Randomized trial on the impact of card Game-Based teaching on learning and memory retention of neurological syndromes

Abstract Background Learning about neurological syndromes is an essential component of medical education, but traditional teaching methods often lack interactivity and practical engagement. This study investigates the impact of an innovative teaching approach using the Neurological Syndrome Card Gam...

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Main Authors: Xi Yu, Jiafu Wu, Yuhuan Zhang, Zhixin Di, Wanling Nie, Mingyu Wang, Xingyu Zhu, Yunkai Zhang, Yimeng Wu, Yan Ma, Yuxi Han, Miao Yu
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-07630-9
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author Xi Yu
Jiafu Wu
Yuhuan Zhang
Zhixin Di
Wanling Nie
Mingyu Wang
Xingyu Zhu
Yunkai Zhang
Yimeng Wu
Yan Ma
Yuxi Han
Miao Yu
author_facet Xi Yu
Jiafu Wu
Yuhuan Zhang
Zhixin Di
Wanling Nie
Mingyu Wang
Xingyu Zhu
Yunkai Zhang
Yimeng Wu
Yan Ma
Yuxi Han
Miao Yu
author_sort Xi Yu
collection DOAJ
description Abstract Background Learning about neurological syndromes is an essential component of medical education, but traditional teaching methods often lack interactivity and practical engagement. This study investigates the impact of an innovative teaching approach using the Neurological Syndrome Card Game (NSCG) on students’ learning outcomes. Methods A randomized controlled trial design was implemented, with participants divided into an experimental group and a control group. The control group received traditional lecture-based instruction (e.g., PowerPoint presentations and case analyses), whereas the experimental group engaged in NSCG-based learning. The game involved card-matching competitions and anatomical injury location tasks to enhance students’ recognition, understanding, and memory of neurological syndromes. Learning outcomes were evaluated through assessments of learning effectiveness, knowledge retention rates, cognitive load, and learning experience. Results A total of 48 students participated in the study. No significant differences were found in baseline characteristics between the groups. Following the intervention, the experimental group showed significantly better immediate learning effects at 1 week (13.33 ± 2.12 vs. 11.92 ± 1.44, t = 3.344, P = 0.002), 3 weeks (12.83 ± 2.04 vs. 10.63 ± 1.86, t = 3.923, P = 0.000), and 6 weeks (10.04 ± 1.20 vs. 7.79 ± 1.61, t = 5.484, P = 0.000). In terms of long-term memory retention, the experimental group demonstrated superior knowledge retention rates at all time points: 22.53% at week 1, 29.49% at week 3, and 31.12% at week 6. Regarding cognitive load, the experimental group exhibited significantly lower total scores (46.96 ± 1.65 vs. 69.08 ± 4.06) and scores across all dimensions (P < 0.05). Evaluations of the learning experience indicated that students in the experimental group rated their interest and memory outcomes more positively. Conclusion The NSCG-based teaching method significantly enhances students’ learning and memory retention of neurological syndromes, reduces cognitive load, and increases learning interest. This method may be a useful approach for enhancing clinical syndrome teaching in medical education.
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spelling doaj-art-7ea06d5dc69f4e46a5a8271cdd0268682025-08-20T03:45:56ZengBMCBMC Medical Education1472-69202025-07-0125111610.1186/s12909-025-07630-9Randomized trial on the impact of card Game-Based teaching on learning and memory retention of neurological syndromesXi Yu0Jiafu Wu1Yuhuan Zhang2Zhixin Di3Wanling Nie4Mingyu Wang5Xingyu Zhu6Yunkai Zhang7Yimeng Wu8Yan Ma9Yuxi Han10Miao Yu11Department of Neurology, Ward 1, Area B, Second Affiliated Hospital of Harbin Medical UniversitySecond Affiliated Hospital of Harbin Medical UniversityStudent Department, Second Affiliated Hospital of Harbin Medical UniversityDepartment of Ultrasound Medicine, Second Affiliated Hospital of Harbin Medical UniversityDepartment of Geriatrics, Third Ward, Second Affiliated Hospital of Harbin Medical UniversitySecond Affiliated Hospital of Harbin Medical UniversityResearch Department, Second Affiliated Hospital of Harbin Medical UniversitySecond Affiliated Hospital of Harbin Medical UniversitySecond Affiliated Hospital of Harbin Medical UniversitySecond Affiliated Hospital of Harbin Medical UniversitySecond Affiliated Hospital of Harbin Medical UniversitySecond Affiliated Hospital of Harbin Medical UniversityAbstract Background Learning about neurological syndromes is an essential component of medical education, but traditional teaching methods often lack interactivity and practical engagement. This study investigates the impact of an innovative teaching approach using the Neurological Syndrome Card Game (NSCG) on students’ learning outcomes. Methods A randomized controlled trial design was implemented, with participants divided into an experimental group and a control group. The control group received traditional lecture-based instruction (e.g., PowerPoint presentations and case analyses), whereas the experimental group engaged in NSCG-based learning. The game involved card-matching competitions and anatomical injury location tasks to enhance students’ recognition, understanding, and memory of neurological syndromes. Learning outcomes were evaluated through assessments of learning effectiveness, knowledge retention rates, cognitive load, and learning experience. Results A total of 48 students participated in the study. No significant differences were found in baseline characteristics between the groups. Following the intervention, the experimental group showed significantly better immediate learning effects at 1 week (13.33 ± 2.12 vs. 11.92 ± 1.44, t = 3.344, P = 0.002), 3 weeks (12.83 ± 2.04 vs. 10.63 ± 1.86, t = 3.923, P = 0.000), and 6 weeks (10.04 ± 1.20 vs. 7.79 ± 1.61, t = 5.484, P = 0.000). In terms of long-term memory retention, the experimental group demonstrated superior knowledge retention rates at all time points: 22.53% at week 1, 29.49% at week 3, and 31.12% at week 6. Regarding cognitive load, the experimental group exhibited significantly lower total scores (46.96 ± 1.65 vs. 69.08 ± 4.06) and scores across all dimensions (P < 0.05). Evaluations of the learning experience indicated that students in the experimental group rated their interest and memory outcomes more positively. Conclusion The NSCG-based teaching method significantly enhances students’ learning and memory retention of neurological syndromes, reduces cognitive load, and increases learning interest. This method may be a useful approach for enhancing clinical syndrome teaching in medical education.https://doi.org/10.1186/s12909-025-07630-9Card gameNeurological syndromeLearningMemoryNSCG
spellingShingle Xi Yu
Jiafu Wu
Yuhuan Zhang
Zhixin Di
Wanling Nie
Mingyu Wang
Xingyu Zhu
Yunkai Zhang
Yimeng Wu
Yan Ma
Yuxi Han
Miao Yu
Randomized trial on the impact of card Game-Based teaching on learning and memory retention of neurological syndromes
BMC Medical Education
Card game
Neurological syndrome
Learning
Memory
NSCG
title Randomized trial on the impact of card Game-Based teaching on learning and memory retention of neurological syndromes
title_full Randomized trial on the impact of card Game-Based teaching on learning and memory retention of neurological syndromes
title_fullStr Randomized trial on the impact of card Game-Based teaching on learning and memory retention of neurological syndromes
title_full_unstemmed Randomized trial on the impact of card Game-Based teaching on learning and memory retention of neurological syndromes
title_short Randomized trial on the impact of card Game-Based teaching on learning and memory retention of neurological syndromes
title_sort randomized trial on the impact of card game based teaching on learning and memory retention of neurological syndromes
topic Card game
Neurological syndrome
Learning
Memory
NSCG
url https://doi.org/10.1186/s12909-025-07630-9
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