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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Med.</journal-id>
<journal-title>Frontiers in Medicine</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Med.</abbrev-journal-title>
<issn pub-type="epub">2296-858X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmed.2024.1468256</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Medicine</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Application value of multi-disciplinary collaborative diagnosis and treatment combined with CBL teaching model in gynecological oncology practice teaching</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Wen</surname> <given-names>Fengrong</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
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<contrib contrib-type="author"><name><surname>Mo</surname> <given-names>Julan</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<contrib contrib-type="author" corresp="yes"><name><surname>Li</surname> <given-names>Renxiang</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref><xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
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<aff id="aff1"><sup>1</sup><institution>College of Nursing, Zhaoqing Medical College</institution>, <addr-line>Zhaoqing</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Gynaecology and Obstetrics, Zhaoqing Maternal and Child Health Care Hospital</institution>, <addr-line>Zhaoqing</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Neurosurgery, Zhaoqing Gaoyao District People's Hospital</institution>, <addr-line>Zhaoqing</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0001">
<p>Edited by: Michael J. Wolyniak, Hampden&#x2013;Sydney College, United States</p>
</fn>
<fn fn-type="edited-by" id="fn0002">
<p>Reviewed by: Carlos C. Goller, North Carolina State University, United States</p>
<p>Sipho Mkhize, University of KwaZulu-Natal, South Africa</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Renxiang Li, <email>renxian603@163.com</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>08</day>
<month>01</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>11</volume>
<elocation-id>1468256</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>08</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>04</day>
<month>12</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2025 Wen, Mo and Li.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Wen, Mo and Li</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec id="sec1">
<title>Background</title>
<p>To explore the application value of multi-disciplinary collaborative diagnosis (MDT) and treatment combined with the case-based learning (CBL) teaching method based on real clinical cases in gynecological malignant tumor practice teaching.</p>
</sec>
<sec id="sec2">
<title>Methods</title>
<p>A total of 120 clinical students who were interning in the Department of Gynecology in our hospital from January 2022 to June 2023 were selected and divided into a research group (<italic>n</italic>&#x202F;=&#x202F;60) and a control group (<italic>n</italic>&#x202F;=&#x202F;60) according to the random number table method. The research group adopted a MDT combined with the CBL teaching model, while the control group followed a traditional teaching model. After the two-month internship, the teaching faculty completed a self-evaluation form, and the students jointly evaluated the teaching effect through an exit assessment, which included basic theory, clinical skills, and case assessment. Additionally, a questionnaire survey was conducted to evaluate the student&#x2019;s recognition of the teaching model and collect their opinions and suggestions.</p>
</sec>
<sec id="sec3">
<title>Results</title>
<p>The research group showed significantly higher scores in basic theoretical knowledge, clinical skills, and case analysis assessments compared to the control group (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05). The questionnaire survey results indicated that the research group outperformed the control group in knowledge acquisition, learning initiative, learning interest, clinical analysis ability, clinical diagnosis, treatment thinking, teamwork ability, literature retrieval, and reading ability, and clinical language expression ability (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05). Students&#x2019; feedback suggested increasing doctor-patient communication time and improving the doctor-patient communication skills.</p>
</sec>
<sec id="sec4">
<title>Conclusion</title>
<p>MDT combined with the CBL teaching model based on real clinical cases can effectively foster autonomous learning, enhance the application of basic theoretical knowledge, and improves the quality of clinical teaching in gynecology. This method is worthy of promotion in clinical teaching.</p>
</sec>
</abstract>
<kwd-group>
<kwd>multidisciplinary collaborative diagnosis and treatment</kwd>
<kwd>case-based learning method</kwd>
<kwd>gynecological tumors</kwd>
<kwd>internship teaching</kwd>
<kwd>teaching model</kwd>
</kwd-group>
<counts>
<fig-count count="1"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="38"/>
<page-count count="9"/>
<word-count count="5951"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Healthcare Professions Education</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="sec5">
<label>1</label>
<title>Background</title>
<p>With the continuous advancement of medical technology and the improvement of public health awareness, women&#x2019;s health issues have received unprecedented attention and importance. According to recent global health statistics, gynecological cancers such as ovarian, cervical, and endometrial cancers are among the leading causes of cancer-related deaths in women worldwide (<xref ref-type="bibr" rid="ref1">1</xref>). The rising incidence of various tumors, including gynecological malignancies such as ovarian cancer, cervical cancer, and endometrial cancer, significantly contributes to global morbidity and mortality. These diseases are not only diverse but also involve a wide range of diseases, presenting significant challenges in diagnosis and treatment (<xref ref-type="bibr" rid="ref2">2</xref>). Faced with the complexity of medical and surgical treatment of gynecological malignancies, clinical gynecologists need to have higher professional knowledge and skills to ensure that they can accurately identify symptoms, develop effective treatment plans, and provide high-quality diagnosis and treatment services (<xref ref-type="bibr" rid="ref3">3</xref>).</p>
<p>As medical education evolves toward a competency-based, student-performance-focused curriculum, the demand for teaching models is increasing under the new situation, and standardized medical education is increasingly valued by the world (<xref ref-type="bibr" rid="ref4">4</xref>). At present, traditional teaching methods are still the main method in medical and clinical teaching. This is necessary and effective for popularizing important knowledge and concepts. Because it often has a large audience, the traditional lecture teaching method is indeed the most economical and effective theoretical teaching method (<xref ref-type="bibr" rid="ref5">5</xref>). However, the traditional teaching model is dominated by clinical teachers, who often adopt a cramming teaching method, where teachers actively transfer theoretical knowledge, while students (in most cases) passively listen, annotate and accept the content presented by teachers, that is, knowledge is instilled into students in a one-way manner (<xref ref-type="bibr" rid="ref6">6</xref>).</p>
<p>However, traditional medical training falls short in equipping students with the interdisciplinary competencies needed in modern medicine. Several studies indicate that traditional lecture-based approaches lack the engagement and practical application required for complex fields such as gynecological oncology, where both interdisciplinary knowledge and clinical skills are essential (<xref ref-type="bibr" rid="ref7 ref8 ref9">7&#x2013;9</xref>). The traditional medical education model struggles to adapt to the requirements of contemporary medical practice (<xref ref-type="bibr" rid="ref10">10</xref>, <xref ref-type="bibr" rid="ref11">11</xref>). Teaching hospitals, therefore, play a crucial role in hands-on clinical training of interns from medical universities, as they provide exposure to real-world medical scenarios and patient interactions (<xref ref-type="bibr" rid="ref12">12</xref>). Consequently, there is a pressing need to explore innovative teaching models that enhance engagement, clinical reasoning, and practical skills, ultimately improving the quality of medical education.</p>
