ArticleBMC medical education2024
Application of the "Plan-Do-Check-Action" plan in improving the pass rate of the "National Medical Licensing Examination".
Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Undergraduate academic assessment and dental licensing examination outcomes: a single-institution retrospective cohort study in China.BMC medical education · 2026Article
- Bridging language gaps: a study of linguistic transfer perceptions among Chinese medical students in an English-medium instruction program.Frontiers in medicine · 2026Article
- Association between adverse practice experiences and positional competence among residents: a multicenter cross-sectional study.BMC medical education · 2025Article
- Increasing hospital administrative efficiency via optimized office automation systems: A PDCA cycle approach.PloS one · 2025Article
- The Metacognitive Enhancement Triad model enhances learning outcomes in first-year emergency medicine residents.Frontiers in medicine · 2025Article
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6 authors.
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Abstract
backgroundThe National Medical Licensing Examination (NMLE) is the only objective, standardized metric to evaluate whether a medical student possessing the professional knowledge and skills necessary to work as a physician. However, the overall pass rate of NMLE in our hospital in 2021 was much lower than that of Peking Union Medical College Hospital, which was required to be further improved.
methodsTo find the reasons for the unsatisfactory performance in 2021, the quality improvement team (QIT) organized regular face-to-face meetings for in-depth discussion and questionnaire, and analyzed the data by "Plato analysis" and "Brainstorming method". After finding out the reasons, the "Plan-Do-Check-Action" (PDCA) cycle was continued to identify and solve problems, which included the formulation and implementation of specific training plans by creating the "Gantt charts", the check of effects, and continuous improvements from 2021 to 2022. Detailed information about the performance of students in 2021 and 2022, and the attendance, assessment, evaluation and suggestions from our hospital were provided by the relevant departments, and the pass rate-associated data was collected online.
resultsAfter the PDCA plan, the pass rate of NMLE in our hospital increased by 10.89% from 80.15% in 2021 to 91.04% in 2022 (P = 0.0109), with the pass rate of skill examination from 95.59% in 2021 to 99.25% in 2022 (P = 0.0581) and theoretical examination from 84.5% in 2021 to 93.13% in 2022 (P = 0.027). Additionally, the mean scores of all examinees increased with the theoretical examination score increasing from 377.0 ± 98.76 in 2021 to 407.6 ± 71.94 in 2022 (P = 0.004).
conclusionsOur results showed a success application of the PDCA plan in our hospital which improved the pass rate of the NMLE in 2022, and the PDCA plan may provide a practical framework for future medical education and further improve the pass rate of NMLE in the next year.
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