Evidence map›Paper›PMID 41947144›Full record

ArticleBMC medical education2026

Integrating Mini-CEX into a four-stage virtual simulation platform for clinical skills training: development and student evaluation.

Wei Li, Changyun He, Yangyi Li, Qibin Jiao, Yanlin Wu, Zhonghao Ji, Junchen Zhang, Zhitao Zhu, Xiaojie Li

Abstract read
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Wei LiDepartment of Clinical Medicine, Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China. Hznuliwei@163.com.
Changyun HeSchool of Information Science and Technology, Hangzhou Normal University, Hangzhou, China.
Yangyi LiDepartment of Clinical Medicine, Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China.
Qibin JiaoDepartment of Clinical Medicine, Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China.
Yanlin WuDepartment of Clinical Medicine, Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China.
Zhonghao JiDepartment of Clinical Medicine, Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China.
Junchen ZhangPuyang Second People's Hospital (Puyang Eye Hospital), Puyang, China.
Zhitao ZhuDepartment of Clinical Medicine, Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China.
Xiaojie LiDepartment of Clinical Medicine, Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China.

Funding

Zhejiang Higher Education Association ZNJY2401
6 · The paper itself

Abstract

backgroundVirtual simulation in medical education is often fragmented, lacking a continuous pathway from theory to clinical practice. The Mini-Clinical Evaluation Exercise (Mini-CEX) offers a competency-based assessment framework that could address this gap. This study aimed to develop and evaluate a four-stage virtual simulation teaching platform integrating the Mini-CEX framework for clinical medicine training.

methodsThe four-stage platform (theoretical instruction, faculty demonstration, virtual simulation practice, bedside training) was developed and implemented with 120 final-year clinical medicine interns. A 15-item questionnaire, developed by the research team, assessed students’ learning experiences (10 items; 10-point Likert scale) and the platform’s functional demands (5 items; 0–1 scale). Data were analyzed using descriptive statistics (mean, SD) in SPSS 26.0.

resultsStudent acceptance of the model was high, with mean scores for all experience items exceeding 7.1. The highest-rated aspects were flexibility in using fragmented time (8.3 ± 0.5) and platform ease of use (8.3 ± 0.3). The most desired platform functions were access to course materials (0.82) and assessment information (0.80).

conclusionThe Mini-CEX-oriented four-stage virtual simulation platform is a feasible and well-accepted model that effectively integrates clinical knowledge and skills training. It provides a structured pathway for competency development, supporting its potential for broader implementation in medical education reform.

Indexed as

Clinical CompetenceEducational MeasurementSimulation TrainingFemaleHumansInternship and ResidencyMaleStudents, MedicalSurveys and QuestionnairesVirtual RealityClinical skills educationFour-stage training modelMini-CEXStudent evaluationVirtual simulation teaching platform

Identifiers

PMID41947144
PMCPMC13218017

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.