Observational studyBMC medical education2025
Effect of early clinical exposure based health systems science course in the Korean medical education: a prospective observational study.
Observational study 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 3 papers.
What it found
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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.
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.
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Who cites it
3 citing papers in PubMed.
- Qualitative analysis of a health systems science (HSS) course incorporating early clinical exposure.Medicine · 2026Article
- Health systems science education for undergraduate medical students: a 3-year longitudinal curriculum preparing students to drive real-world health system improvement.BMC medical education · 2026Article
- Investigating the learning value of early clinical exposure among undergraduate medical students in Dubai: a convergent mixed methods study.BMC medical education · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth professions are required to understand social structures and systems, as well as basic and clinical medical knowledge. Accordingly, Health Systems Science (HSS) is recognized as a third party of medical education. The curriculum for HSS is currently being developed and implemented in Korea. This study aimed to evaluate the effectiveness of HSS in Korean medical education.
methodsThe HSS course using early clinical exposure (ECE) was implemented in Korean medical education and comprised lectures, four ECEs, and group activities. Students and clinical directors evaluated the course using questionnaires focused on systems thinking, productivity of group activities, and satisfaction.
resultsThe study showed significant improvements in systems thinking, especially in team learning (p = .028) and overall systems thinking (p = .017). Key habits related to systems thinking also improved significantly over 15 weeks. ECE reports highlighted student engagement with various HSS domains, focusing on patient care, healthcare structure, and policy. Per the clinical directors' evaluations, "healthcare structure and process" was the most effective domain among the core domains of HSS. Per the students' evaluations, the overall satisfaction was higher than the college's average score, and especially "course structure" and "instructional expertise" domains were rated most effective.
conclusionThe HSS course with ECE is an effective method for fostering students' systems thinking habits and enhancing their understanding of healthcare systems and patient-centered care. Verifying whether students' interest in various domains and their systems thinking abilities are sustained over time is necessary, and further research is required to design a longitudinal course with continuity.
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Registered trials
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