Evidence map›Paper›PMID 41179888›Full record

ArticleFrontiers in medicine2025

Unlocking expertise: the application of threshold concepts in scenario simulations in undergraduate clinical teaching.

Dandan Ma, Ning Su, Rui Hou, Yanyan Wan, Zhuoran He, Jinzhong Lan, Guizhen Xiao, Mian Peng

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Dandan Ma *Department of Critical Care Medicine, Luohu Clinical Institute of Shantou University Medical College (Shenzhen Luohu People's Hospital), Shenzhen, China.
Ning Su *Department of Critical Care Medicine, Luohu Clinical Institute of Shantou University Medical College (Shenzhen Luohu People's Hospital), Shenzhen, China.
Rui HouDepartment of Critical Care Medicine, Luohu Clinical Institute of Shantou University Medical College (Shenzhen Luohu People's Hospital), Shenzhen, China.
Yanyan WanDepartment of Science and Education, Luohu Clinical Institute of Shantou University Medical College (Shenzhen Luohu People's Hospital), Shenzhen, China.
Zhuoran HeDepartment of Critical Care Medicine, Luohu Clinical Institute of Shantou University Medical College (Shenzhen Luohu People's Hospital), Shenzhen, China.
Jinzhong LanDepartment of Critical Care Medicine, The Third Affiliated Hospital of Shenzhen University, Shenzhen, China.
Guizhen XiaoDepartment of Clinical Nutrition, Southern University of Science and Technology Hospital, Shenzhen, China.
Mian PengDepartment of Critical Care Medicine, Luohu Clinical Institute of Shantou University Medical College (Shenzhen Luohu People's Hospital), Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Threshold concepts, as a transformative learning approach, are crucial for mastering new knowledge and skills. They help students change their understanding of subjects and promote the development of professional competencies. This study aims to identify and understand the key threshold concepts in undergraduate clinical medical education and to explore their effectiveness in scenario-based simulation teaching. Methods: Using a comparative experimental design, students were divided into two groups: one receiving threshold concept training and the other receiving traditional reinforcement training. The study combined scenario-based simulation, semi-structured interviews, and open-text surveys to assess student performance before and after training. Results: Students who received threshold concept training performed significantly better in tests than those in the traditional methods group. In Case 1, the threshold concept group scored 251(203, 259), significantly higher than the traditional methods group's 201(181, 249) ( Conclusion: This study identified key threshold concepts in undergraduate clinical education and validated their effectiveness in scenario-based simulation teaching. Threshold concepts not only guide the development of disease diagnosis and treatment skills but also provide new directions for teaching design and learning activities, facilitating the transition of medical students into competent doctors.

Indexed as

clinical skillsmedical educationscenario-based simulationteaching strategiesthreshold concepts

Identifiers

PMID41179888
PMCPMC12575095

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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.