Evidence map›Paper›PMID 39574112›Full record

SynthesisBMC medical education2024

Which novel teaching strategy is most recommended in medical education? A systematic review and network meta-analysis.

Shuai-Long Zhang, Si-Jing Ren, Dong-Mei Zhu, Tian-Yao Liu, Lian Wang, Jing-Hui Zhao, Xiao-Tang Fan, Hong Gong

Abstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis 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 39 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Training Programs for Thyroid Biopsy and Ablation: A Systematic Review.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2026
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  14. The Efficacy of Integrating Problem-Based Learning with the BOPPPS Six-Step Methodology in Endocrinology Clinical Instruction.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
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  17. Comparison of progress test performance between PBL and TBL curricula.Journal of Taibah University Medical Sciences · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Shuai-Long Zhang *Department of Military Cognitive Psychology, School of Psychology,, Third Military Medical University (Army Medical University), Chongqing, 40038, China.
Si-Jing Ren *Department of Military Cognitive Psychology, School of Psychology,, Third Military Medical University (Army Medical University), Chongqing, 40038, China.
Dong-Mei Zhu *Department of Hospital Infection Control, Chongqing Health Center for Women and Children, Chongqing, 401147, China.
Tian-Yao LiuDepartment of Military Cognitive Psychology, School of Psychology,, Third Military Medical University (Army Medical University), Chongqing, 40038, China.
Lian WangDepartment of Military Cognitive Psychology, School of Psychology,, Third Military Medical University (Army Medical University), Chongqing, 40038, China.
Jing-Hui ZhaoDepartment of Military Cognitive Psychology, School of Psychology,, Third Military Medical University (Army Medical University), Chongqing, 40038, China.
Xiao-Tang FanDepartment of Military Cognitive Psychology, School of Psychology,, Third Military Medical University (Army Medical University), Chongqing, 40038, China. fanxiaotang2005@163.com.
Hong GongDepartment of Military Cognitive Psychology, School of Psychology,, Third Military Medical University (Army Medical University), Chongqing, 40038, China. hgong@tmmu.edu.cn.

Funding

National Outstanding Youth Science Fund Project of National Natural Science Foundation of China Grant No. 82201687the Demonstration Project of "Ke Cheng Si Zheng" in Graduate Education of Chongqing Grant No. YKCSZ23052the Research Project of Teaching Reform in Higher Education of Chongqing Grant No. 243328
6 · The paper itself

Abstract

aimThere is no conclusive evidence which one is the optimal methodology for enhancing the quality and efficacy of learning for medical students. Therefore, this systematic review and network meta-analysis aims to evaluate and prioritize various teaching strategies in medical education, including simulation-based learning (SBL), flipped classrooms (FC), problem-based learning (PBL), team-based learning (TBL), case-based learning (CBL), and bridge-in, objective, pre-assessment, participatory learning, post-assessment, and summary (BOPPPS).

methodsWe conducted a comprehensive systematic search of PubMed, Embase, Web of Science, the Cochrane Library, and some key medical education journals up to November 31, 2023. The following keywords were searched in MeSH: ("medical students") AND ("problem-based learning" OR "problem solving") AND ("Randomized Controlled Trials as Topic"). Two authors independently carried out data extraction and quality assessment from the final selection of records following a full-text assessment based on strict eligibility criteria. Pairwise and network meta-analyses were then applied to calculate pooled standardized mean differences (SMDs) and 95% confidence intervals (95%CIs) using a random-effects model. Statistical analysis was performed by R software (4.3.1) and Stata 14 software.

resultsA total of 80 randomized controlled trials with 6,180 students were included in the study. Compared to LBL, CBL (SMD = 1.19; 95% CI 0.49-1.90; p < 0.05; SUCRA = 89.4%), PBL (SMD = 3.37; 95% CI 1.23-5.51; p < 0.05; SUCRA = 93.3%), and SBL (SMD = 2.64; 95% CI 1.28-4.00; p < 0.05; SUCRA = 96.2%) were identified as the most effective methods in enhancing theoretical test scores, experimental or practical test scores, and students' satisfaction scores, respectively. Furthermore, subgroup analysis indicated that CBL (SUCRA = 97.7%) and PBL (SUCRA = 60.3%) were the most effective method for enhancing learning effectiveness within clinical curricula.

conclusionsAmong the six novel teaching strategies evaluated, CBL and PBL are more effective in enhancing the quality and efficacy of learning for medical students; SBL was determined to offer a superior learning experience throughout the educational process. However, this analysis revealed only minor differences among those novel teaching strategies.

Indexed as

Education, MedicalProblem-Based LearningHumansStudents, MedicalTeachingLearningMedical EducationMedical StudentsNetwork Meta-AnalysisSystematic ReviewsTeaching

Identifiers

PMID39574112
PMCPMC11583476

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.