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Letter from the Editor-in-Chief. 总编辑的来信。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-11-27 eCollection Date: 2025-10-01 DOI: 10.1007/s40670-025-02589-0
David Harris
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引用次数: 0
Cognitive Load Measurement of Using Virtual Reality Headset (Oculus Rift CV1) to Enrich the Anatomy Course and Increase Motivation Among Medical Students. 使用虚拟现实头戴式耳机(Oculus Rift CV1)丰富医学生解剖学课程,提高学生学习动机的认知负荷测量。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-20 eCollection Date: 2025-10-01 DOI: 10.1007/s40670-025-02467-9
Leena Ahmed Khalil Alfarani, Amal Alharbi

Despite the exponential growth of education in recent years, the anatomy course is taught in all medical school departments in the early years to provide a strong foundation for medical education and clinical training. Integrating technological innovations such as virtual reality programs that realistically display human anatomy through computer simulation into lectures may benefit medical students in their studies. Therefore, this study aims to suggest a potential use of VR to reduce cognitive loads in the anatomy course in higher education. Twenty third-year medical students at King Abdulaziz University were given a virtual reality headset (Oculus Rift CV1) with the 3D Organon VR Anatomy application in a quasi-experimental design. The data were collected from students who wore the Oculus Rift CV1 and completed five tasks. Students were then asked to fill out three questionnaires about their opinions. These findings should be interpreted in light of the study's small sample size, lack of a control group, and single-gender population. The study's findings revealed that traditional anatomy teaching methods caused cognitive distractions for students. However, virtual reality headsets were associated with a mean cognitive load rating of 19.7, suggesting a potential to reduce cognitive burden. These findings support the argument for using virtual reality headsets in anatomy courses and opening virtual reality labs in medical colleges. Medical faculty should accept and experience virtual reality technology without the fear of students leaving the dissection lab.

尽管近年来教育呈指数级增长,但解剖学课程在早期在所有医学院院系开设,为医学教育和临床培训提供坚实的基础。将通过计算机模拟真实地展示人体解剖结构的虚拟现实程序等技术创新整合到讲座中,可能对医学生的学习有益。因此,本研究旨在提出VR在高等教育解剖学课程中减少认知负荷的潜在应用。在准实验设计中,为阿卜杜勒阿齐兹国王大学的23年级医学生提供了带有3D Organon VR解剖应用程序的虚拟现实耳机(Oculus Rift CV1)。这些数据是从佩戴Oculus Rift CV1并完成五项任务的学生身上收集的。然后,学生们被要求填写三份关于他们观点的问卷。这些发现应该根据研究的小样本量、缺乏对照组和单一性别人群来解释。研究结果表明,传统的解剖学教学方法会导致学生的认知分心。然而,虚拟现实耳机的平均认知负荷评分为19.7,这表明它有可能减轻认知负担。这些发现支持了在解剖学课程中使用虚拟现实耳机和在医学院开设虚拟现实实验室的观点。医学院应该接受和体验虚拟现实技术,而不必担心学生离开解剖实验室。
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引用次数: 0
Humanities Across Clerkships: A Longitudinal Course on Professional Identity Formation. 跨文员的人文:职业认同形成的纵向课程。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-08-23 eCollection Date: 2025-10-01 DOI: 10.1007/s40670-025-02485-7
Nabeel Akhtar, Rachel Casas

Humanities Across Clerkships (HAC), a longitudinal course during third-year clerkships, is an innovative approach to promote reflection on professional identity formation and career development for medical students. This course was feasible and encouraged individual and group reflective practices, and it was positively received by medical students.

