Evidence map›Paper›PMID 41716213›Full record

Trial reportFrontiers in public health2025

A combined approach of simulation-based "debriefing with good judgment" and case-based learning to enhance clinical thinking in Chinese residents.

Wenming Shao, Xin Cheng, Wanjie Gu, Yu Yan, Hiu Liu, Jialin Zhang, Li Zhang, Haiyan Yin, Mingya Zhang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in public health, 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. Review
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

9 authors.

Wenming Shao *Department of Emergency, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Xin Cheng *School of Medicine, Jinan University, Guangzhou, China.
Wanjie GuDepartment of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Yu YanFunctional Experimental Teaching Center, School of Basic Medicine and Public Health, Jinan University, Guangzhou, China.
Hiu LiuDepartment of Emergency, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Jialin ZhangLaboratory Construction Section, Office of Lab and Facility Management, Jinan University, Guangzhou, China.
Li ZhangClinical Skills Comprehensive Training Center, The First Affiliated Hospital, Jinan University, Guangzhou, China.
Haiyan YinDepartment of Emergency, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Mingya ZhangClinical Skills Comprehensive Training Center, The First Affiliated Hospital, Jinan University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Clinical reasoning is a fundamental and critical competency for physicians. However, how to effectively help resident trainees to develop and enhance this ability remains a challenge for medical instructors. In this study, a teaching approach that combines simulation-based "Debriefing with Good Judgment" (DwGJ) with Case-Based Learning (CBL) was employed to improve the clinical reasoning among standardized training residents. The effectiveness of teaching strategy was evaluated. Methods: This study was designed and conducted as a randomized controlled educational trial. A total of 70 residents at the Clinical Skills Training Center of the First Affiliated Hospital of Jinan University, Guangzhou, China, were recruited in the 2023-2024 academic year. These residents from Internal Medicine, Surgery, Obstetrics and Gynecology, Pediatrics, Emergency Medicine, and Intensive Care Medicine, were randomly assigned to either a control group or a DwGJ group. There were 35 participants in each group. The control group received conventional CBL instruction, practicing skills within a clinical scenario, while the DwGJ group incorporated a DwGJ session following hands-on practice session. Upon course completion, participants evaluated the instructor and course, their clinical reasoning competencies (including clinical thinking, and systematic thinking, and evidence-based thinking) were surveyed, and theoretical and practical examination scores were compared. Results: There was no significant difference between two groups in instructor evaluation. However, the DwGJ group reported significantly higher satisfaction with the course. Moreover, the DwGJ group outperformed the control group in all subcomponents of clinical reasoning, including critical thinking, systematic thinking, and evidence-based thinking. Both the theoretical test scores and skill scores were significantly higher in the DwGJ group (64.40 ± 13.22 and 80.54 ± 7.4, respectively) compared to the control group (52.34 ± 18.42, Conclusion: The integration of simulation-based DwGJ with CBL demonstrates more efficacy in enhancing resident trainees' clinical reasoning abilities, through fostering their critical, systematic, and evidence-based thinking.

Indexed as

Clinical CompetenceClinical ReasoningInternship and ResidencyJudgmentProblem-Based LearningSimulation TrainingAdultChinaEast Asian PeopleFemaleHumansMaleThinkingcase-based learning (CBL)Chinese residentsdebriefing with good judgment (DwGJ)educationmedical simulation

Identifiers

PMID41716213
PMCPMC12913574

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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.