine students participating voluntarily. SETTING: This programme is implemented at the class level within reformed medical schools, targeting undergraduate students in 5-year clinical medicine in China. The reformed medical schools run pilot classes and traditional classes simultaneously. The analytic sample was a total of 12 243 observations from pilot and traditional classes in 34 medical schools which implemented the reform across 19 provinces in China. METHODS: This study applied the propensity score matching method to estimate the effect of the reform by comparing the scores of the Test between pilot and traditional classes within the same medical schools. We further explored the potential mechanisms driving the effect from two facets of the Test: medical knowledge modules and cognitive levels. RESULTS: Pilot classes outperformed traditional classes by 0.104 SD on the Test (95% CI 0.037 to 0.171). Improvements were seen in basic medicine and clinical medicine modules (0.109 and 0.101 SD, respectively) and cognitive levels of memorisation and application (0.116 and 0.111 SD, respectively). CONCLUSION: These results suggest that the reform had a significant positive impact on medical students’ academic performance. Based on the components of this reform and the potential mechanism analysis of the two facets, this study indicates that curriculum reform in integrated learning and teaching methods reform in the adoption of problem-based learning may have been the possible drivers of this positive impact. BMJ Publishing Group 2023-09-21 /pmc/articles/PMC10514636/ /pubmed/37734887 http://dx.doi.org/10.1136/bmjopen-2023-072940 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Medical Education and Training Shi, Zehua Li, Chunqing Wu, Hongbin Effects of the Education and Training Programme for Excellent Physicians in China on medical students’ academic performance: a cross-sectional study |
title | Effects of the Education and Training Programme for Excellent Physicians in China on medical students’ academic performance: a cross-sectional study |
title_full | Effects of the Education and Training Programme for Excellent Physicians in China on medical students’ academic performance: a cross-sectional study |
title_fullStr | Effects of the Education and Training Programme for Excellent Physicians in China on medical students’ academic performance: a cross-sectional study |
title_full_unstemmed | Effects of the Education and Training Programme for Excellent Physicians in China on medical students’ academic performance: a cross-sectional study |
title_short | Effects of the Education and Training Programme for Excellent Physicians in China on medical students’ academic performance: a cross-sectional study |
title_sort | effects of the education and training programme for excellent physicians in china on medical students’ academic performance: a cross-sectional study |
topic | Medical Education and Training |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514636/ https://www.ncbi.nlm.nih.gov/pubmed/37734887 http://dx.doi.org/10.1136/bmjopen-2023-072940 |
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