<p>Case-based learning (CBL) is a teaching strategy that has gained significant acclaim both domestically and internationally in recent years (<xref ref-type="bibr" rid="ref13">13</xref>). CBL&#x2019;s effectiveness has been documented across various disciplines, as it allows students to apply theoretical knowledge in realistic clinical contexts, promoting deep learning and enhancing clinical reasoning skills (<xref ref-type="bibr" rid="ref14 ref15 ref16">14&#x2013;16</xref>). Its core concept involves constructing learning scenarios through in-depth analysis of specific cases. This method typically places students in simulated environments akin to real clinical settings, allowing them to deepen their understanding and mastery of knowledge through problem-solving and addressing challenges. CBL encourages students to actively explore and discover new knowledge points, fostering critical thinking and innovation (<xref ref-type="bibr" rid="ref17 ref18 ref19">17&#x2013;19</xref>). The flexibility and student-centered approach of CBL also cater to the diverse learning needs of medical students, making it a preferred teaching model in various medical curricula. Through this teaching model, students become acquainted with complex cases across various medical fields and learn to apply theoretical knowledge in practice, thereby transforming and enhancing their knowledge.</p>
<p>Multidisciplinary treatment (MDT) of tumors involves systematic discussions by experts from multiple disciplines, based on the patient&#x2019;s condition and tumor characteristics, to scientifically integrate various diagnosis and treatment measures and formulate the most appropriate treatment plan (<xref ref-type="bibr" rid="ref20">20</xref>). MDT has become the preferred treatment model for gynecological malignancies (<xref ref-type="bibr" rid="ref21">21</xref>). The MDT model enhances patient care outcomes and has demonstrated improved survival rates in gynecological oncology by leveraging insights from fields such as radiology, pathology, surgery, and pharmacology (<xref ref-type="bibr" rid="ref22">22</xref>, <xref ref-type="bibr" rid="ref23">23</xref>). In clinical teaching, the MDT model was initially implemented in tumor specialties but is typically integrated into CBL or problem-based learning rather than used alone. Studies have shown that combining MDT with CBL can provide students with a holistic view of patient care, equipping them with the multidisciplinary perspective needed in today&#x2019;s collaborative healthcare environment (<xref ref-type="bibr" rid="ref17">17</xref>, <xref ref-type="bibr" rid="ref24">24</xref>). A review of the literature revealed that the CBL method has been applied in undergraduate and graduate medical education (<xref ref-type="bibr" rid="ref25">25</xref>), but no systematic scope review has thoroughly explored the effectiveness of the MDT model combined with CBL teaching (<xref ref-type="bibr" rid="ref26">26</xref>).</p>
<p>In this study, we employed the MDT combined with the CBL teaching model in the clinical teaching of gynecological tumors. We then analyzed the application value of this teaching model in gynecological medicine education, aiming to cultivate medical talents with a solid theoretical foundation and practical skills through high-quality education and training.</p>
</sec>
<sec sec-type="methods" id="sec6">
<label>2</label>
<title>Methods</title>
<sec id="sec7">
<label>2.1</label>
<title>Sample</title>
<p>120 clinical students who were doing internships in the gynecology department of our hospital from January 2022 to June 2023 were selected. The internship period was 2&#x202F;months and they were divided into a research group (<italic>n</italic>&#x202F;=&#x202F;60) and a control group (<italic>n</italic>&#x202F;=&#x202F;60) according to the random number table method. The above patients and their families were informed of the relevant contents of this study, voluntarily signed the consent form, and actively cooperated with the research activities. The study protocol was approved by the hospital ethics committee, ensuring adherence to ethical standards in educational research.</p>
<p>Inclusion criteria: (a) fully participate in the research intervention during the entire internship period; (b) students and their families sign the informed consent form.</p>
<p>Exclusion criteria: (a) not fully participate in the research intervention during the entire internship period; (b) disagree to sign the informed consent form.</p>
</sec>
<sec id="sec8">
<label>2.2</label>
<title>Procedure</title>
<sec id="sec9">
<label>2.2.1</label>
<title>Control group (traditional teaching mode)</title>
<p>The control group adopted the traditional teaching mode: according to the requirements of the obstetrics and gynecology teaching syllabus, the focus was on the theoretical knowledge teaching of students, with the lecturer as the leading position. The main contents of the lecture included the concepts of various malignant tumors, the selection of diagnosis and treatment plans, etc. Typical cases of gynecological malignancies were presented, and multimedia resources were used for concentrated lectures and explanations. An interactive questioning session between teacher and student was added at the end, and students were encouraged to review after class.</p>
</sec>
<sec id="sec10">
<label>2.2.2</label>
<title>Research group (MDT combined with CBL teaching mode)</title>
<p>The research group adopted the MDT combined with CBL teaching mode.</p>
<sec id="sec11">
<label>2.2.2.1</label>
<title>Case preparation and lesson design</title>
<p>The teacher formulated specific cases based on the textbook syllabus and clinical practice, focusing mainly on obstetrics, gynecology, and common diseases. The teaching plan was student-centered and teacher-led. The teacher prepared appropriate teaching cases and related questions according to the students&#x2019; situation and made PowerPoint presentations. Guided by key points from the cases, the teacher meticulously prepared lessons, incorporating relevant frontier nursing knowledge.</p>
</sec>
<sec id="sec12">
<label>2.2.2.2</label>
<title>Teaching process</title>
<p>During the teaching process, the host teacher used pre-set case questions to stimulate students&#x2019; thinking and curiosity. Students were divided into groups of 10 based on seating proximity, with each group centered around a case. Using the teaching syllabus and typical cases, students independently consulted literature, presented their views, and discussed problems in class. Discussion time was limited to 10&#x202F;min. For instance, students might be asked, &#x201C;How would you prioritize diagnostic procedures for a suspected case of ovarian cancer?&#x201D; or &#x201C;What considerations are necessary when selecting a treatment plan for a patient with cervical cancer?&#x201D; The teacher engaged with student groups to understand different problem-solving approaches and thinking patterns. After gathering opinions from different groups, the teacher guided students to answer difficult questions by consulting relevant domestic and international literature.</p>
</sec>
<sec id="sec13">
<label>2.2.2.3</label>
<title>Group presentation and feedback</title>
<p>After the discussion phase, each group selected a representative to present their findings. The teacher provided immediate feedback and adjusted the class rhythm to ensure the completeness and order of the teaching content. To assess comprehension, questions aligned with the syllabus were set up as multiple-choice or voting questions. An example multiple-choice question included, &#x201C;Which diagnostic test is considered most reliable for early detection of cervical cancer?&#x201D; This approach comprehensively evaluated students&#x2019; understanding and engagement. Relevant questions were set according to the syllabus and case, conducted as multiple-choice questions or voting. This approach helped to comprehensively assess students&#x2019; understanding.</p>
</sec>
<sec id="sec14">
<label>2.2.2.4</label>
<title>Multidisciplinary involvement</title>
<p>Based on the case characteristics, teachers from various disciplines were invited to define and explain knowledge points related to their specialties. For instance:</p>
<sec id="sec15">
<label>2.2.2.4.1</label>
<title>Inspection discipline</title>
<p>Focused on project principles, reasonable selection, specimen collection precautions, result interpretation, potential interference factors, and prevention of false positives and negatives.</p>
</sec>
<sec id="sec16">
<label>2.2.2.4.2</label>
<title>Imaging discipline</title>
<p>Interpreted imaging characteristics, compared different imaging technologies, and discussed &#x201C;same disease, different images&#x201D; and &#x201C;different diseases, same images.&#x201D;</p>
</sec>
<sec id="sec17">
<label>2.2.2.4.3</label>
<title>Clinical pharmacy</title>
<p>Covered the mechanism of action, pharmacokinetics, pharmacodynamics, adverse reactions, drug selection, and differences among drugs of the same type.</p>
</sec>
<sec id="sec18">
<label>2.2.2.4.4</label>
<title>Nursing discipline</title>
<p>Addressed nursing issues, risk assessment, dietary guidance, and life guidance.</p>
</sec>
</sec>
<sec id="sec19">
<label>2.2.2.5</label>
<title>Summary and evaluation</title>
<p>Finally, the presiding teacher provided a systematic summary of the case diagnosis and treatment, and commented on each group&#x2019;s pre-class literature review, discussion, and representative presentations, highlighting the strengths and weaknesses. The feedback aimed to reinforce accurate clinical reasoning and correct misunderstandings identified during the presentations.</p>