人文学科实习(HAC)是医学生在实习三年级期间开设的一门纵向课程,旨在促进医学生对职业认同形成和职业发展的反思。该课程具有可行性,鼓励个体和群体的反思性实践,受到医学生的积极好评。
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引用次数: 0
Letter from the Editor-in-Chief. 总编辑的来信。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-08-21 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02491-9
David M Harris
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引用次数: 0
Uncovering Disparities in Medical Education: Advisory Guide of Strategies and Best Practices for Illuminating Blind Spots. 揭示医学教育中的差异:照亮盲点的战略和最佳做法咨询指南。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-08-15 eCollection Date: 2025-10-01 DOI: 10.1007/s40670-025-02435-3
Laurah Turner, Lauren J Germain, Jeffrey Bird, Michael S Ryan, Marjorie Westervelt, Josie Suser, Sally A Santen

Assessment and grading are prone to disparities based on race and ethnicity. Health professions educators need a guide for how to strategically navigate assessment data. This monograph provides a consensus-driven advisory guide, drawing upon common challenges schools face when detecting, measuring, and analyzing gender/racial disparities, and shares practical algorithms and strategies for engaging with the data. Five steps are proposed: create a process diagram; identify assessment data sources and potential manifestations of disparities and inequities in assessments; consider other variables when analyzing data; choose analytical approaches to evaluate sources of disparities; and identify potential threats and challenges.

评估和评分容易出现基于种族和民族的差异。卫生专业教育工作者需要一份指南,指导他们如何战略性地利用评估数据。这本专著提供了一个共识驱动的咨询指南,借鉴了学校在检测、测量和分析性别/种族差异时面临的共同挑战,并分享了处理数据的实用算法和策略。提出了五个步骤:创建流程图;查明评估数据来源和评估中差异和不公平的潜在表现;在分析数据时考虑其他变量;选择分析方法来评估差异的来源;识别潜在的威胁和挑战。
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引用次数: 0
Study Technique and Curriculum Guidance Preferences of Medical Students in Clinical Medicine: A Mixed-Methods Analysis. 临床医学专业医学生学习技巧与课程指导偏好的混合方法分析
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-08-13 eCollection Date: 2025-10-01 DOI: 10.1007/s40670-025-02475-9
Georgia Bartley, Samantha Waugh, Zan-Min Song, Vinod Gopalan

The transition from pre-clinical to clinical phases of medical education can negatively impact student well-being and academic performance. To improve student outcomes, the present investigation aimed to analyse study techniques employed by students and their perceptions of curriculum guidance when commencing clinical placement. A survey was distributed among medical students at Griffith University in Queensland, Australia. Study techniques and the utility of information resources were rated on a 5-point Likert Scale. Short form questions were included for qualitative analysis. The mean usefulness score for each item was calculated overall and for year groups and compared using a t-test. Eighty-nine students participated in the study. Most study techniques and clinical information resources were found to be useful, with minimal disagreement between year groups. There was a preference for online resources over textbooks. Qualitative analysis indicated students are struggling with study direction, time pressures, and knowledge depth ambiguity. Based on qualitative and quantitative analyses, it can be recommended that students concurrently employ different study techniques and seek information from concise, local guidelines. Universities could improve guidance by counselling students on self-regulating information depth and evaluating learning objective prescriptiveness.

医学教育从临床前阶段过渡到临床阶段会对学生的健康和学习成绩产生负面影响。为了提高学生的成绩,本调查旨在分析学生在开始临床实习时使用的学习技巧和他们对课程指导的看法。在澳大利亚昆士兰格里菲斯大学的医科学生中进行了一项调查。学习技巧和信息资源的利用采用5分李克特量表进行评分。简短的问题被纳入定性分析。每个项目的平均有用性得分是按整体和年份组计算的,并使用t检验进行比较。89名学生参加了这项研究。大多数研究技术和临床信息资源被发现是有用的,年龄组之间的差异最小。与教科书相比,人们更喜欢在线资源。定性分析表明,学生在学习方向、时间压力和知识深度模糊方面存在困难。基于定性和定量分析,可以建议学生同时使用不同的学习技巧,并从简洁的当地指南中寻求信息。高校可以通过对学生自我调节信息深度的辅导和对学习客观规定性的评价来加强指导。
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引用次数: 0
Generative AI as the First Patient: Practice, Feedback, and Confidence. 生成人工智能作为第一个病人:实践、反馈和信心。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-08-12 eCollection Date: 2025-10-01 DOI: 10.1007/s40670-025-02473-x
Thomas Thesen, Wade N O'Brien, Simon Stone, Roshini Pinto-Powell

