Evidence map›Paper›PMID 41195041›Full record

ArticleJournal of general and family medicine2025

Impact of Community-Based Clinical Clerkship on Medical Students' Generalism-Related Competences: A Mixed-Methods Study.

Kiyoshi Shikino, Naoto Ozaki, Nobuyuki Araki, Kazuyo Yamauchi, Hiroshi Tajima, Hajime Kasai, Ikuo Shimizu, Shoichi Ito

Abstract read
In one paragraph

Article in Journal of general and family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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.

Kiyoshi ShikinoDepartment of Community-Oriented Medical Education Chiba University Graduate School of Medicine Chiba Japan.ORCID https://orcid.org/0000-0002-3721-3443
Naoto OzakiDepartment of Community-Oriented Medical Education Chiba University Graduate School of Medicine Chiba Japan.
Nobuyuki ArakiDepartment of Community-Oriented Medical Education Chiba University Graduate School of Medicine Chiba Japan.
Kazuyo YamauchiDepartment of Community-Oriented Medical Education Chiba University Graduate School of Medicine Chiba Japan.
Hiroshi TajimaHealth Professional Development Center Chiba University Hospital Chiba Japan.
Hajime KasaiHealth Professional Development Center Chiba University Hospital Chiba Japan.
Ikuo ShimizuHealth Professional Development Center Chiba University Hospital Chiba Japan.
Shoichi ItoDepartment of Community-Oriented Medical Education Chiba University Graduate School of Medicine Chiba Japan.ORCID https://orcid.org/0000-0003-3659-6152

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Japan's 2022 Model Core Curriculum (MCC) recommends community-based clinical clerkships spanning at least three consecutive weeks to foster generalism competency, although empirical evidence supporting this guidance remains limited. Methods: We used an explanatory sequential mixed-methods design. Fifth-year Chiba University medical students ( Results: Mean self-assessment scores increased significantly for all the objectives ( Conclusions: A three-week community-based clinical clerkship produced significant self-assessed gains across all 18 generalism learning objectives and generated 539 reflection-based learning units, including 16 objectives, confirming that students actively engaged with the full breadth of generalism in practice. These findings should be interpreted as indicating perceived growth rather than objective competence, given the reliance on self-assessments, and exposure opportunities varied across clerkship sites. Further multi-site studies are needed to clarify whether 3 weeks is the optimal duration.

Identifiers

PMID41195041
PMCPMC12585798

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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.