<p>After the two groups of internships were completed, the teachers filled out a self-evaluation form, and the students jointly evaluated the teaching effectiveness through an exit assessment that included basic theory, clinical skills, and case assessment. At the same time, a questionnaire survey was conducted to investigate students&#x2019; recognition of the teaching model and to collect students&#x2019; opinions and suggestions. The questionnaire was developed by our research team for the purposes of this research (<xref ref-type="supplementary-material" rid="SM1">Supplementary File S1</xref>). Example questions from the questionnaire included: &#x201C;How would you rate your ability to apply theoretical knowledge in clinical practice after this training?&#x201D; and &#x201C;Did this teaching model increase your interest in learning gynecological oncology?&#x201D;</p>
</sec>
</sec>
</sec>
<sec id="sec20">
<label>2.3</label>
<title>Observation indicators</title>
<p>All 120 interns spent 2&#x202F;months in a gynecological oncology internship. When they left the department, the instructors and all trainees were evaluated. The methods are as follows:</p>
<sec id="sec21">
<label>2.3.1</label>
<title>Teachers&#x2019; evaluation of teaching effectiveness</title>
<p>The instructors were asked to self-evaluate their teaching effectiveness using the teacher self-evaluation form.</p>
</sec>
<sec id="sec22">
<label>2.3.2</label>
<title>Intern teaching effectiveness evaluation</title>
<p>The interns&#x2019; teaching effectiveness was evaluated using the proposed exit examination paper, which included basic theory, clinical skills, and case assessment. The basic theory was the knowledge and diagnosis and treatment theory related to gynecological oncology, which was assessed using multiple-choice questions, fill-in-the-blank questions, term explanations, and questions and answers; clinical skills included history writing, physical examination, and gynecological specialist examinations, and case analysis selected two typical cases of gynecological malignant tumors. The double-blind method was used, and the judges were not among the clinical instructors in this study; all scores were in percentage.</p>
</sec>
<sec id="sec23">
<label>2.3.3</label>
<title>Interns&#x2019; recognition of the teaching model and collection of feedback</title>
<p>The questionnaire survey was conducted and filled out anonymously by students. The content included knowledge acquisition ability, learning initiative, learning interest, clinical integration, clinical analysis ability, clinical diagnosis and treatment thinking, teamwork ability, literature retrieval and reading ability, doctor-patient communication ability, and clinical language expression ability. Examples of survey items included: &#x201C;Rate your ability to retrieve and interpret relevant medical literature&#x201D; and &#x201C;How has this model influenced your doctor-patient communication skills?&#x201D;</p>
</sec>
</sec>
<sec id="sec24">
<label>2.4</label>
<title>Data analysis</title>
<p>After the analysis and summary, the relevant data in the study were entered into SPSS 26.0 statistical software for processing. The counting data between groups were expressed as &#x201C;%,&#x201D; and the measurement data consistent with the normal distribution were expressed by (<italic>x</italic>&#x202F;&#x00B1;&#x202F;<italic>s</italic>). The former obtained the results by chi-square, and the latter obtained the results by <italic>t</italic>-test. If the difference between the test data was statistically significant, it was expressed as <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="sec25">
<label>3</label>
<title>Results</title>
<sec id="sec26">
<label>3.1</label>
<title>Study sample</title>
<p>The comparison of general information between the two groups of interns showed no significant differences in gender, age, and pre-entry grades (<xref ref-type="table" rid="tab1">Table 1</xref>).</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>General information of the two groups of interns.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Item</th>
<th align="center" valign="top">Research group (<italic>n</italic> =&#x202F;60)</th>
<th align="center" valign="top">Control group (<italic>n</italic> =&#x202F;60)</th>
<th align="center" valign="top">
<italic>p</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Men/women (<italic>n</italic>)</td>
<td align="center" valign="top">32/28</td>
<td align="center" valign="top">31/29</td>
<td align="char" valign="top" char=".">0.855</td>
</tr>
<tr>
<td align="left" valign="top">Average age (years)</td>
<td align="center" valign="top">23.63&#x202F;&#x00B1;&#x202F;0.74</td>
<td align="center" valign="top">23.47&#x202F;&#x00B1;&#x202F;0.68</td>
<td align="char" valign="top" char=".">0.199</td>
</tr>
<tr>
<td align="left" valign="top">Pre-entry grades (points)</td>
<td align="center" valign="top">76.78&#x202F;&#x00B1;&#x202F;11.91</td>
<td align="center" valign="top">76.42&#x202F;&#x00B1;&#x202F;12.00</td>
<td align="char" valign="top" char=".">0.867</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec27">
<label>3.2</label>
<title>Teachers&#x2019; evaluation of teaching effect</title>
<p>After the two groups of teachers completed their teaching, the effects of different teaching modes were compared (<xref ref-type="table" rid="tab2">Table 2</xref>). Overall, the students&#x2019; theoretical system and memory knowledge point construction, pre-class preparation, class discussion, and students&#x2019; practical ability under the new mode of the research group were better than those under the traditional mode of teaching, and the workload of teachers in the lesson preparation stage was also greater than that of traditional teaching. Compared with the control group, the teachers&#x2019; knowledge and abilities were significantly improved (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05).</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Teachers&#x2019; self-evaluation of teaching effectiveness with different teaching modes.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Question</th>
<th align="center" valign="top">Research group (<italic>n</italic> =&#x202F;60)</th>
<th align="center" valign="top">Control group (<italic>n</italic> =&#x202F;60)</th>
<th align="center" valign="top">
<italic>&#x03C7;</italic>
<sup>2</sup>
</th>
<th align="center" valign="top">
<italic>p</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Is it helpful for students to build a theoretical system and memorize knowledge points?</td>
<td align="char" valign="top" char="(">53 (88.33%)</td>
<td align="char" valign="top" char="(">35 (58.33%)</td>
<td align="char" valign="top" char=".">13.807</td>
<td align="char" valign="top" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">Are students able to complete their pre-class preparation as expected?</td>
<td align="char" valign="top" char="(">41 (68.33%)</td>
<td align="char" valign="top" char="(">30 (50.00%)</td>
<td align="char" valign="top" char=".">4.174</td>
<td align="char" valign="top" char=".">0.041</td>
</tr>
<tr>
<td align="left" valign="top">Can you fully participate in class discussions?</td>
<td align="char" valign="top" char="(">42 (70.00)</td>
<td align="char" valign="top" char="(">30 (50.00)</td>
<td align="char" valign="top" char=".">9.425</td>
<td align="char" valign="top" char=".">0.002</td>
</tr>
<tr>
<td align="left" valign="top">Does the lesson preparation process significantly increase teachers&#x2019; workload?</td>
<td align="char" valign="top" char="(">52 (86.67)</td>
<td align="char" valign="top" char="(">36 (60.00)</td>
<td align="char" valign="top" char=".">10.909</td>
<td align="char" valign="top" char=".">0.001</td>
</tr>
<tr>
<td align="left" valign="top">Is it helpful for improving teachers&#x2019; own knowledge and abilities?</td>
<td align="char" valign="top" char="(">50 (83.33)</td>
<td align="char" valign="top" char="(">35 (58.33)</td>
<td align="char" valign="top" char=".">9.076</td>
<td align="char" valign="top" char=".">0.003</td>
</tr>
<tr>
<td align="left" valign="top">Has there been improvement in students&#x2019; practical ability?</td>
<td align="char" valign="top" char="(">52 (86.67)</td>
<td align="char" valign="top" char="(">37 (61.67)</td>
<td align="char" valign="top" char=".">9.786</td>
<td align="char" valign="top" char=".">0.002</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec28">
<label>3.3</label>
<title>Evaluation of intern teaching effectiveness</title>
<p>After the two-month teaching period, the teaching interns were evaluated using the prepared exit examination papers. The comparison results showed that the research group was significantly higher than the control group in terms of basic theoretical knowledge, clinical skills, and case analysis. The difference is statistically significant (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) (<xref ref-type="table" rid="tab3">Table 3</xref> and <xref ref-type="fig" rid="fig1">Figure 1</xref>).</p>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption>
<p>The results of the two groups of interns&#x2019; final examination.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Group</th>
<th align="center" valign="top">
<italic>n</italic>
</th>
<th align="center" valign="top">Basic theoretical knowledge</th>
<th align="center" valign="top">Clinical skills</th>
<th align="center" valign="top">Case analysis</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Research group</td>
<td align="center" valign="top">60</td>
<td align="center" valign="top">90.27&#x202F;&#x00B1;&#x202F;5.11</td>
<td align="center" valign="top">88.55&#x202F;&#x00B1;&#x202F;5.97</td>
<td align="center" valign="top">91.42&#x202F;&#x00B1;&#x202F;5.50</td>
</tr>
<tr>
<td align="left" valign="top">Control group</td>