Generative artificial intelligence (GenAI) offers new potential for medical education by providing personalized learning opportunities at scale that address current faculty shortages, such as limited access to clinical preceptors, yet its integration into formal medical training and acceptability by students remains largely unexplored. We deployed a large-language model-based AI Patient Actor app in a first-year medical curriculum, enabling students to conduct simulated clinical interviews while receiving immediate feedback. Students rated their experiences as overwhelmingly positive, with comfort using GenAI in general increasing significantly after repeated engagement. Sentiment analysis of student comments showed appreciation for the AI approaches' flexibility, low-pressure environment, and real-time feedback that students felt helped with clinical reasoning and communication skills. Students identified limitations regarding the authenticity of AI interactions compared to human encounters. This study shows that AI patient actors are perceived as acceptable educational adjuncts in early clinical training, particularly in formative environments where they provide students with immediate feedback and greater autonomy over their learning process, though they cannot fully replace interactions with human actors and patients.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-025-02473-x.

生成式人工智能(GenAI)通过提供大规模的个性化学习机会,为医学教育提供了新的潜力,解决了目前教师短缺的问题,例如获得临床导师的机会有限,但将其融入正式的医学培训以及学生的接受程度在很大程度上仍未得到探索。我们在一年级的医学课程中部署了一个基于大语言模型的人工智能患者演员应用程序,使学生能够在接受即时反馈的同时进行模拟临床访谈。学生们对他们的体验评价非常积极,在反复使用GenAI后,他们使用GenAI的舒适度总体上显著提高。对学生评论的情感分析显示,学生对人工智能方法的灵活性、低压力环境和实时反馈表示赞赏,学生们认为这些方法有助于临床推理和沟通技巧。与人类接触相比,学生们发现了人工智能互动真实性的局限性。这项研究表明,人工智能患者演员在早期临床培训中被视为可接受的教育辅助工具,特别是在形成性环境中,它们为学生提供即时反馈,并在学习过程中拥有更大的自主权,尽管它们不能完全取代与人类演员和患者的互动。补充资料:在线版本提供补充资料,网址为10.1007/s40670-025-02473-x。
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引用次数: 0
Educational and Licensing Challenges Faced by Indian International Medical Graduates: A Critical Synthesis. 印度国际医学毕业生面临的教育和许可挑战:一个关键的综合。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-08-12 eCollection Date: 2025-10-01 DOI: 10.1007/s40670-025-02477-7
Aisulu Zholdybayeva, Yulia Chyngyshpayeva, Mirhoshim Mirsaliev

Background: Each year, ~ 10,000 Indian nationals begin medical studies abroad to bypass the severe domestic seat bottleneck but must overcome substantial curricular, licensing, and psychosocial hurdles on return.

Aim: To synthesize current evidence on the academic, regulatory, and psychological challenges facing Indian international medical graduates (IMGs) and to outline system‑level strategies that facilitate successful reintegration.

Methods: A critical narrative synthesis of 82 peer-reviewed studies, policy documents, and commentaries published from 2004 to April 2025. Sources were captured through a multi-database search, screened with predefined criteria, and thematically coded into four domains: curriculum, licensing, wellbeing, and regulation.

Results: Curricular disparities-particularly reduced bedside exposure and divergent competency frameworks-impede clinical transition. First‑attempt pass rates on the Foreign Medical Graduate Examination remain < 25%, and the forthcoming National Exit Test introduces additional uncertainty. Up to 45% of returnees experience clinically significant anxiety or depression during licensure preparation. Recent "double‑internship" regulations and variable accreditation standards prolong the path to independent practice and inflate costs.

Conclusions: Examination reform alone is insufficient. A student-centered, system-integrated approach should combine (i) early licensing-oriented preparation within foreign curricula, (ii) structured mental health and peer mentoring support, (iii) targeted bridging modules aligned with Indian clinical priorities, and (iv) transparent publication of educational outcomes by sending and receiving institutions.

