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July 19, 2026BMC Medical EducationOpen Access

CBL with integrated SDH versus CBL alone in esophageal surgery internship: a randomized controlled trial on clinical competence development

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Authors

ZWZhi WenPCPeirui ChenJLJing Lyu

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Overview

Randomized trial investigates SDH integration in CBL; findings indicate improved competence in surgical interns, suggesting effective educational reforms.

Key Points

  • This study aims to evaluate the impact of integrating social determinants of health into case-based learning on clinical competence in surgical interns.
  • Conducted a randomized controlled trial among 124 surgical interns at a single hospital.
  • Interns were randomized into two groups: CBL only (n=60) and CBL + SDH (n=64).
  • Effectiveness assessed via objective structured clinical examinations, theoretical tests, case reports, and questionnaires.
  • The experimental group scored significantly higher on OSCE assessments (P < 0.001) with very large effect sizes.
  • Self-assessments indicated higher competency scores in the experimental group (P < 0.01) with moderate to large effect sizes.
  • Satisfaction evaluations showed significant improvements in content and context relevance in the experimental group (P < 0.01).

Cite This Study

Wen et al. (2026) studied this question.

synapsesocial.com/papers/6a5c6aa1118b92953e3ee98bhttps://doi.org/10.1186/s12909-026-09914-0
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