<td align="center" valign="top">60</td>
<td align="center" valign="top">82.57&#x202F;&#x00B1;&#x202F;4.89</td>
<td align="center" valign="top">84.37&#x202F;&#x00B1;&#x202F;6.04</td>
<td align="center" valign="top">82.07&#x202F;&#x00B1;&#x202F;4.80</td>
</tr>
<tr>
<td align="left" valign="top"><italic>t</italic></td>
<td/>
<td align="center" valign="top">8.341</td>
<td align="center" valign="top">3.815</td>
<td align="center" valign="top">9.924</td>
</tr>
<tr>
<td align="left" valign="top"><italic>p</italic></td>
<td/>
<td align="center" valign="top">&#x003C;0.001</td>
<td align="center" valign="top">&#x003C;0.001</td>
<td align="center" valign="top">&#x003C;0.001</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Violin plot of the two groups of interns&#x2019; final assessment results.</p>
</caption>
<graphic xlink:href="fmed-11-1468256-g001.tif"/>
</fig>
</sec>
<sec id="sec29">
<label>3.4</label>
<title>Interns&#x2019; recognition of the teaching model</title>
<p>After the two-month teaching, the results of the questionnaire survey on the interns were analyzed. The results showed that the research group was superior to the control group in terms of knowledge acquisition ability, learning initiative, learning interest, clinical integration, clinical analysis ability, clinical diagnosis and treatment thinking, teamwork ability, literature retrieval and reading ability, doctor-patient communication ability, and clinical language expression ability. The difference was statistically significant (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) (<xref ref-type="table" rid="tab4">Table 4</xref>). The students&#x2019; opinions and suggestions mainly included appropriately increasing the doctor-patient communication time and improving the doctor-patient communication skills.</p>
<table-wrap position="float" id="tab4">
<label>Table 4</label>
<caption>
<p>Questionnaire survey results on the teaching identity of the two groups of interns.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Investigate subject</th>
<th align="center" valign="top">Research group (<italic>n</italic> =&#x202F;60)</th>
<th align="center" valign="top">Control group (<italic>n</italic> =&#x202F;60)</th>
<th align="center" valign="top">
<italic>&#x03C7;</italic>
<sup>2</sup>
</th>
<th align="center" valign="top">
<italic>p</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Knowledge acquisition ability</td>
<td align="char" valign="top" char="(">53 (88.33)</td>
<td align="char" valign="top" char="(">39 (65.00)</td>
<td align="char" valign="top" char=".">9.130</td>
<td align="char" valign="top" char=".">0.003</td>
</tr>
<tr>
<td align="left" valign="top">Improve learning initiative</td>
<td align="char" valign="top" char="(">49 (81.67)</td>
<td align="char" valign="top" char="(">32 (53.33)</td>
<td align="char" valign="top" char=".">4.385</td>
<td align="char" valign="top" char=".">0.036</td>
</tr>
<tr>
<td align="left" valign="top">Stimulate interest in learning</td>
<td align="char" valign="top" char="(">53 (88.33)</td>
<td align="char" valign="top" char="(">37 (61.67)</td>
<td align="char" valign="top" char=".">11.378</td>
<td align="char" valign="top" char=".">0.001</td>
</tr>
<tr>
<td align="left" valign="top">Increase clinical integration</td>
<td align="char" valign="top" char="(">58 (96.67)</td>
<td align="char" valign="top" char="(">31 (51.67)</td>
<td align="char" valign="top" char=".">31.707</td>
<td align="char" valign="top" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">Providing clinical analysis capabilities</td>
<td align="char" valign="top" char="(">49 (81.67)</td>
<td align="char" valign="top" char="(">34 (56.67)</td>
<td align="char" valign="top" char=".">8.792</td>
<td align="char" valign="top" char=".">0.003</td>
</tr>
<tr>
<td align="left" valign="top">Enhance clinical diagnosis and treatment thinking</td>
<td align="char" valign="top" char="(">55 (91.67)</td>
<td align="char" valign="top" char="(">40 (66.67)</td>
<td align="char" valign="top" char=".">11.368</td>
<td align="char" valign="top" char=".">0.001</td>
</tr>
<tr>
<td align="left" valign="top">Promote teamwork skills</td>
<td align="char" valign="top" char="(">51 (85.00)</td>
<td align="char" valign="top" char="(">36 (60.00)</td>
<td align="char" valign="top" char=".">9.404</td>
<td align="char" valign="top" char=".">0.002</td>
</tr>
<tr>
<td align="left" valign="top">Improve literature search and reading skills</td>
<td align="char" valign="top" char="(">46 (76.67)</td>
<td align="char" valign="top" char="(">28 (46.67)</td>
<td align="char" valign="top" char=".">11.422</td>
<td align="char" valign="top" char=".">0.001</td>
</tr>
<tr>
<td align="left" valign="top">Improve doctor-patient communication skills</td>
<td align="char" valign="top" char="(">45 (75.00)</td>
<td align="char" valign="top" char="(">32 (53.33)</td>
<td align="char" valign="top" char=".">6.125</td>
<td align="char" valign="top" char=".">0.013</td>
</tr>
<tr>
<td align="left" valign="top">Optimizing clinical language expression skills</td>
<td align="char" valign="top" char="(">47 (78.33)</td>
<td align="char" valign="top" char="(">32 (53.33)</td>
<td align="char" valign="top" char=".">8.336</td>
<td align="char" valign="top" char=".">0.004</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec30">
<label>3.5</label>
<title>Case study example and specific skills assessed</title>
<p>To further illustrate the application of the MDT combined with CBL teaching model in gynecological oncology training, we provide two specific examples of the types of skills assessed and a representative case study used during the teaching sessions which could support a practical understanding of the teaching model.</p>
<p>In the final assessment of the research group, three core competencies were evaluated: fundamental theoretical knowledge, clinical skills, and case analysis. Below are specific skills evaluated within each category:</p>
<sec id="sec31">
<label>3.5.1</label>
<title>Fundamental theoretical knowledge</title>
<p>Mastery of diagnostic criteria and staging for common gynecologic cancers, such as ovarian, cervical, and endometrial cancers. Knowledge of standard treatment protocols, including the indications for surgery, chemotherapy, and radiotherapy. Understanding of pathophysiology related to gynecologic malignancies.</p>
</sec>
<sec id="sec32">
<label>3.5.2</label>
<title>Clinical skills</title>
<sec id="sec33">
<label>3.5.2.1</label>
<title>Patient history and communication</title>
<p>Ability to conduct a comprehensive patient history with a respectful and empathetic approach.</p>
</sec>
<sec id="sec34">
<label>3.5.2.2</label>
<title>Physical examination</title>
<p>Proficiency in performing pelvic exams and recognizing key physical signs relevant to gynecologic oncology.</p>
</sec>
<sec id="sec35">
<label>3.5.2.3</label>
<title>Diagnostic reasoning</title>
<p>Competence in interpreting laboratory results (e.g., CA-125 levels) and imaging studies (e.g., ultrasound, CT scans) to formulate an accurate diagnosis.</p>
</sec>
</sec>
<sec id="sec36">
<label>3.5.3</label>
<title>Case analysis and multidisciplinary decision-making</title>
<sec id="sec37">
<label>3.5.3.1</label>
<title>Differential diagnosis</title>
<p>Ability to generate and justify a list of potential diagnoses based on patient symptoms and clinical findings.</p>
</sec>
<sec id="sec38">
<label>3.5.3.2</label>
<title>Treatment planning</title>
<p>Development of a comprehensive, individualized treatment plan that integrates multidisciplinary insights and considers patient preferences.</p>
</sec>
<sec id="sec39">
<label>3.5.3.3</label>
<title>Ethical consideration and reflection</title>
<p>Engagement in critical thinking regarding ethical aspects, such as patient autonomy and informed consent.</p>
</sec>
</sec>
<sec id="sec40">
<label>3.5.4</label>
<title>Example case study: suspected ovarian cancer</title>
<sec id="sec41">
<label>3.5.4.1</label>
<title>Patient presentation</title>
<p>A 52-year-old postmenopausal female presents with complaints of abdominal bloating, early satiety, and pelvic pain. She has a family history of breast and ovarian cancer, and a recent pelvic exam reveals a palpable adnexal mass and presence of ascites.</p>
</sec>
</sec>
<sec id="sec42">
<label>3.5.5</label>
<title>Guided questions and teaching points</title>
<sec id="sec43">
<label>3.5.5.1</label>
<title>Differential diagnosis and diagnostic process</title>
<p>Question: &#x201C;What are the main differential diagnoses to consider, and what initial diagnostic tests would you recommend?&#x201D;</p>
<p>Expected response: Consider ovarian cancer, benign ovarian cysts, and gastrointestinal issues. Recommended tests include serum CA-125, transvaginal ultrasound, and abdominal/pelvic CT scan.</p>
</sec>
<sec id="sec44">
<label>3.5.5.2</label>
<title>Multidisciplinary insights</title>
<p>Radiologist: Discusses ultrasound findings and malignant features such as solid components.</p>
<p>Pathologist: Explains the relevance of CA-125 levels and diagnostic protocols.</p>
<p>Oncologist: Provides insights on treatment strategies, discussing the roles of surgery and chemotherapy.</p>
</sec>
<sec id="sec45">
<label>3.5.5.3</label>
<title>Treatment plan development and ethical considerations</title>
<p>Question: &#x201C;Based on the diagnostic findings, what would be your treatment approach?&#x201D;</p>
