Evidence map›Paper›PMID 41680808›Full record

ArticleBMC medical education2026

Knowledge, attitudes, and practices of medical students at a Chinese university toward virtual simulation experimental training: a cross-sectional survey of self-perceived experience.

Qing Xia, Juanjuan Bu, Hang Zuo, Jie Wang, Yuesong Hou, Jinian Wang, Xiaoli Wu

Abstract read
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Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Qing XiaEducation Division, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China.
Juanjuan BuEducation Division, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China.
Hang ZuoEducation Division, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China.
Jie WangEducation Division, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China.
Yuesong HouVirtual Simulation Teaching and Research Section, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China.
Jinian WangOffice of the CPC Fuyang Hospital of Traditional Chinese Medicine Committee, Fuyang, Anhui, 236001, China.
Xiaoli WuHospital Director's Office, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China. wuxiaoli_ayfy@163.com.

Funding

2023 University-level Quality Project Directive Teaching Research Project: Research on the Construction of Homogenized Quality Assurance System for Clinical Practice Teaching Based on OBE Education Concept 2024xjxm97Anhui Provincial Department of Education 2024 Annual Quality Project for Higher Education Institutions: Research and Practice on AI and Virtual Simulation-Dual-Driven Clinical Skills Learning-Training-Assessment (LTA) Closed-Loop Model 2024jyxm0726
6 · The paper itself

Abstract

backgroundVirtual simulation has emerged as an innovative teaching approach in medical education, offering immersive and repeatable practice opportunities that can address the limitations of traditional skills training. This study aimed to assess the knowledge, attitudes, and practices (KAP) of Chinese medical students toward virtual simulation experimental training.

methodsA cross-sectional survey was conducted from August to September 2025 at Anhui Medical University, China. Data were collected using a structured questionnaire, which included demographic information and KAP-related assessments.

resultsA total of 525 valid responses were obtained from 536 distributed questionnaires, yielding a valid response rate of 97.95%. Among the 525 valid respondents, 245 (46.7%) were male and 280 (53.3%) were female. By grade, 212 (40.4%) were in the junior year, 164 (31.2%) in the senior year, and 149 (28.4%) in the fifth year. Regarding majors, 245 (46.7%) studied Clinical Medicine, 59 (11.2%) Radiology, 139 (26.5%) Medical Imaging, and 82 (15.6%) Anesthesiology. The mean scores for knowledge, attitude, and practice were 12.11 ± 2.40 (possible range: 3–15), 15.78 ± 3.26 (possible range: 4–20), and 12.22 ± 2.60 (possible range: 4–16), respectively. Multivariate linear regression revealed that knowledge and attitude were significantly associated with practices (β = 0.186, 95% CI: [0.101, 0.271] and β = 0.593, 95% CI: [0.537, 0.649], both P < 0.001). Mediation analysis showed that the direct effect of knowledge on practice remained significant (β = 0.191, 95% CI: [0.114, 0.268], P < 0.001), while the indirect effect through attitude was also significant (β = 0.437, Bootstrap 95% CI: [0.348, 0.548]), accounting for 69.59% of the total effect.

conclusionChinese medical students generally demonstrate adequate knowledge and positive attitudes, yet their actual engagement in virtual simulation training remained limited. Enhancing awareness and training could further promote its application and integration into medical education curricula. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Education, Medical, UndergraduateHealth Knowledge, Attitudes, PracticeSimulation TrainingStudents, MedicalAdultChinaClinical CompetenceCross-Sectional StudiesFemaleHumansMaleSurveys and QuestionnairesYoung AdultAttitudeKnowledgeMedical studentsPracticeSimulation

Identifiers

PMID41680808
PMCPMC13001291

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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.