ArticleAdvances in medical education and practice2026
Five-Year Outcomes of an Undergraduate General-Education First Aid Course: A Ten-Semester Multi-Domain Evaluation of Knowledge, Skills, and Readiness.
Article in Advances in medical education and practice, 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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Abstract
Background: University students are a scalable population for strengthening community first-aid capacity, but evaluations beyond CPR/AED outcomes remain limited. We assessed a general-education first-aid course using knowledge, observed skills, self-efficacy, and readiness-to-act outcomes. Methods: We conducted a repeated-cohort, single-group pre-post evaluation of an undergraduate elective course at Sun Yat-sen University (Guangzhou, China) across 10 consecutive semesters (2021-2025). Outcomes included pre/post theoretical knowledge (0-100), end-of-course four-station OSCE performance rated on a DOPS-based 1-5 scale, self-efficacy (five 1-5 Likert items; composite as mean), and willingness/intention (paired yes/no items). Pre/post changes were analyzed using paired tests appropriate to outcome type. Results: Among 446 undergraduates (51.8% men; 28.0% medical-related majors), knowledge increased from 36.9 (SD 6.5) to 80.9 (SD 4.3) (mean difference 44.0, 95% CI 43.3-44.7; Conclusion: This university general-education first-aid course was associated with substantial end-of-course gains in knowledge, satisfactory observed competence, and improved confidence and readiness to act. These findings support embedding multi-domain first-aid training beyond CPR/AED within university general education as a scalable approach to strengthen community emergency preparedness.
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