Evidence map›Paper›PMID 42591840›Full record

ArticleFrontiers in medicine2026

Enhancing long-term knowledge retention in undergraduate stroke education through virtual simulation: a randomized study.

Xiaohua Shi, Chunpeng Xu, Hongyu Liu, Yang Cui, Zhongyu Zhao, Zhongxin Xu, Jing Mang

Abstract read
In one paragraph

Article in Frontiers in medicine, 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
–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

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

7 authors.

Xiaohua ShiDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Chunpeng XuDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Hongyu LiuDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Yang CuiDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Zhongyu ZhaoDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Zhongxin XuDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Jing MangDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Virtual simulation is increasingly used in undergraduate medical education, but its value for long-term retention in stroke teaching remains unclear. This trial compared virtual simulation-based teaching with conventional bedside teaching in undergraduate stroke education. Methods: This was a single-center, prospective, parallel-group, randomized educational trial with a 1:1 allocation ratio. Fourth-year undergraduate medical students were assigned to a simulation group or a conventional group. Both groups received the same didactic teaching followed by practical training in different formats with equal teaching hours. Outcomes were assessed 1 day before the module, 1 day after the module, and 10 months later. The primary outcome was the 10-months follow-up assessment score. Secondary outcomes included the post-course assessment score, decay score, and score trajectories over time. Results: A total of 110 students were randomized, with 55 assigned to each group; 107 were included in the final longitudinal analysis. At the 10-months follow-up, assessment scores were higher in the simulation group than in the conventional group (median [IQR], 81.0 [77.0-85.5] vs. 74.5 [71.0-78.0]). After adjustment for pre-course assessment score and prior academic performance, the simulation group remained associated with higher follow-up scores (adjusted mean, 81.18 vs. 74.81; adjusted mean difference, 6.37 points; 95% CI, 4.83-7.91; Conclusion: Virtual simulation-based teaching was associated with higher immediate post-course scores and better long-term retention in undergraduate stroke education, supporting its use as a valuable adjunct to conventional bedside teaching.

Indexed as

knowledge retentionmedical educationsimulationstroketeaching

Identifiers

PMID42591840
PMCPMC13463137

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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.