{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:34:12Z","timestamp":1786977252265,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,9,22]],"date-time":"2018-09-22T00:00:00Z","timestamp":1537574400000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["iubmb.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Biochem Molecular Bio Educ"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Medical education paradigm has been questioned for the requirements of improving the quality and quantity of medical students. This study was to explore the efficiency of integrated\u2010based learning (IBL) used mini\u2010clinical evaluation exercise (mini\u2010CEX) during physical diagnostics course. One hundred and eleven volunteered students were randomly divided into three groups: lecture\u2010based learning (LBL), case\u2010based learning (CBL), and IBL. Nephrotic syndrome was the teaching content. In the IBL group, students were provided the guideline and additional interpretation from the instructor about the basic knowledge related to disease as vertical integration curriculum. Their performance was evaluated by mini\u2010CEX and theoretical examination, respectively. All subjects have completed the study. The difference of five factors (medical interview, physical examination, clinical judgment, organizational effectiveness, and competence) in mini\u2010CEX between IBL, CBL, and LBL were statistically significant (\n                    <jats:italic>p<\/jats:italic>\n                    &lt;0.05). Sample sizes of below, meets, and above the expectations of mini\u2010CEX in different instructional groups were statistically significant (\n                    <jats:italic>X<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    =17.842,\n                    <jats:italic>p<\/jats:italic>\n                    =0.001). The final exam scores in IBL group and the CBL group were significantly higher than that of LBL group (\n                    <jats:italic>F<\/jats:italic>\n                    =41.553,\n                    <jats:italic>p<\/jats:italic>\n                    =0.000). And the relationship of final exam score only in the IBL group was positive existed with medical interview (\n                    <jats:italic>R<\/jats:italic>\n                    =0.466,\n                    <jats:italic>p<\/jats:italic>\n                    =0.004), physical examination (\n                    <jats:italic>R<\/jats:italic>\n                    =0.328,\n                    <jats:italic>p<\/jats:italic>\n                    =0.048), professional attitude (\n                    <jats:italic>R<\/jats:italic>\n                    =0.366,\n                    <jats:italic>p<\/jats:italic>\n                    =0.026), and communication skill (\n                    <jats:italic>R<\/jats:italic>\n                    =0.412,\n                    <jats:italic>p<\/jats:italic>\n                    =0.011). Therefore, our study revealed the effect of IBL on the medical students\u2019 skills. It highlights IBL could improve the physical examination, organizational effectiveness, and competence and the application of basic knowledge. \u00a9 2018 International Union of Biochemistry and Molecular Biology, 46(5):417\u2013423, 2018.\n                  <\/jats:p>","DOI":"10.1002\/bmb.21137","type":"journal-article","created":{"date-parts":[[2018,9,22]],"date-time":"2018-09-22T09:17:08Z","timestamp":1537607828000},"page":"417-423","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Application of mini\u2010clinical evaluation exercise for assessing the integrated\u2010based learning during physical diagnostic course"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2856-5041","authenticated-orcid":false,"given":"Jingjing","family":"Da","sequence":"first","affiliation":[{"name":"Renal Division, Department of Medicine People's Hospital of Guizhou Province,Guiyang  Guizhou 55002 China"},{"name":"Department of Diagnostics Medical College of Guizhou University  Guiyang Guizhou 550002 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Ran","sequence":"additional","affiliation":[{"name":"Renal Division, Department of Medicine People's Hospital of Guizhou Province,Guiyang  Guizhou 55002 China"},{"name":"Department of Diagnostics Medical College of Guizhou University  Guiyang Guizhou 550002 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingjing","family":"Pi","sequence":"additional","affiliation":[{"name":"Renal Division, Department of Medicine People's Hospital of Guizhou Province,Guiyang  Guizhou 55002 China"},{"name":"Department of Diagnostics Medical College of Guizhou University  Guiyang Guizhou 550002 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wu","sequence":"additional","affiliation":[{"name":"Renal Division, Department of Medicine People's Hospital of Guizhou Province,Guiyang  Guizhou 55002 China"},{"name":"Department of Diagnostics Medical College of Guizhou University  Guiyang Guizhou 550002 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Dong","sequence":"additional","affiliation":[{"name":"Renal Division, Department of Medicine People's Hospital of Guizhou Province,Guiyang  Guizhou 55002 China"},{"name":"Department of Diagnostics Medical College of Guizhou University  Guiyang Guizhou 550002 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Li","sequence":"additional","affiliation":[{"name":"Renal Division, Department of Medicine People's Hospital of Guizhou Province,Guiyang  Guizhou 55002 China"},{"name":"Department of Diagnostics Medical College of Guizhou University  Guiyang Guizhou 550002 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Zhang","sequence":"additional","affiliation":[{"name":"Medical College of Guizhou University  Guiyang Guizhou 550002 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangyan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Clinical Education People's Hospital of Guizhou Province  Guiyang Guizhou 550002 China"},{"name":"Medical College of Guizhou University  Guiyang Guizhou 550002 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Zha","sequence":"additional","affiliation":[{"name":"Renal Division, Department of Medicine People's Hospital of Guizhou Province,Guiyang  Guizhou 55002 China"},{"name":"Department of Diagnostics Medical College of Guizhou University  Guiyang Guizhou 550002 China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2011.578173"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61854-5"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10401334.2013.842907"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0109294"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bmb.20972"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2003.20821.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-516X.186958"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2016.1181733"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2016.1210113"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-014-0346-0"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-138-6-200303180-00012"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/01421590701775453"},{"key":"e_1_2_7_14_1","first-page":"135","article-title":"Effects 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