{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T22:14:20Z","timestamp":1779401660693,"version":"3.53.1"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Medical Education and Curricular Development"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Metabolic dysfunction\u2013associated steatotic liver disease (MASLD) has become one of the most prevalent chronic liver diseases worldwide and requires comprehensive clinical management involving risk stratification, longitudinal assessment, and integrated decision-making. Developing residents\u2019 clinical reasoning and stratified management competence remains a challenge in traditional residency training, which often relies on fragmented case exposure. This study aimed to evaluate the effectiveness of a specialty-focused, outpatient-based case teaching model embedded in a MASLD clinic for residency training. MASLD was used as a representative context of chronic disease management to evaluate a specialty-focused, outpatient-based case teaching model applicable to residency training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This quasi-experimental teaching quality improvement study included 232 residents rotating through a hepatology department between November 2024 and October 2025. Participants were allocated to a traditional teaching group (n = 104) or a specialty clinic\u2013based case teaching group (n = 128) according to rotation arrangements. The intervention integrated authentic outpatient cases with on-site demonstration, structured reflection, and integrated clinical decision-making. Teaching outcomes were assessed across multiple domains, including theoretical knowledge, clinical skills, diagnostic and stratification ability, clinical reasoning, traditional Chinese medicine (TCM) pattern differentiation, and teaching satisfaction. Group comparisons were performed using independent-sample\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      tests and chi-square tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Residents in the specialty clinic\u2013based teaching group achieved significantly higher scores than those in the traditional group across all continuous outcome measures, including theoretical knowledge, clinical skills, diagnostic and stratification ability, clinical reasoning, TCM pattern differentiation, and teaching satisfaction (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Skill assessment pass rates and the proportion of residents achieving an overall performance rating of \u201cgood or above\u201d were also significantly higher in the specialty group. Subgroup analysis showed no significant differences between undergraduate and postgraduate residents within the traditional group. In contrast, within the specialty teaching group, postgraduate residents demonstrated significantly higher diagnostic and stratification scores than undergraduate residents (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.030).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study suggests that a specialty-focused, outpatient-based case teaching model embedded within a MASLD clinic may improve residents\u2019 clinical competence and learning satisfaction compared with traditional teaching approaches. It may also support stratified training and serve as a practical complement to residency education in chronic disease management settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23821205261453755","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T23:01:16Z","timestamp":1779231676000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of a Specialty-Focused, Outpatient-Based Case Teaching Model in Residency Training for Metabolic Dysfunction\u2013Associated Steatotic Liver Disease"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6118-2605","authenticated-orcid":false,"given":"Wei","family":"Li","sequence":"first","affiliation":[{"name":"First Teaching Hospital of Tianjin University of Traditional Chinese Medicine"},{"name":"National Clinical Research Center for Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongye","family":"Shang","sequence":"additional","affiliation":[{"name":"First Teaching Hospital of Tianjin University of Traditional Chinese Medicine"},{"name":"National Clinical Research Center for Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wentao","family":"Zhang","sequence":"additional","affiliation":[{"name":"First Teaching Hospital of Tianjin University of Traditional Chinese Medicine"},{"name":"National Clinical Research Center for Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangjin","family":"Liu","sequence":"additional","affiliation":[{"name":"First Teaching Hospital of Tianjin University of Traditional Chinese Medicine"},{"name":"National Clinical Research Center for Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingfeng","family":"Zhao","sequence":"additional","affiliation":[{"name":"First Teaching Hospital of Tianjin University of Traditional Chinese Medicine"},{"name":"National Clinical Research Center for Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/S40037-022-00701-3"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0309606"},{"key":"e_1_3_9_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-025-06644-7"},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2023.2259071"},{"key":"e_1_3_9_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/23821205221096106"},{"key":"e_1_3_9_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-024-05203-w"},{"key":"e_1_3_9_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10459-025-10426-7"},{"key":"e_1_3_9_9_2","doi-asserted-by":"publisher","DOI":"10.2196\/68981"},{"issue":"6","key":"e_1_3_9_10_2","first-page":"1113","article-title":"Clinical reasoning training sessions for health professions educators: a scoping review","volume":"18","author":"Tambeh SNM","year":"2023","unstructured":"Tambeh SNM, Yaman MN. Clinical reasoning training sessions for health professions educators: a scoping review. J Taibah Univ Med Sci. 2023;18(6):1113-1123.","journal-title":"J Taibah Univ Med Sci"},{"key":"e_1_3_9_11_2","first-page":"26","article-title":"Ambulatory curriculum enhancing education for modern resident learners","volume":"9","author":"Ishkin A","year":"2025","unstructured":"Ishkin A, Phillips RL, Peterson LE. Ambulatory curriculum enhancing education for modern resident learners. Family Medicine. 2025;9:26.","journal-title":"Family Medicine"},{"key":"e_1_3_9_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/aet2.10946"},{"key":"e_1_3_9_13_2","doi-asserted-by":"publisher","DOI":"10.5811\/WESTJEM.41493"},{"key":"e_1_3_9_14_2","first-page":"214","article-title":"Effectiveness of the mini-clinical evaluation exercise (Mini-CEX) as a formative assessment tool in undergraduate medical education","volume":"25","author":"Durrani SF","year":"2025","unstructured":"Durrani SF, Fatima S, Khan S. Effectiveness of the mini-clinical evaluation exercise (Mini-CEX) as a formative assessment tool in undergraduate medical education. BMC Med Educ. 2025;25:214.","journal-title":"BMC Med Educ"},{"key":"e_1_3_9_15_2","first-page":"98","article-title":"Construct validity of the Mini-CEX in health professions education","volume":"25","author":"Moe AK","year":"2025","unstructured":"Moe AK, Fossum B, Gjevjon ER. Construct validity of the Mini-CEX in health professions education. BMC Med Educ. 2025;25:98.","journal-title":"BMC Med Educ"},{"key":"e_1_3_9_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-024-05739-x"},{"key":"e_1_3_9_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2025.2586874"},{"key":"e_1_3_9_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-024-05614-9"},{"key":"e_1_3_9_19_2","doi-asserted-by":"publisher","DOI":"10.2196\/50373"},{"key":"e_1_3_9_20_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2025.1556018"},{"key":"e_1_3_9_21_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-095705"}],"container-title":["Journal of Medical Education and Curricular Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23821205261453755","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23821205261453755","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23821205261453755","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T21:16:10Z","timestamp":1779398170000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23821205261453755"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":20,"alternative-id":["10.1177\/23821205261453755"],"URL":"https:\/\/doi.org\/10.1177\/23821205261453755","relation":{},"ISSN":["2382-1205","2382-1205"],"issn-type":[{"value":"2382-1205","type":"print"},{"value":"2382-1205","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"article-number":"23821205261453755"}}