{"id":"https://openalex.org/W7203590673","doi":null,"title":"STANDARDIZED PATIENT-BASED TRAINING AND CLINICAL DIAGNOSTIC COMPETENCE AMONG MEDICAL STUDENTS: A RANDOMIZED COMPARATIVE STUDY.","display_name":"STANDARDIZED PATIENT-BASED TRAINING AND CLINICAL DIAGNOSTIC COMPETENCE AMONG MEDICAL STUDENTS: A RANDOMIZED COMPARATIVE STUDY.","publication_year":2026,"publication_date":"2026-06-01","ids":{"openalex":"https://openalex.org/W7203590673","pmid":"https://pubmed.ncbi.nlm.nih.gov/42603314"},"language":"en","primary_location":{"id":"pmid:42603314","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42603314","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Georgian medical news","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5051224870","display_name":"D.T. Malidze","orcid":"https://orcid.org/0009-0005-3181-2516","observed_orcids":["https://orcid.org/0009-0005-3181-2516"]},"institutions":[{"id":"https://openalex.org/I4387930217","display_name":"European University","ror":"https://ror.org/04g08bx14","country_code":"GE","type":"education","lineage":["https://openalex.org/I4387930217"]}],"countries":["GE"],"is_corresponding":false,"raw_author_name":"D Malidze","raw_affiliation_strings":["European University, Faculty of Medicine, Tbilisi, GeorgiaEuropean University, Faculty of Medicine, Tbilisi, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"European University, Faculty of Medicine, Tbilisi, GeorgiaEuropean University, Faculty of Medicine, Tbilisi, Georgia","institution_ids":["https://openalex.org/I4387930217"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099118884","display_name":"Lasha Dolidze","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387930217","display_name":"European University","ror":"https://ror.org/04g08bx14","country_code":"GE","type":"education","lineage":["https://openalex.org/I4387930217"]}],"countries":["GE"],"is_corresponding":false,"raw_author_name":"L Dolidze","raw_affiliation_strings":["European University, Faculty of Medicine, Tbilisi, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"European University, Faculty of Medicine, Tbilisi, Georgia","institution_ids":["https://openalex.org/I4387930217"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021876831","display_name":"N Jojua","orcid":"https://orcid.org/0009-0006-2865-303X","observed_orcids":["https://orcid.org/0009-0006-2865-303X"]},"institutions":[{"id":"https://openalex.org/I4387930217","display_name":"European University","ror":"https://ror.org/04g08bx14","country_code":"GE","type":"education","lineage":["https://openalex.org/I4387930217"]}],"countries":["GE"],"is_corresponding":false,"raw_author_name":"N Jojua","raw_affiliation_strings":["European University, Faculty of Medicine, Tbilisi, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"European University, Faculty of Medicine, Tbilisi, Georgia","institution_ids":["https://openalex.org/I4387930217"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065120310","display_name":"Tinatin Gognadze","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387930217","display_name":"European University","ror":"https://ror.org/04g08bx14","country_code":"GE","type":"education","lineage":["https://openalex.org/I4387930217"]}],"countries":["GE"],"is_corresponding":false,"raw_author_name":"T Gognadze","raw_affiliation_strings":["European University, Faculty of Medicine, Tbilisi, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"European University, Faculty of Medicine, Tbilisi, Georgia","institution_ids":["https://openalex.org/I4387930217"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147284768","display_name":"A Jabauri","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387930217","display_name":"European University","ror":"https://ror.org/04g08bx14","country_code":"GE","type":"education","lineage":["https://openalex.org/I4387930217"]}],"countries":["GE"],"is_corresponding":false,"raw_author_name":"A Jabauri","raw_affiliation_strings":["European University, Faculty of Medicine, Tbilisi, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"European University, Faculty of Medicine, Tbilisi, Georgia","institution_ids":["https://openalex.org/I4387930217"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069914290","display_name":"Eka Kokhreidze","orcid":"https://orcid.org/0000-0002-5481-1904","observed_orcids":["https://orcid.org/0000-0002-5481-1904"]},"institutions":[{"id":"https://openalex.org/I4387930217","display_name":"European University","ror":"https://ror.org/04g08bx14","country_code":"GE","type":"education","lineage":["https://openalex.org/I4387930217"]}],"countries":["GE"],"is_corresponding":false,"raw_author_name":"E Kokhreidze","raw_affiliation_strings":["European