Evidence map›Paper›PMID 41917923›Full record

ArticleBMC medical education2026

Impact of resilience, learning styles, and instruction quality on medical students' experiences in microsurgical suturing training: a web-based questionnaire study.

Nana Yamakita, Kohei Kanaya, Masahiro Agata, Takumi Maruyama, Yuki Kubota, Akifumi Yokota, Takuya Nakamura, Tetsuyoshi Horiuchi

Abstract read
In one paragraph

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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Nana YamakitaShinshu University School of Medicine, Matsumoto, Nagano, Japan.
Kohei KanayaDepartment of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan. kanaya@shinshu-u.ac.jp.ORCID http://orcid.org/0000-0001-9667-9828
Masahiro AgataDepartment of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Takumi MaruyamaDepartment of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Yuki KubotaDepartment of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Akifumi YokotaDepartment of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Takuya NakamuraDepartment of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Tetsuyoshi HoriuchiDepartment of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious research has noted that resilience, learning styles, and the instruction quality are crucial determinants of medical students’ academic outcomes and motivation during clinical clerkship. However, no study has investigated these factors in their relationship with students’ accomplishment and satisfaction in modules involving substantial hands-on training. This study aimed to examine the associations between resilience, learning styles, sense of instruction quality, and undergraduate medical students’ accomplishment and satisfaction in areas of practical training such as microsurgical suturing.

methodsA total of 109 undergraduate medical students who participated in microsurgical suturing training during their clinical clerkship between October 2024 and July 2025 were included. Resilience was assessed using the 10-item Tachikawa Resilience scale, and learning styles were evaluated using the Honey and Mumford Learning Styles Questionnaire. Students’ accomplishment and satisfaction with the training and the sense of instruction quality were measured using a questionnaire designed for this study after the training.

resultsMedical students’ resilience was not significantly associated with either accomplishment or satisfaction. By contrast, when trainees gave favorable impressions of the instruction, they perceived the practical training as a more enjoyable and fulfilling experience. Furthermore, a stronger Activist learning preference was found to be significantly associated with higher levels of accomplishment in microsurgical suturing.

conclusionsThese findings indicate that enhancing the sense of instruction quality and incorporating diverse learning approaches may improve medical students’ accomplishment and satisfaction in practical training. Further studies are warranted to identify other factors influencing their accomplishment, satisfaction, and practical performance.

Indexed as

Education, Medical, UndergraduateLearningMicrosurgeryResilience, PsychologicalStudents, MedicalSuture TechniquesAdultClinical ClerkshipFemaleHumansMaleSurveys and QuestionnairesYoung AdultClinical ClerkshipHoney and Mumford questionnaireInstruction qualityLearning stylesMicrosurgical suturing trainingResilienceTachikawa resilience scale

Identifiers

PMID41917923
PMCPMC13162420

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.