Evidence map›Paper›PMID 40234869›Full record

ArticleBMC medical education2025

Effectiveness of multiple teaching methods in standardized training of internal medicine residents in China: a network meta-analysis.

Guan Cheng Ye, Chun Ping Liu, Wei Li, Hua Chao Zhu, Liu Lv, Zhen Hong Zhu, Yong Hong Wang, Jie Hu, Xiao Jia Zheng, Jing Ying Fang and 9 more

Abstract readNetwork Meta-Analysis
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
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

19 authors.

Guan Cheng Ye *Department of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Chun Ping Liu *Department of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Wei LiDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Hua Chao ZhuDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Liu LvDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Zhen Hong ZhuDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Yong Hong WangDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Jie HuDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Xiao Jia ZhengDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Jing Ying FangDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Yu Cao MaDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Ming Xuan LiuDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Yi Wen WangDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Ying Kai GaoDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Zi Yu ZhangDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Lu Ming ZhaoDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Cun Xiang XieDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China.
Min Yee LimSchool of Humanities, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100730, China. minyee.lim@outlook.com.
Hai Long WangDepartment of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, China. wanghailong@bucm.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStandardized training for resident physicians in China has been carried out for 10 years, and various new teaching methods have been widely applied in it. The quality of internal medicine teaching is directly related to whether the trainees can master the corresponding clinical skills well and become qualified clinical physicians. The purpose of this study is to systematically evaluate the effectiveness of all teaching methods in Chinese standardized training of internal medicine residents.

methodsThis study was registered in Inplasy. A comprehensive search of databases, including English and Chinese, was conducted from inception to 30 July 2023. Eligible studies included cohort study and randomized controlled trials (RCT) of all teaching methods in Chinese standardized training of internal medicine residents. A network meta-analysis (NMA) was performed using STATA 16.0. Statistical analysis was done using the mean and standard deviation. The literature quality and risks of bias was assessed using RevMan 5.3.

resultsA total of 74 articles including 5004 Chinese participants were retrieved, involving 13 interventions, of which 65 were RCT and 9 were cohort studies. This study demonstrated that, in comparison to lecture-based learning (LBL), the integration of problem-based learning (PBL) with WeChat significantly enhanced students' theoretical scores (SMD = 2.3; 95% CI 1.19-3.42; P < 0.05; Sucra = 88%) and decreased the number of dissatisfied students (OR = 0.06; 95% CI 0.01-0.27; P < 0.05; Sucra = 89%). Team-based learning (TBL) was beneficial in improving practical performance (SMD = 2.32; 95% CI 0.74-3.9; P < 0.05; Sucra = 80.1%). Additionally, the PBL combined with clinical practice (PBL + CP) teaching method significantly enhanced students' performance in medical record analysis (SMD = 4.84; 95% CI 3.08-6.59; P < 0.05; Sucra = 99.9%). Furthermore, PBL effectively improved students' self-directed learning abilities (SMD = 1.98; 95% CI 0.05-3.91; P < 0.05; Sucra = 75.8%).

conclusionNew teaching methods represented by PBL + Wechat, CBL + Wechat, PBL + CBL are more effective in improving the academic performance of Chinese resident physicians in standardized training compared to control therapy, and have gained more recognition from students.

Indexed as

Internal MedicineInternship and ResidencyTeachingChinaClinical CompetenceHumansProblem-Based LearningRandomized Controlled Trials as TopicInternal medicine residentsNetwork meta-analysisStandardized resident trainingTeaching methods

Identifiers

PMID40234869
PMCPMC11998199

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.