University, Faculty of Medicine, Tbilisi, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"European University, Faculty of Medicine, Tbilisi, Georgia","institution_ids":["https://openalex.org/I4387930217"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099118883","display_name":"Larisa Melia","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387930217","display_name":"European University","ror":"https://ror.org/04g08bx14","country_code":"GE","type":"education","lineage":["https://openalex.org/I4387930217"]}],"countries":["GE"],"is_corresponding":false,"raw_author_name":"L Melia","raw_affiliation_strings":["European University, Faculty of Medicine, Tbilisi, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"European University, Faculty of Medicine, Tbilisi, Georgia","institution_ids":["https://openalex.org/I4387930217"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138446032","display_name":"T Chanturia","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387930217","display_name":"European University","ror":"https://ror.org/04g08bx14","country_code":"GE","type":"education","lineage":["https://openalex.org/I4387930217"]}],"countries":["GE"],"is_corresponding":false,"raw_author_name":"T Chanturia","raw_affiliation_strings":["European University, Faculty of Medicine, Tbilisi, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"European University, Faculty of Medicine, Tbilisi, Georgia","institution_ids":["https://openalex.org/I4387930217"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147296129","display_name":"T Chkoidze","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387930217","display_name":"European University","ror":"https://ror.org/04g08bx14","country_code":"GE","type":"education","lineage":["https://openalex.org/I4387930217"]}],"countries":["GE"],"is_corresponding":false,"raw_author_name":"T Chkoidze","raw_affiliation_strings":["European University, Faculty of Medicine, Tbilisi, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"European University, Faculty of Medicine, Tbilisi, Georgia","institution_ids":["https://openalex.org/I4387930217"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5147282716","display_name":"S Charles Jones","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387930217","display_name":"European University","ror":"https://ror.org/04g08bx14","country_code":"GE","type":"education","lineage":["https://openalex.org/I4387930217"]}],"countries":["GE"],"is_corresponding":false,"raw_author_name":"S Charles Jones","raw_affiliation_strings":["European University, Faculty of Medicine, Tbilisi, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"European University, Faculty of Medicine, Tbilisi, Georgia","institution_ids":["https://openalex.org/I4387930217"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4387930217"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":"375","first_page":"43","last_page":"50"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.8511000275611877,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.8511000275611877,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.13510000705718994,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.009399999864399433,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medical-students","display_name":"medical students","score":0.9760000109672546},{"id":"https://openalex.org/keywords/objective-structured-clinical-examination","display_name":"OSCE","score":0.875},{"id":"https://openalex.org/keywords/didactic-teaching","display_name":"didactic teaching","score":0.9300000071525574},{"id":"https://openalex.org/keywords/communication-skills","display_name":"communication skills","score":0.7480000257492065},{"id":"https://openalex.org/keywords/clinical-confidence","display_name":"clinical confidence","score":0.7440000176429749},{"id":"https://openalex.org/keywords/diagnostic-reasoning","display_name":"diagnostic reasoning","score":0.781000018119812},{"id":"https://openalex.org/keywords/procedural-skills","display_name":"procedural skills","score":0.9300000071525574}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6315000057220459},{"id":"https://openalex.org/C100521375","wikidata":"https://www.wikidata.org/wiki/Q2015382","display_name":"Competence (human resources)","level":2,"score":0.6233000159263611},{"id":"https://openalex.org/C2778000598","wikidata":"https://www.wikidata.org/wiki/Q11237593","display_name":"Objective structured clinical examination","level":2,"score":0.5892000198364258},{"id":"https://openalex.org/C47177190","wikidata":"https://www.wikidata.org/wiki/Q207137","display_name":"Curriculum","level":2,"score":0.5770999789237976},{"id":"https://openalex.org/C203151758","wikidata":"https://www.wikidata.org/wiki/Q3244907","display_name":"Standardized