背景:每年约有10,000名印度国民开始在国外学习医学,以绕过严重的国内名额瓶颈,但回国后必须克服大量的课程、执照和心理障碍。目的:综合目前关于印度国际医学毕业生(IMGs)面临的学术、监管和心理挑战的证据,并概述促进成功重返社会的系统级策略。方法:对2004年 至 April 2025期间发表的82项同行评议研究、政策文件和评论进行批判性叙事综合。通过多数据库搜索获取资源,使用预定义的标准进行筛选,并按主题编码为四个领域:课程、许可、福利和监管。结果:课程差异——特别是减少的床边接触和不同的能力框架——阻碍了临床过渡。结论:单靠考试改革是不够的。以学生为中心的系统综合方法应结合(i)在外国课程中以早期许可为导向的准备,(ii)结构化的心理健康和同伴辅导支持,(iii)与印度临床优先事项一致的有针对性的衔接模块,以及(iv)由发送和接收机构透明地公布教育成果。
{"title":"Educational and Licensing Challenges Faced by Indian International Medical Graduates: A Critical Synthesis.","authors":"Aisulu Zholdybayeva, Yulia Chyngyshpayeva, Mirhoshim Mirsaliev","doi":"10.1007/s40670-025-02477-7","DOIUrl":"https://doi.org/10.1007/s40670-025-02477-7","url":null,"abstract":"<p><strong>Background: </strong>Each year, ~ 10,000 Indian nationals begin medical studies abroad to bypass the severe domestic seat bottleneck but must overcome substantial curricular, licensing, and psychosocial hurdles on return.</p><p><strong>Aim: </strong>To synthesize current evidence on the academic, regulatory, and psychological challenges facing Indian international medical graduates (IMGs) and to outline system‑level strategies that facilitate successful reintegration.</p><p><strong>Methods: </strong>A critical narrative synthesis of 82 peer-reviewed studies, policy documents, and commentaries published from 2004 to April 2025. Sources were captured through a multi-database search, screened with predefined criteria, and thematically coded into four domains: curriculum, licensing, wellbeing, and regulation.</p><p><strong>Results: </strong>Curricular disparities-particularly reduced bedside exposure and divergent competency frameworks-impede clinical transition. First‑attempt pass rates on the Foreign Medical Graduate Examination remain < 25%, and the forthcoming National Exit Test introduces additional uncertainty. Up to 45% of returnees experience clinically significant anxiety or depression during licensure preparation. Recent \"double‑internship\" regulations and variable accreditation standards prolong the path to independent practice and inflate costs.</p><p><strong>Conclusions: </strong>Examination reform alone is insufficient. A student-centered, system-integrated approach should combine (i) early licensing-oriented preparation within foreign curricula, (ii) structured mental health and peer mentoring support, (iii) targeted bridging modules aligned with Indian clinical priorities, and (iv) transparent publication of educational outcomes by sending and receiving institutions.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 5","pages":"2605-2614"},"PeriodicalIF":1.8,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12812123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding Score Trends in Clinical Science Subject Exams: A Longitudinal Study. 了解临床科学科目考试得分趋势:一项纵向研究。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-08-02 eCollection Date: 2025-10-01 DOI: 10.1007/s40670-025-02458-w
Francis O'Donnell, Irina Grabovsky, Annie Kochersberger

Introduction: The purpose of this study was to analyze performance on Clinical Science Subject Exams from academic years 2018-2019 through 2020-2021, across a large national sample of medical schools, to identify score trends and assess the impact of the COVID-19 pandemic on exam performance.

Methods: Using descriptive statistics, data visualization, and a series of multilevel models, we investigated patterns for neurology, family medicine, internal medicine, obstetrics and gynecology, pediatrics, psychiatry, and surgery. The analysis sample ranged from 36,791 to 54,770 examinees across specialties.

Results: In 2018-2019, Subject Exam scores for almost all specialties followed a pattern of gradual increase as the academic year progressed. The average score was 2 to 3 points higher in May than in August of the previous calendar year for pediatrics, family medicine, internal medicine, and surgery. The averages for psychiatry and neurology also partially followed this trend. Patterns were somewhat more varied in Spring 2020 and Spring 2021. Despite some disruptions, the largest differences in average scores were around two points on the 0-100 scale. There were no major and sustained decreases.