<p>Expected response: Discuss neoadjuvant chemotherapy, exploratory laparotomy, and cytoreductive surgery options.</p>
<p>Ethical discussion: Students discuss how to communicate risks and benefits to the patient, considering informed consent and patient autonomy.</p>
</sec>
<sec id="sec46">
<label>3.5.5.4</label>
<title>Reflection on multidisciplinary collaboration</title>
<p>Question: &#x201C;How did each discipline contribute to the overall management plan, and what value does this collaborative approach add?&#x201D;</p>
<p>Expected discussion: Emphasizes the role of teamwork in accurate diagnosis, comprehensive care, and holistic treatment planning.</p>
</sec>
</sec>
</sec>
</sec>
<sec sec-type="discussion" id="sec47">
<label>4</label>
<title>Discussion</title>
<p>The results of this study indicate that the MDT combined with CBL teaching model presents clear advantages over traditional teaching methods in gynecological oncology training. The new teaching model promotes a competency-based, student-centered approach, enhancing student engagement and learning outcomes. Interns in the research group rated the new model more favorably than the traditional approach, and their performance in terms of knowledge acquisition, clinical reasoning, teamwork, and communication skills showed statistically significant improvement compared to the control group.</p>
<p>This teaching method not only ignores the individual students&#x2019; independent learning potential and learning enthusiasm, but also limits students&#x2019; innovative thinking and critical thinking ability, affecting the quality of clinical skills training, and thus affecting the overall quality and effect of clinical teaching. Gynecological oncology is a highly professional branch of medicine. On the one hand, its practicality requires medical students to not only master solid theoretical basic knowledge but also have the practical ability to flexibly apply this knowledge in clinical practice (<xref ref-type="bibr" rid="ref27">27</xref>). On the other hand, the reason why this subject is difficult to master is largely because it is closely related to the patient&#x2019;s sensitive privacy information, which affects students&#x2019; interest and enthusiasm in this subject and makes learning more difficult. Therefore, it is particularly urgent to change the traditional teaching model and adopt more humane, diversified, and interactive educational methods.</p>
<p>As early as 1997, the University of Texas MD Anderson Cancer Center in the United States pioneered the MDT approach in the field of tumor treatment. Medical education scholars later applied this method to clinical teaching, involving joint teaching with instructors from multiple related disciplines (<xref ref-type="bibr" rid="ref28">28</xref>). CBL is a teaching method that uses real clinical scenarios to prepare students for clinical practice (<xref ref-type="bibr" rid="ref29">29</xref>). Unlike traditional textbook-style lectures, CBL encourages students to engage in peer learning and apply new knowledge to real clinical problems under the guidance of mentors (<xref ref-type="bibr" rid="ref17">17</xref>, <xref ref-type="bibr" rid="ref30">30</xref>).</p>
<p>Compared to traditional teaching methods, CBL demonstrates unique advantages. Rather than merely imparting knowledge, it emphasizes driving the learning process through practical and meaningful results. This teaching model focuses on cultivating students&#x2019; rigorous logical reasoning abilities, enabling them to think independently and solve complex problems. CBL promotes a structured and critical approach to solving clinical problems (<xref ref-type="bibr" rid="ref31">31</xref>). Trainees explore clinically relevant topics with clear goals under open-ended questions, discussing medical history, physical examination findings, and laboratory test results. Through the discussion of clinical cases related to the topics taught, students use higher-order cognition to assess their understanding of concepts, which encourages active learning and enhances critical thinking skills (<xref ref-type="bibr" rid="ref32">32</xref>, <xref ref-type="bibr" rid="ref33">33</xref>).</p>
<p>The design of this study was to apply a teaching model combining multidisciplinary diagnosis and CBL teaching to the teaching of gynecological oncology interns in our hospital, to comprehensively assess the value of the clinical application of this model in the training of gynecological oncology interns. The results indicated that the overall evaluation of the teaching effect under the new model by teaching instructors was superior to that of the traditional teaching model. Interns in the research group also rated the new model more favorably than the traditional teaching approach. The research group outperformed the control group in terms of knowledge acquisition ability, learning initiative, learning interest, clinical integration, clinical analysis ability, clinical diagnosis and treatment thinking, teamwork ability, literature retrieval and reading ability, doctor-patient communication ability, and clinical language expression ability. The differences were statistically significant. The final examination scores, based on three dimensions&#x2014;basic theoretical knowledge, clinical skills, and case analysis&#x2014;were higher in the research group than in the control group, with significant differences observed. This indicates that the new model significantly stimulated the students&#x2019; potential for independent learning, consistent with findings from foreign literature reviews (<xref ref-type="bibr" rid="ref5">5</xref>, <xref ref-type="bibr" rid="ref6">6</xref>, <xref ref-type="bibr" rid="ref15">15</xref>, <xref ref-type="bibr" rid="ref34">34</xref>, <xref ref-type="bibr" rid="ref35">35</xref>).</p>
<p>The new model overcomes the limitations of traditional teaching methods in undergraduate medical education by enhancing dynamic interaction between teachers and students. This dynamic learning process increases students&#x2019; interest and motivation, leading to greater concentration during lessons and maximizing learning potential. Students are encouraged to work in groups to deeply explore targeted cases designed by their instructors. They combine what they have learned and, under the guidance of multidisciplinary instructors, view clinical cases from multiple perspectives, analyze and deduce, and ultimately solve problems (<xref ref-type="bibr" rid="ref24">24</xref>, <xref ref-type="bibr" rid="ref36">36</xref>). This approach not only improves their ability to analyze and solve problems and think comprehensively but also promotes mutual learning and collaboration among them. Such a communication platform allows students to share their ideas and experiences, and teachers to better understand each student&#x2019;s characteristics and needs, providing personalized guidance and support, thereby enhancing student-teacher communication (<xref ref-type="bibr" rid="ref37">37</xref>, <xref ref-type="bibr" rid="ref38">38</xref>).</p>
<p>Although planning MDT combined with CBL may require considerable time, especially in preparing clinical cases and coordinating with other instructors, teachers provided positive feedback in their self-assessment reports. The multidisciplinary lead teachers expressed hope that by introducing more practical cases and discussions, students would better understand how to balance accessing medical information with protecting patient privacy, thus increasing their interest and motivation in the subject. Through interdisciplinary team collaboration and guidance, we break down disciplinary barriers, promote the exchange and sharing of knowledge, and provide students with broader perspectives and deeper learning experiences. This improves the comprehensive diagnosis and treatment capabilities of interns, better preparing them for real-world medical and clinical challenges.</p>
<p>In summary, the MDT combined with the CBL teaching model, based on real clinical cases in gynecological oncology teaching, presented significantly better teaching effects than traditional methods. This aligns with the expectations of both teachers and students and serves as a major guarantee for the promotion of the new model.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec48">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec sec-type="ethics-statement" id="sec49">
<title>Ethics statement</title>
<p>Ethical approval was not required for the study involving humans in accordance with the local legislation and institutional requirements. Written informed consent to participate in this study was not required from the participants or the participants&#x2019; legal guardians/next of kin in accordance with the national legislation and the institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="sec50">
<title>Author contributions</title>
<p>FW: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. JM: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. RL: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing.</p>
</sec>
<sec sec-type="funding-information" id="sec51">
<title>Funding</title>
<p>The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.</p>
</sec>
