Evidence map›Paper›PMID 40518978›Full record

ArticleMedical education online2025

Exploring medical student perceptions of a video-modified Peyton's 4-step technique for teaching spinal and neurological examinations.

Ramy Sherif, Ewan John, Michael John Haydon McCarthy

Abstract read
In one paragraph

Article in Medical education online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Trial
  2. Gender-based disparities in self-reported procedural experience: a cross-sectional survey of medical students in Poland.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
    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

3 authors.

Ramy SherifDepartment of Spine, University Hospital of Wales, Cardiff University, Cardiff, UK.ORCID 0009-0000-3712-0864
Ewan JohnSchool of Medicine, Cardiff University, Cardiff, UK.
Michael John Haydon McCarthySpinal department, University Hospital of Wales, Cardiff University, Cardiff, UK.ORCID 0000-0001-9081-5470

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeyton's 4-step technique is a highly recognized framework for teaching practical procedures. This study introduces a unique video-modified adaptation of the technique for teaching clinical examination and evaluates medical students' perceptions, identifying key areas for enhancement.

methodsA cross-sectional study was conducted with 606 second-year medical students, utilizing an online questionnaire to assess their perceptions of the modified teaching method. Responses were measured using a 5-point Likert scale, with 354 students providing feedback.

resultsFindings revealed significant improvements in student confidence following the video-modified examination session (p-value <0.05). The method was widely accepted by participants, who also provided constructive feedback for refining the teaching approach.

conclusionsThe video-modified Peyton's 4-step technique was perceived by students as a well-structured and engaging method for learning spinal and neurological examinations. Its adaptability to small group settings and integration of video-based instruction were well received and considered beneficial for understanding the procedural steps. While students reported increased confidence, this finding should be interpreted with caution given the cross-sectional design of the study. Incorporating this framework into medical curricula may enhance the delivery of clinical skills training, and future research should explore its impact through longitudinal and comparative studies.

Indexed as

Education, Medical, UndergraduateNeurologic ExaminationStudents, MedicalAdultClinical CompetenceCross-Sectional StudiesFemaleHumansMalePerceptionSpineSurveys and QuestionnairesTeachingVideo RecordingYoung Adultclinical skillsmedical educationneurological examsPeyton’s 4-stepvideo-based learning

Identifiers

PMID40518978
PMCPMC12172078

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.