Conclusion: Scores remained relatively stable over the three academic years studied, with small and intermittent score pattern disruptions appearing after March 2020. These disruptions included both higher-than-expected increases and decreases. Possible explanations include the intermittent nature of COVID-19 surges as well as changes in clerkship structure and resources. Scores did not decrease across the board, indicating a level of stability in exam performance despite the challenges posed by the pandemic.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-025-02458-w.

本研究的目的是分析2018-2019学年至2020-2021学年的临床科学科目考试成绩,在全国范围内的大型医学院样本中,以确定分数趋势并评估COVID-19大流行对考试成绩的影响。方法:采用描述性统计、数据可视化和一系列多层次模型,对神经病学、家庭医学、内科、妇产科、儿科、精神病学和外科学进行调查。分析样本范围从36,791到54,770名不同专业的考生。结果:2018-2019学年,几乎所有专业的学科考试成绩都呈现出随着学年的推进而逐渐上升的趋势。5月份儿科、家庭医学、内科、外科的平均得分比去年8月份高出2 ~ 3分。精神病学和神经病学的平均水平也部分遵循了这一趋势。2020年春季和2021年春季的模式更加多样化。尽管出现了一些混乱,但在0-100分制中,平均得分的最大差异约为两分。没有重大的和持续的下降。结论:在研究的三个学年中,分数保持相对稳定,在2020年3月之后出现了小而间歇性的分数模式中断。这些干扰包括高于预期的增长和下降。可能的解释包括COVID-19激增的间歇性以及职员结构和资源的变化。分数没有全面下降,这表明尽管疫情带来了挑战,但考试成绩仍保持稳定。补充资料:在线版本提供补充资料,网址为10.1007/s40670-025-02458-w。
{"title":"Understanding Score Trends in Clinical Science Subject Exams: A Longitudinal Study.","authors":"Francis O'Donnell, Irina Grabovsky, Annie Kochersberger","doi":"10.1007/s40670-025-02458-w","DOIUrl":"https://doi.org/10.1007/s40670-025-02458-w","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this study was to analyze performance on Clinical Science Subject Exams from academic years 2018-2019 through 2020-2021, across a large national sample of medical schools, to identify score trends and assess the impact of the COVID-19 pandemic on exam performance.</p><p><strong>Methods: </strong>Using descriptive statistics, data visualization, and a series of multilevel models, we investigated patterns for neurology, family medicine, internal medicine, obstetrics and gynecology, pediatrics, psychiatry, and surgery. The analysis sample ranged from 36,791 to 54,770 examinees across specialties.</p><p><strong>Results: </strong>In 2018-2019, Subject Exam scores for almost all specialties followed a pattern of gradual increase as the academic year progressed. The average score was 2 to 3 points higher in May than in August of the previous calendar year for pediatrics, family medicine, internal medicine, and surgery. The averages for psychiatry and neurology also partially followed this trend. Patterns were somewhat more varied in Spring 2020 and Spring 2021. Despite some disruptions, the largest differences in average scores were around two points on the 0-100 scale. There were no major and sustained decreases.</p><p><strong>Conclusion: </strong>Scores remained relatively stable over the three academic years studied, with small and intermittent score pattern disruptions appearing after March 2020. These disruptions included both higher-than-expected increases and decreases. Possible explanations include the intermittent nature of COVID-19 surges as well as changes in clerkship structure and resources. Scores did not decrease across the board, indicating a level of stability in exam performance despite the challenges posed by the pandemic.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s40670-025-02458-w.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 5","pages":"2463-2471"},"PeriodicalIF":1.8,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12812130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Serving as an Anatomy Laboratory Teaching Assistant Does Not Improve USMLE Step 1 Performance. 担任解剖学实验室助教不会提高USMLE第1步的表现。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-08-01 eCollection Date: 2025-10-01 DOI: 10.1007/s40670-025-02474-w
Michael A Pascoe

Purpose: Teaching can enhance the teacher's learning through retrieval practice, elaboration, and metacognitive engagement. In anatomy education, near-peer teaching roles such as laboratory teaching assistants (TAs) may therefore benefit not only learners but also the instructors. This study investigated whether serving as an anatomy TA is associated with improved performance on the United States Medical Licensing Examination (USMLE) Step 1. It was hypothesized that medical students who taught anatomy would demonstrate higher Step 1 scores due to the cognitive benefits of teaching.