<sec sec-type="COI-statement" id="sec52">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="sec53">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="sec54">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fmed.2024.1468256/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fmed.2024.1468256/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="ref1"><label>1.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sung</surname> <given-names>H</given-names></name> <name><surname>Ferlay</surname> <given-names>J</given-names></name> <name><surname>Siegel</surname> <given-names>RL</given-names></name> <name><surname>Laversanne</surname> <given-names>M</given-names></name> <name><surname>Soerjomataram</surname> <given-names>I</given-names></name> <name><surname>Jemal</surname> <given-names>A</given-names></name> <etal/></person-group>. <article-title>Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries</article-title>. <source>CA Cancer J Clin</source>. (<year>2021</year>) <volume>71</volume>:<fpage>209</fpage>&#x2013;<lpage>49</lpage>. doi: <pub-id pub-id-type="doi">10.3322/caac.21660</pub-id>, PMID: <pub-id pub-id-type="pmid">33538338</pub-id></citation></ref>
<ref id="ref2"><label>2.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Di Fiore</surname> <given-names>R</given-names></name> <name><surname>Suleiman</surname> <given-names>S</given-names></name> <name><surname>Ellul</surname> <given-names>B</given-names></name> <name><surname>O&#x2019;Toole</surname> <given-names>SA</given-names></name> <name><surname>Savona-Ventura</surname> <given-names>C</given-names></name> <name><surname>Felix</surname> <given-names>A</given-names></name> <etal/></person-group>. <article-title>GYNOCARE update: modern strategies to improve diagnosis and treatment of rare gynecologic tumors&#x2014;current challenges and future directions</article-title>. <source>Cancers</source>. (<year>2021</year>) <volume>13</volume>:<fpage>493</fpage>. doi: <pub-id pub-id-type="doi">10.3390/cancers13030493</pub-id>, PMID: <pub-id pub-id-type="pmid">33514073</pub-id></citation></ref>
<ref id="ref3"><label>3.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hoffman</surname> <given-names>MS</given-names></name> <name><surname>Chi</surname> <given-names>DS</given-names></name> <name><surname>Clarke-Pearson</surname> <given-names>DL</given-names></name> <name><surname>Cliby</surname> <given-names>W</given-names></name> <name><surname>Creasman</surname> <given-names>W</given-names></name> <name><surname>Underwood</surname> <given-names>PB</given-names></name></person-group>. <article-title>Surgical training in gynecologic oncology: past, present, future</article-title>. <source>Gynecol Oncol</source>. (<year>2020</year>) <volume>158</volume>:<fpage>188</fpage>&#x2013;<lpage>93</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ygyno.2020.05.006</pub-id>, PMID: <pub-id pub-id-type="pmid">32456991</pub-id></citation></ref>
<ref id="ref4"><label>4.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Emanuel</surname> <given-names>EJ</given-names></name></person-group>. <article-title>The inevitable reimagining of medical education</article-title>. <source>JAMA</source>. (<year>2020</year>) <volume>323</volume>:<fpage>1127</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.1001/jama.2020.1227</pub-id>, PMID: <pub-id pub-id-type="pmid">32105294</pub-id></citation></ref>
<ref id="ref5"><label>5.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Oderinu</surname> <given-names>OH</given-names></name> <name><surname>Adegbulugbe</surname> <given-names>IC</given-names></name> <name><surname>Orenuga</surname> <given-names>OO</given-names></name> <name><surname>Butali</surname> <given-names>A</given-names></name></person-group>. <article-title>Comparison of students&#x2019; perception of problem-based learning and traditional teaching method in a Nigerian dental school</article-title>. <source>Eur J Dent Educ</source>. (<year>2020</year>) <volume>24</volume>:<fpage>207</fpage>&#x2013;<lpage>12</lpage>. doi: <pub-id pub-id-type="doi">10.1111/eje.12486</pub-id>, PMID: <pub-id pub-id-type="pmid">31765048</pub-id></citation></ref>
<ref id="ref6"><label>6.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Annadani</surname> <given-names>RR</given-names></name> <name><surname>Undi</surname> <given-names>M</given-names></name></person-group>. <article-title>A study to assess the effectiveness and perception of students regarding Case Based Learning over traditional teaching method in Community Medicine</article-title>. <source>Indian J Community Health</source>. (<year>2021</year>) <volume>33</volume>:<fpage>41</fpage>&#x2013;<lpage>6</lpage>. doi: <pub-id pub-id-type="doi">10.47203/IJCH.2021.v33i01.006</pub-id></citation></ref>
<ref id="ref7"><label>7.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bi</surname> <given-names>M</given-names></name> <name><surname>Zhao</surname> <given-names>Z</given-names></name> <name><surname>Yang</surname> <given-names>J</given-names></name> <name><surname>Wang</surname> <given-names>Y</given-names></name></person-group>. <article-title>Comparison of case-based learning and traditional method in teaching postgraduate students of medical oncology</article-title>. <source>Med Teach</source>. (<year>2019</year>) <volume>41</volume>:<fpage>1124</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.1080/0142159X.2019.1617414</pub-id>, PMID: <pub-id pub-id-type="pmid">31215320</pub-id></citation></ref>
<ref id="ref8"><label>8.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Uslu-Sahan</surname> <given-names>F</given-names></name> <name><surname>Terzioglu</surname> <given-names>F</given-names></name></person-group>. <article-title>Interprofessional simulation-based training in gynecologic oncology palliative care for students in the healthcare profession: a comparative randomized controlled trial</article-title>. <source>Nurse Educ Today</source>. (<year>2020</year>) <volume>95</volume>:<fpage>104588</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.nedt.2020.104588</pub-id>, PMID: <pub-id pub-id-type="pmid">32980608</pub-id></citation></ref>
<ref id="ref9"><label>9.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Krase</surname> <given-names>K</given-names></name> <name><surname>Pfeifer</surname> <given-names>E</given-names></name> <name><surname>Swan</surname> <given-names>K</given-names></name></person-group>. <article-title>Team-based learning sessions compared with traditional lecture in the obstetrics and gynecology clerkship</article-title>. <source>Obstet Gynecol</source>. (<year>2018</year>) <volume>132</volume>:<fpage>14S</fpage>&#x2013;<lpage>8S</lpage>. doi: <pub-id pub-id-type="doi">10.1097/AOG.0000000000002856</pub-id></citation></ref>
<ref id="ref10"><label>10.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Erem</surname> <given-names>AS</given-names></name> <name><surname>Appiah-Kubi</surname> <given-names>A</given-names></name> <name><surname>Konney</surname> <given-names>TO</given-names></name> <name><surname>Amo-Antwi</surname> <given-names>K</given-names></name> <name><surname>Bell</surname> <given-names>SG</given-names></name> <name><surname>Johnson</surname> <given-names>TRB</given-names></name> <etal/></person-group>. <article-title>Gynecologic oncology sub-specialty training in Ghana: a model for sustainable impact on gynecologic cancer care in sub-Saharan Africa</article-title>. <source>Front Public Health</source>. (<year>2020</year>) <volume>8</volume>:<fpage>603391</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fpubh.2020.603391</pub-id>, PMID: <pub-id pub-id-type="pmid">33344404</pub-id></citation></ref>
<ref id="ref11"><label>11.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Raza</surname> <given-names>A</given-names></name> <name><surname>Hussain</surname> <given-names>N</given-names></name></person-group>. <article-title>Problems and challenges of future medical education: current state and development prospects</article-title>. <source>Futurity Education</source>. (<year>2022</year>) <volume>2</volume>:<fpage>31</fpage>&#x2013;<lpage>43</lpage>. doi: <pub-id pub-id-type="doi">10.57125/FED/2022.10.11.32</pub-id></citation></ref>
<ref id="ref12"><label>12.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sistermans</surname> <given-names>IJ</given-names></name></person-group>. <article-title>Integrating competency-based education with a case-based or problem-based learning approach in online health sciences</article-title>. <source>Asia Pacific Educ Rev</source>. (<year>2020</year>) <volume>21</volume>:<fpage>683</fpage>&#x2013;<lpage>96</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s12564-020-09658-6</pub-id></citation></ref>
<ref id="ref13"><label>13.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Scott</surname> <given-names>R</given-names></name> <name><surname>Hawarden</surname> <given-names>A</given-names></name> <name><surname>Russell</surname> <given-names>B</given-names></name> <name><surname>Edmondson</surname> <given-names>RJ</given-names></name></person-group>. <article-title>Decision-making in gynaecological oncology multidisciplinary team meetings: a cross-sectional, observational study of ovarian cancer cases</article-title>. <source>Oncol Res Treat</source>. (<year>2019</year>) <volume>43</volume>:<fpage>70</fpage>&#x2013;<lpage>7</lpage>. doi: <pub-id pub-id-type="doi">10.1159/000504260</pub-id>, PMID: <pub-id pub-id-type="pmid">31743932</pub-id></citation></ref>
