Evidence map›Paper›PMID 41299623›Full record

Observational studyBMC medical education2025

Effectiveness of standardized training for rural-oriented tuition-waived medical students in Yunnan Province: a multi-center cross-sectional survey.

Xing Wang, Anye Lei, Qiaoyun Huang, Yingyurui Liu, Yali Li, Xiao Yan, Weiming Li

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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.

Xing WangSchool of Public Health, Kunming Medical University, 1168 Chunrong West Road, Yuhua Street, Chenggong District, Kunming, Yunnan, 650500, China.
Anye LeiSchool of Public Health, Kunming Medical University, 1168 Chunrong West Road, Yuhua Street, Chenggong District, Kunming, Yunnan, 650500, China.
Qiaoyun HuangSchool of Public Health, Kunming Medical University, 1168 Chunrong West Road, Yuhua Street, Chenggong District, Kunming, Yunnan, 650500, China.
Yingyurui LiuSchool of Public Health, Kunming Medical University, 1168 Chunrong West Road, Yuhua Street, Chenggong District, Kunming, Yunnan, 650500, China.
Yali LiSchool of Public Health, Kunming Medical University, 1168 Chunrong West Road, Yuhua Street, Chenggong District, Kunming, Yunnan, 650500, China.
Xiao YanDepartment of Foreign Language Education, Kunming Medical University, 1168 Chunrong West Road, Yuhua Street, Chenggong District, Kunming, Yunnan, 650500, China.
Weiming LiSchool of Public Health, Kunming Medical University, 1168 Chunrong West Road, Yuhua Street, Chenggong District, Kunming, Yunnan, 650500, China. liweiming55@163.com.

Funding

Joint Special Fund Project of Yunnan Provincial Department of Science and Technology and Kunming Medical University for Applied Basic Research Grant No. 2018FE001
6 · The paper itself

Abstract

backgroundGlobal primary healthcare providers are grappling with workforce shortages, regional development imbalances, and inconsistent service delivery models. Rural-oriented tuition-waived medical students (RTMSs), who are the focus of standardized residency training (SRT), play a pivotal role in enhancing grassroots medical capabilities. This study focuses on the current situation and satisfaction level of RTMSs participation in SRT, with a particular emphasis on the deeper factors that influence their willingness to continue practicing in rural areas after completing the program.

methodsIn June 2022, a multicenter cross-sectional observational study was conducted across eight hospitals in Yunnan Province, surveying 643 RTMSs enrolled in the SRT program. Descriptive and analytical statistical methods were used to analyze the data.

resultsFindings indicated that 91.29% of the respondents endorsed the SRT, believing it significantly enhanced their core competencies, and 81% were satisfied with the training. However, only 28% expressed willingness to continue practicing in rural primary healthcare institutions after their contractual service. The low retention intention was mainly associated with expectations for higher income, positive psychological states, frequent skill training and lectures, regular psychological counseling, and team-building activities, as well as an enhanced sense of identity as RTMSs.

conclusionsThe study underscores the critical role of SRT in improving professional competences for RTMSs. Although training satisfaction has improved, their willingness to remain in rural practice after contract completion remains low. Immediate measures should include increasing rural allowances and improving housing conditions, while long-term strategies require government-level reforms to enhance remuneration, living conditions, and career development pathways.

trial registrationNot applicable.

Indexed as

Internship and ResidencyRural Health ServicesStudents, MedicalAdultAttitude of Health PersonnelChinaClinical CompetenceCross-Sectional StudiesFemaleHumansMaleSurveys and QuestionnairesFree medical educationGeneral practitionerStandardized training

Identifiers

PMID41299623
PMCPMC12659545

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.