Methods: Sixty second-year medical students were identified who served as anatomy TAs in a donor-based physical therapy course over seven academic years. Each was matched to a peer from the same graduating class with similar anatomy course performance but no TA experience. De-identified Step 1 scores were obtained from institutional records. An independent samples t-test compared Step 1 scores between groups.

Results: The mean Step 1 score was 238.0 (SD = 19.7) for TAs and 236.1 (SD = 16.5) for matched controls. This difference was not statistically significant (t(118) = 0.573, p = 0.568).

Conclusions: Medical students who served as anatomy TAs did not perform significantly better on the USMLE Step 1 than their peers. These findings suggest that, under the conditions of this study, participation in a near-peer teaching role did not translate into measurable gains on standardized testing. Educators should consider that while teaching may support professional development and anatomical understanding, additional instructional design elements may be needed to align these experiences with exam-related learning outcomes.

目的:教学可以通过检索练习、阐述和元认知参与来促进教师的学习。在解剖学教育中,类似于实验室助教的教学角色不仅有利于学习者,也有利于教师。本研究调查了作为解剖学助教是否与美国医师执照考试(USMLE)第1步的成绩提高有关。据推测,教授解剖学的医学生会因为教学的认知益处而表现出更高的第一步分数。方法:选取60名在供体基础物理治疗课程中担任解剖助教的二年级医学生,为期7年。每个人都与来自同一毕业班的同学配对,他们在解剖学课程上的表现相似,但没有助教经验。从机构记录中获得去识别步骤1分数。独立样本t检验比较各组间第一步得分。结果:TAs组step1平均评分为238.0 (SD = 19.7),对照组为236.1 (SD = 16.5)。差异无统计学意义(t(118) = 0.573, p = 0.568)。结论:担任解剖助教的医学生在USMLE第1步上的表现并不比他们的同龄人好。这些发现表明,在本研究的条件下,参与近同伴教学角色并没有转化为标准化测试的可衡量收益。教育工作者应该考虑到,虽然教学可以支持专业发展和解剖学理解,但可能需要额外的教学设计元素来将这些经验与考试相关的学习成果结合起来。
{"title":"Serving as an Anatomy Laboratory Teaching Assistant Does Not Improve USMLE Step 1 Performance.","authors":"Michael A Pascoe","doi":"10.1007/s40670-025-02474-w","DOIUrl":"https://doi.org/10.1007/s40670-025-02474-w","url":null,"abstract":"<p><strong>Purpose: </strong>Teaching can enhance the teacher's learning through retrieval practice, elaboration, and metacognitive engagement. In anatomy education, near-peer teaching roles such as laboratory teaching assistants (TAs) may therefore benefit not only learners but also the instructors. This study investigated whether serving as an anatomy TA is associated with improved performance on the United States Medical Licensing Examination (USMLE) Step 1. It was hypothesized that medical students who taught anatomy would demonstrate higher Step 1 scores due to the cognitive benefits of teaching.</p><p><strong>Methods: </strong>Sixty second-year medical students were identified who served as anatomy TAs in a donor-based physical therapy course over seven academic years. Each was matched to a peer from the same graduating class with similar anatomy course performance but no TA experience. De-identified Step 1 scores were obtained from institutional records. An independent samples <i>t</i>-test compared Step 1 scores between groups.</p><p><strong>Results: </strong>The mean Step 1 score was 238.0 (SD = 19.7) for TAs and 236.1 (SD = 16.5) for matched controls. This difference was not statistically significant (<i>t</i>(118) = 0.573, <i>p</i> = 0.568).</p><p><strong>Conclusions: </strong>Medical students who served as anatomy TAs did not perform significantly better on the USMLE Step 1 than their peers. These findings suggest that, under the conditions of this study, participation in a near-peer teaching role did not translate into measurable gains on standardized testing. Educators should consider that while teaching may support professional development and anatomical understanding, additional instructional design elements may be needed to align these experiences with exam-related learning outcomes.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 5","pages":"2561-2567"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12812114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Medical Science Educator
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