<ref id="ref14"><label>14.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Weidenbusch</surname> <given-names>M</given-names></name> <name><surname>Lenzer</surname> <given-names>B</given-names></name> <name><surname>Sailer</surname> <given-names>M</given-names></name> <name><surname>Strobel</surname> <given-names>C</given-names></name> <name><surname>Kunisch</surname> <given-names>R</given-names></name> <name><surname>Kiesewetter</surname> <given-names>J</given-names></name> <etal/></person-group>. <article-title>Can clinical case discussions foster clinical reasoning skills in undergraduate medical education? A randomised controlled trial</article-title>. <source>BMJ Open</source>. (<year>2019</year>) <volume>9</volume>:<fpage>e025973</fpage>. doi: <pub-id pub-id-type="doi">10.1136/bmjopen-2018-025973</pub-id>, PMID: <pub-id pub-id-type="pmid">31494596</pub-id></citation></ref>
<ref id="ref15"><label>15.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gul</surname> <given-names>A</given-names></name> <name><surname>Khan</surname> <given-names>RA</given-names></name> <name><surname>Yasmeen</surname> <given-names>R</given-names></name> <name><surname>Ahsan</surname> <given-names>NUH</given-names></name></person-group>. <article-title>How case based learning promotes deep learning in preclinical years of medical students?</article-title> <source>J Ayub Med Coll Abbottabad</source>. (<year>2020</year>) <volume>32</volume>:<fpage>228</fpage>&#x2013;<lpage>33</lpage>.</citation></ref>
<ref id="ref16"><label>16.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ali</surname> <given-names>M</given-names></name> <name><surname>Han</surname> <given-names>SC</given-names></name> <name><surname>Bilal</surname> <given-names>HSM</given-names></name> <name><surname>Lee</surname> <given-names>S</given-names></name> <name><surname>Kang</surname> <given-names>MJY</given-names></name> <name><surname>Kang</surname> <given-names>BH</given-names></name> <etal/></person-group>. <article-title>iCBLS: an interactive case-based learning system for medical education</article-title>. <source>Int J Med Inform</source>. (<year>2018</year>) <volume>109</volume>:<fpage>55</fpage>&#x2013;<lpage>69</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ijmedinf.2017.11.004</pub-id>, PMID: <pub-id pub-id-type="pmid">29195707</pub-id></citation></ref>
<ref id="ref17"><label>17.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Burgess</surname> <given-names>A</given-names></name> <name><surname>Matar</surname> <given-names>E</given-names></name> <name><surname>Roberts</surname> <given-names>C</given-names></name> <name><surname>Haq</surname> <given-names>I</given-names></name> <name><surname>Wynter</surname> <given-names>L</given-names></name> <name><surname>Singer</surname> <given-names>J</given-names></name> <etal/></person-group>. <article-title>Scaffolding medical student knowledge and skills: team-based learning (TBL) and case-based learning (CBL)</article-title>. <source>BMC Med Educ</source>. (<year>2021</year>) <volume>21</volume>:<fpage>238</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12909-021-02638-3</pub-id>, PMID: <pub-id pub-id-type="pmid">33902576</pub-id></citation></ref>
<ref id="ref18"><label>18.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Korniichuk</surname> <given-names>OY</given-names></name> <name><surname>Bambyzov</surname> <given-names>LM</given-names></name> <name><surname>Kosenko</surname> <given-names>VM</given-names></name> <name><surname>Spaska</surname> <given-names>AM</given-names></name> <name><surname>Tsekhmister</surname> <given-names>YV</given-names></name></person-group>. <article-title>Application of the case study method in medical education</article-title>. <source>Int J Learn Teach Educ Res</source>. (<year>2021</year>) <volume>20</volume>:<fpage>175</fpage>&#x2013;<lpage>91</lpage>. doi: <pub-id pub-id-type="doi">10.26803/ijlter.20.7.10</pub-id></citation></ref>
<ref id="ref19"><label>19.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>L</given-names></name> <name><surname>Li</surname> <given-names>M</given-names></name> <name><surname>Zheng</surname> <given-names>Q</given-names></name> <name><surname>Jiang</surname> <given-names>H</given-names></name></person-group>. <article-title>The effects of case-based teaching in nursing skill education: cases do matter</article-title>. <source>Inquiry</source>. (<year>2020</year>) <volume>57</volume>:<fpage>46958020964421</fpage>. doi: <pub-id pub-id-type="doi">10.1177/0046958020964421</pub-id>, PMID: <pub-id pub-id-type="pmid">33111605</pub-id></citation></ref>
<ref id="ref20"><label>20.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Taberna</surname> <given-names>M</given-names></name> <name><surname>Gil Moncayo</surname> <given-names>F</given-names></name> <name><surname>Jan&#x00E9;-Salas</surname> <given-names>E</given-names></name> <name><surname>Antonio</surname> <given-names>M</given-names></name> <name><surname>Arribas</surname> <given-names>L</given-names></name> <name><surname>Vilajosana</surname> <given-names>E</given-names></name> <etal/></person-group>. <article-title>The multidisciplinary team (MDT) approach and quality of care</article-title>. <source>Front Oncol</source>. (<year>2020</year>) <volume>10</volume>:<fpage>85</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fonc.2020.00085</pub-id></citation></ref>
<ref id="ref21"><label>21.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Heuser</surname> <given-names>C</given-names></name> <name><surname>Diekmann</surname> <given-names>A</given-names></name> <name><surname>Schellenberger</surname> <given-names>B</given-names></name> <name><surname>Bohmeier</surname> <given-names>B</given-names></name> <name><surname>Kuhn</surname> <given-names>W</given-names></name> <name><surname>Karbach</surname> <given-names>U</given-names></name> <etal/></person-group>. <article-title>Patient participation in multidisciplinary tumor conferences from the providers&#x2019; perspective: is it feasible in routine cancer care?</article-title> <source>J Multidiscip Healthc</source>. (<year>2020</year>) <volume>13</volume>:<fpage>1729</fpage>&#x2013;<lpage>39</lpage>. doi: <pub-id pub-id-type="doi">10.2147/JMDH.S283166</pub-id>, PMID: <pub-id pub-id-type="pmid">33273821</pub-id></citation></ref>
<ref id="ref22"><label>22.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sinn</surname> <given-names>DH</given-names></name> <name><surname>Choi</surname> <given-names>GS</given-names></name> <name><surname>Park</surname> <given-names>HC</given-names></name> <name><surname>Kim</surname> <given-names>JM</given-names></name> <name><surname>Kim</surname> <given-names>H</given-names></name> <name><surname>Song</surname> <given-names>KD</given-names></name> <etal/></person-group>. <article-title>Multidisciplinary approach is associated with improved survival of hepatocellular carcinoma patients</article-title>. <source>PLoS One</source>. (<year>2019</year>) <volume>14</volume>:<fpage>e0210730</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0210730</pub-id>, PMID: <pub-id pub-id-type="pmid">30640924</pub-id></citation></ref>
<ref id="ref23"><label>23.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jing</surname> <given-names>XM</given-names></name> <name><surname>Chen</surname> <given-names>P</given-names></name> <name><surname>Li</surname> <given-names>SF</given-names></name> <name><surname>Feng</surname> <given-names>ZR</given-names></name> <name><surname>Li</surname> <given-names>YF</given-names></name> <name><surname>Yang</surname> <given-names>Q</given-names></name></person-group>. <article-title>Effect of multidisciplinary treatment (MDT) on survival outcomes of lung cancer patients: experiences from China</article-title>. <source>Asia Pac J Clin Oncol</source>. (<year>2023</year>) <volume>20</volume>:<fpage>634</fpage>&#x2013;<lpage>42</lpage>. doi: <pub-id pub-id-type="doi">10.1111/ajco.13972</pub-id></citation></ref>
<ref id="ref24"><label>24.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname> <given-names>W</given-names></name> <name><surname>He</surname> <given-names>L</given-names></name> <name><surname>Deng</surname> <given-names>W</given-names></name> <name><surname>Zhu</surname> <given-names>J</given-names></name> <name><surname>Su</surname> <given-names>A</given-names></name> <name><surname>Zhang</surname> <given-names>Y</given-names></name></person-group>. <article-title>The effectiveness of the combined problem-based learning (PBL) and case-based learning (CBL) teaching method in the clinical practical teaching of thyroid disease</article-title>. <source>BMC Med Educ</source>. (<year>2020</year>) <volume>20</volume>:<fpage>381</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12909-020-02306-y</pub-id>, PMID: <pub-id pub-id-type="pmid">33092583</pub-id></citation></ref>
<ref id="ref25"><label>25.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>George</surname> <given-names>T</given-names></name> <name><surname>Carey</surname> <given-names>RAB</given-names></name> <name><surname>Abraham</surname> <given-names>OC</given-names></name> <name><surname>Sebastian</surname> <given-names>T</given-names></name> <name><surname>Faith</surname> <given-names>MF</given-names></name></person-group>. <article-title>Trainee doctors in medicine prefer case-based learning compared to didactic teaching</article-title>. <source>J Family Med Prim Care</source>. (<year>2020</year>) <volume>9</volume>:<fpage>580</fpage>&#x2013;<lpage>4</lpage>. doi: <pub-id pub-id-type="doi">10.4103/jfmpc.jfmpc_1093_19</pub-id></citation></ref>
