Effects of six teaching strategies on medical students: protocol for a systematic review and network meta-analysis

Introduction Mounting evidence has suggested that novel teaching strategies have a positive impact on the quality and efficiency of medical education. However, the comprehensive evidence about the superiority among various strategies is not clear. To address this issue, we aim to conduct a systemati...

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Main Authors: Hong Gong, Lian Wang, Shuailong Zhang, Dongmei Zhu, Xiaqing Wang, Tianyao Liu, Xiaotang Fan
Format: Article
Language:English
Published: BMJ Publishing Group 2024-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/1/e079716.full
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author Hong Gong
Lian Wang
Shuailong Zhang
Dongmei Zhu
Xiaqing Wang
Tianyao Liu
Xiaotang Fan
author_facet Hong Gong
Lian Wang
Shuailong Zhang
Dongmei Zhu
Xiaqing Wang
Tianyao Liu
Xiaotang Fan
author_sort Hong Gong
collection DOAJ
description Introduction Mounting evidence has suggested that novel teaching strategies have a positive impact on the quality and efficiency of medical education. However, the comprehensive evidence about the superiority among various strategies is not clear. To address this issue, we aim to conduct a systematic review and network meta-analysis (NMA) to evaluate the effects of six main strategies on medical education, including case-based learning, problem-based learning, team-based learning, flipped classrooms, simulation-based education and bridge-in, objective, preassessment, participatory learning, postassessment and summary.Methods and analysis A systematic search will be conducted in PubMed, Embase, Web of Science and the Cochrane Library, covering studies published from database inception to November 2023. Randomised controlled trials which evaluated the different teaching methods and meet the eligibility criteria will be included. The effectiveness of medical students’ learning, which is evaluated by theoretical test score, experimental or practical test score, will be analysed as the primary outcomes. Besides, the secondary outcomes consist of learning satisfaction of students and formative evaluation score. The study selection and data extraction will be independently performed by two authors. The risk of bias in each study will be assessed using V.2 of the Cochrane risk-of-bias tool for randomised controlled trials. To compare the effects of six teaching strategies, pairwise meta-analysis and NMA will be performed using Rev Man, STATA and R software. Statistical analyses including homogeneity tests, sensitivity analysis, consistency tests, subgroup analysis, Egger’s test and publication bias will also be completed.Ethics and dissemination No formal research ethics approval is required because this study is a meta-analysis based on published studies. The results will be disseminated to a peer-reviewed journal for publication.Protocol registration number CRD42023456050.
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spelling doaj-art-eab9d946438f44e192b39981df4e9d1c2025-08-20T02:12:47ZengBMJ Publishing GroupBMJ Open2044-60552024-01-0114110.1136/bmjopen-2023-079716Effects of six teaching strategies on medical students: protocol for a systematic review and network meta-analysisHong Gong0Lian Wang1Shuailong Zhang2Dongmei Zhu3Xiaqing Wang4Tianyao Liu5Xiaotang Fan6Department of Military Cognitive Psychology, School of Psychology, Third Military Medical University (Army Medical University), Chongqing 40038, ChinaDepartment of Military Cognitive Psychology, School of Psychology, Third Military Medical University (Army Medical University), Chongqing 40038, ChinaDepartment of Military Cognitive Psychology, School of Psychology, Third Military Medical University (Army Medical University), Chongqing 40038, ChinaDepartment of Hospital Infection Control, Chongqing Health Center for Women and Children, Chongqing 401147, ChinaDepartment of Military Cognitive Psychology, School of Psychology, Third Military Medical University (Army Medical University), Chongqing 40038, ChinaDepartment of Military Cognitive Psychology, School of Psychology, Third Military Medical University (Army Medical University), Chongqing 40038, ChinaDepartment of Military Cognitive Psychology, School of Psychology, Third Military Medical University (Army Medical University), Chongqing 40038, ChinaIntroduction Mounting evidence has suggested that novel teaching strategies have a positive impact on the quality and efficiency of medical education. However, the comprehensive evidence about the superiority among various strategies is not clear. To address this issue, we aim to conduct a systematic review and network meta-analysis (NMA) to evaluate the effects of six main strategies on medical education, including case-based learning, problem-based learning, team-based learning, flipped classrooms, simulation-based education and bridge-in, objective, preassessment, participatory learning, postassessment and summary.Methods and analysis A systematic search will be conducted in PubMed, Embase, Web of Science and the Cochrane Library, covering studies published from database inception to November 2023. Randomised controlled trials which evaluated the different teaching methods and meet the eligibility criteria will be included. The effectiveness of medical students’ learning, which is evaluated by theoretical test score, experimental or practical test score, will be analysed as the primary outcomes. Besides, the secondary outcomes consist of learning satisfaction of students and formative evaluation score. The study selection and data extraction will be independently performed by two authors. The risk of bias in each study will be assessed using V.2 of the Cochrane risk-of-bias tool for randomised controlled trials. To compare the effects of six teaching strategies, pairwise meta-analysis and NMA will be performed using Rev Man, STATA and R software. Statistical analyses including homogeneity tests, sensitivity analysis, consistency tests, subgroup analysis, Egger’s test and publication bias will also be completed.Ethics and dissemination No formal research ethics approval is required because this study is a meta-analysis based on published studies. The results will be disseminated to a peer-reviewed journal for publication.Protocol registration number CRD42023456050.https://bmjopen.bmj.com/content/14/1/e079716.full
spellingShingle Hong Gong
Lian Wang
Shuailong Zhang
Dongmei Zhu
Xiaqing Wang
Tianyao Liu
Xiaotang Fan
Effects of six teaching strategies on medical students: protocol for a systematic review and network meta-analysis
BMJ Open
title Effects of six teaching strategies on medical students: protocol for a systematic review and network meta-analysis
title_full Effects of six teaching strategies on medical students: protocol for a systematic review and network meta-analysis
title_fullStr Effects of six teaching strategies on medical students: protocol for a systematic review and network meta-analysis
title_full_unstemmed Effects of six teaching strategies on medical students: protocol for a systematic review and network meta-analysis
title_short Effects of six teaching strategies on medical students: protocol for a systematic review and network meta-analysis
title_sort effects of six teaching strategies on medical students protocol for a systematic review and network meta analysis
url https://bmjopen.bmj.com/content/14/1/e079716.full
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