ArticlePaediatrics & child health2026
A Card is worth a thousand questions: a clinical resource to support Canadian medical students and their preceptors.
Article in Paediatrics & child health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Having developed a national paediatric undergraduate curriculum, Methods: We present an educational innovation, Cards, describing the stepwise approach of its development; variability is introduced into the Card through both discriminating and non-discriminating variables. Unique vignettes are randomly generated in real time allowing for thousands of cases. The student plays individual Cards based on clinical presentations; a clinical vignette and an associated question about diagnosis, investigation, or management is presented; feedback and additional resources are provided. We present usage metrics to demonstrate breadth of use. Results: While developed for Canadian students, this resource has been used by learners worldwide. Eighty-five per cent of students at one institution viewed Cards as an effective teaching tool and more effective than online lectures, case-based learning, flipped classroom, or self-directed modules. A web-based survey reported Cards more effective than other select resources. There were over 280,000 unique plays in 2024 and 2025, and over 1.5 million unique Card plays since launch. Conclusion: Cards, based on paediatric clinical vignettes that reflect clinical practice, is a tool that may help learners develop clinical decision-making skills. Cards have demonstrated a high rate of return on authors' investment, as the technology generates thousands of unique vignettes from a single template. High-usage rates support Cards as a valuable open-access resource.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.