<ref id="ref26"><label>26.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cen</surname> <given-names>XY</given-names></name> <name><surname>Hua</surname> <given-names>Y</given-names></name> <name><surname>Niu</surname> <given-names>S</given-names></name> <name><surname>Yu</surname> <given-names>T</given-names></name></person-group>. <article-title>Application of case-based learning in medical student education: a meta-analysis</article-title>. <source>Eur Rev Med Pharmacol Sci</source>. (<year>2021</year>) <volume>25</volume>:<fpage>3173</fpage>&#x2013;<lpage>81</lpage>. doi: <pub-id pub-id-type="doi">10.26355/eurrev_202104_25726</pub-id>, PMID: <pub-id pub-id-type="pmid">33928603</pub-id></citation></ref>
<ref id="ref27"><label>27.</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Chi</surname> <given-names>D</given-names></name> <name><surname>Berchuck</surname> <given-names>A</given-names></name> <name><surname>Dizon</surname> <given-names>DS</given-names></name> <name><surname>Yashar</surname> <given-names>CM</given-names></name></person-group>. <source>Principles and practice of gynecologic oncology</source>. <publisher-loc>Philadelphia, PA</publisher-loc>: <publisher-name>Wolters Kluwer Health</publisher-name> (<year>2017</year>).</citation></ref>
<ref id="ref28"><label>28.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xiaoxi</surname> <given-names>L</given-names></name> <name><surname>Wenhui</surname> <given-names>T</given-names></name> <name><surname>Zhongxia</surname> <given-names>W</given-names></name> <name><surname>Bo</surname> <given-names>L</given-names></name> <name><surname>Jinghui</surname> <given-names>D</given-names></name> <name><surname>Ying</surname> <given-names>X</given-names></name> <etal/></person-group>. <article-title>Application of multidisciplinary team and case-based learning in clinical teaching of infectious diseases</article-title>. <source>Med Educ Manag</source>. (<year>2023</year>) <volume>9</volume>:<fpage>740</fpage>.</citation></ref>
<ref id="ref29"><label>29.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tsekhmister</surname> <given-names>Y</given-names></name></person-group>. <article-title>Effectiveness of case-based learning in medical and pharmacy education: a meta-analysis</article-title>. <source>Electron J Gen Med</source>. (<year>2023</year>) <volume>20</volume>:<fpage>em515</fpage>. doi: <pub-id pub-id-type="doi">10.29333/ejgm/13315</pub-id></citation></ref>
<ref id="ref30"><label>30.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nishal</surname> <given-names>A</given-names></name> <name><surname>Patel</surname> <given-names>J</given-names></name> <name><surname>Balvalli</surname> <given-names>R</given-names></name> <name><surname>Yadav</surname> <given-names>PP</given-names></name> <name><surname>Jayani</surname> <given-names>P</given-names></name> <name><surname>Singh</surname> <given-names>R</given-names></name> <etal/></person-group>. <article-title>A comparative study of case-based learning vs. traditional teaching method in pathology in Indian medical graduates</article-title>. <source>J Med Edu</source>. (<year>2022</year>) <volume>21</volume>:<fpage>e127188</fpage>. doi: <pub-id pub-id-type="doi">10.5812/jme-127188</pub-id></citation></ref>
<ref id="ref31"><label>31.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sangam</surname> <given-names>MR</given-names></name> <name><surname>Bokan</surname> <given-names>RR</given-names></name> <name><surname>Deka</surname> <given-names>R</given-names></name> <name><surname>Kaur</surname> <given-names>A</given-names></name></person-group>. <article-title>Efficacy of case-based learning in anatomy</article-title>. <source>Cureus</source>. (<year>2021</year>) <volume>13</volume>:<fpage>e20472</fpage>. doi: <pub-id pub-id-type="doi">10.7759/cureus.20472</pub-id></citation></ref>
<ref id="ref32"><label>32.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sapeni</surname> <given-names>MAAR</given-names></name> <name><surname>Said</surname> <given-names>S</given-names></name></person-group>. <article-title>The effectiveness of case-based learning in increasing critical thinking of nursing students: a literature review</article-title>. <source>Enferm Clin</source>. (<year>2020</year>) <volume>30</volume>:<fpage>182</fpage>&#x2013;<lpage>5</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.enfcli.2019.07.073</pub-id></citation></ref>
<ref id="ref33"><label>33.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ulvik</surname> <given-names>M</given-names></name> <name><surname>Eide</surname> <given-names>HMK</given-names></name> <name><surname>Eide</surname> <given-names>L</given-names></name> <name><surname>Helleve</surname> <given-names>I</given-names></name> <name><surname>Jensen</surname> <given-names>VS</given-names></name> <name><surname>Ludvigsen</surname> <given-names>K</given-names></name> <etal/></person-group>. <article-title>Teacher educators reflecting on case-based teaching &#x2013; a collective self-study</article-title>. <source>Prof Dev Educ</source>. (<year>2022</year>) <volume>48</volume>:<fpage>657</fpage>&#x2013;<lpage>71</lpage>. doi: <pub-id pub-id-type="doi">10.1080/19415257.2020.1712615</pub-id></citation></ref>
<ref id="ref34"><label>34.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Muthukrishnan</surname> <given-names>SP</given-names></name> <name><surname>Chandran</surname> <given-names>DS</given-names></name> <name><surname>Afreen</surname> <given-names>N</given-names></name> <name><surname>Bir</surname> <given-names>M</given-names></name> <name><surname>Dastidar</surname> <given-names>SG</given-names></name> <name><surname>Jayappa</surname> <given-names>H</given-names></name> <etal/></person-group>. <article-title>Planning, implementation, and evaluation of multicomponent, case-based learning for first-year Indian medical undergraduates</article-title>. <source>Adv Physiol Educ</source>. (<year>2019</year>) <volume>43</volume>:<fpage>504</fpage>&#x2013;<lpage>11</lpage>. doi: <pub-id pub-id-type="doi">10.1152/advan.00080.2019</pub-id>, PMID: <pub-id pub-id-type="pmid">31553644</pub-id></citation></ref>
<ref id="ref35"><label>35.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Maia</surname> <given-names>D</given-names></name> <name><surname>Andrade</surname> <given-names>R</given-names></name> <name><surname>Afonso</surname> <given-names>J</given-names></name> <name><surname>Costa</surname> <given-names>P</given-names></name> <name><surname>Valente</surname> <given-names>C</given-names></name> <name><surname>Espregueira-Mendes</surname> <given-names>J</given-names></name></person-group>. <article-title>Academic performance and perceptions of undergraduate medical students in case-based learning compared to other teaching strategies: a systematic review with Meta-analysis</article-title>. <source>Educ Sci</source>. (<year>2023</year>) <volume>13</volume>:<fpage>238</fpage>. doi: <pub-id pub-id-type="doi">10.3390/educsci13030238</pub-id></citation></ref>
<ref id="ref36"><label>36.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gold</surname> <given-names>JM</given-names></name> <name><surname>Collazo</surname> <given-names>RA</given-names></name> <name><surname>Athauda</surname> <given-names>G</given-names></name> <name><surname>Obeso</surname> <given-names>VT</given-names></name> <name><surname>Toonkel</surname> <given-names>RL</given-names></name></person-group>. <article-title>Taking CBL to the lecture hall: a comparison of outcomes between traditional small group CBL and a novel large group team-based CBL teaching method</article-title>. <source>Med Sci Educ</source>. (<year>2020</year>) <volume>30</volume>:<fpage>227</fpage>&#x2013;<lpage>33</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s40670-019-00871-6</pub-id>, PMID: <pub-id pub-id-type="pmid">34457663</pub-id></citation></ref>
<ref id="ref37"><label>37.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sartania</surname> <given-names>N</given-names></name> <name><surname>Sneddon</surname> <given-names>S</given-names></name> <name><surname>Boyle</surname> <given-names>JG</given-names></name> <name><surname>McQuarrie</surname> <given-names>E</given-names></name> <name><surname>de Koning</surname> <given-names>HP</given-names></name></person-group>. <article-title>Increasing collaborative discussion in case-based learning improves student engagement and knowledge acquisition</article-title>. <source>Med Sci Educ</source>. (<year>2022</year>) <volume>32</volume>:<fpage>1055</fpage>&#x2013;<lpage>64</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s40670-022-01614-w</pub-id>, PMID: <pub-id pub-id-type="pmid">36276760</pub-id></citation></ref>
<ref id="ref38"><label>38.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Koenemann</surname> <given-names>N</given-names></name> <name><surname>Lenzer</surname> <given-names>B</given-names></name> <name><surname>Zottmann</surname> <given-names>JM</given-names></name> <name><surname>Fischer</surname> <given-names>MR</given-names></name> <name><surname>Weidenbusch</surname> <given-names>M</given-names></name></person-group>. <article-title>Clinical case discussions - a novel, supervised peer-teaching format to promote clinical reasoning in medical students. GMS</article-title>. <source>J Med Educ</source>. (<year>2020</year>) <volume>37</volume>:<fpage>Doc48</fpage>. doi: <pub-id pub-id-type="doi">10.3205/zma001341</pub-id></citation></ref>
</ref-list>
</back>
</article>