test","level":2,"score":0.4666000008583069},{"id":"https://openalex.org/C22156102","wikidata":"https://www.wikidata.org/wiki/Q5341294","display_name":"Educational measurement","level":3,"score":0.4602999985218048},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.41519999504089355},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.40209999680519104},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.39800000190734863},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.36480000615119934},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.3571000099182129},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.33959999680519104},{"id":"https://openalex.org/C82157600","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic test","level":2,"score":0.30390000343322754},{"id":"https://openalex.org/C65409693","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Statistical significance","level":2,"score":0.29670000076293945},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.2935999929904938},{"id":"https://openalex.org/C2986587452","wikidata":"https://www.wikidata.org/wiki/Q938438","display_name":"Statistical analysis","level":2,"score":0.2930999994277954},{"id":"https://openalex.org/C187960798","wikidata":"https://www.wikidata.org/wiki/Q7631152","display_name":"Subgroup analysis","level":3,"score":0.28600001335144043},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.28529998660087585},{"id":"https://openalex.org/C2778498041","wikidata":"https://www.wikidata.org/wiki/Q915466","display_name":"Academic year","level":2,"score":0.2777999937534332},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2741999924182892},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.27410000562667847}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002983","descriptor_name":"Clinical Competence","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D004504","descriptor_name":"Education, Medical, Undergraduate","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004521","descriptor_name":"Educational Measurement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008348","descriptor_name":"Manikins","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013337","descriptor_name":"Students, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":1,"locations":[{"id":"pmid:42603314","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42603314","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Georgian medical news","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Quality education","id":"https://metadata.un.org/sdg/4","score":0.9901999831199646},{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9763000011444092}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4300912061","https://openalex.org/W2355985890","https://openalex.org/W2419092230","https://openalex.org/W3029614012","https://openalex.org/W6902145493","https://openalex.org/W1988321558","https://openalex.org/W2388430805","https://openalex.org/W3031798695","https://openalex.org/W4406214444","https://openalex.org/W1520155358"],"abstract_inverted_index":{"AIM":[0],"OF":[1],"THE":[2],"STUDY:":[3],"The":[4,142,149],"aim":[5],"of":[6,137,230],"this":[7,38],"study":[8,48],"was":[9,49,72,84,101,108,116,145,152,200,209],"to":[10,31,58,96,237],"compare":[11],"standardized":[12,60,123,177,186,231],"patient-based":[13,61,178,187,207],"training":[14,62,179,188,208],"with":[15,122,134,156,211,219],"traditional":[16,64,132],"didactic":[17,65],"and":[18,30,66,105,139,182,194,241],"manikin-based":[19,67,198],"instruction":[20,199],"in":[21,175],"developing":[22],"clinical":[23,195,213,235],"diagnostic":[24,70,190,214,239],"competence":[25,240],"among":[26,51,154,217],"mid-level":[27],"medical":[28,53],"students,":[29],"assess":[32],"whether":[33],"baseline":[34,160],"academic":[35,82,97,223],"performance":[36,71,83],"influenced":[37],"effect.":[39],"MATERIAL":[40],"AND":[41],"METHODS:":[42],"A":[43],"single-center":[44],"randomized":[45],"comparative":[46],"educational":[47],"conducted":[50],"498":[52],"students.":[54],"Participants":[55],"were":[56,93],"assigned":[57],"either":[59],"or":[63,158,221],"instruction.":[68],"Clinical":[69,78],"assessed":[73],"using":[74,110],"the":[75,176,228],"Objective":[76],"Structured":[77],"Examination":[79],"(OSCE).":[80],"Baseline":[81,114],"evaluated":[85],"by":[86],"grade":[87],"point":[88],"average":[89,157,220],"(GPA).":[90],"Subgroup":[91],"analyses":[92],"performed":[94],"according":[95],"performance.":[98],"Statistical":[99],"significance":[100],"set":[102],"at":[103],"p<0.05,":[104],"effect":[106,143],"size":[107,144],"calculated":[109],"Cohen's":[111],"d.":[112],"RESULTS:":[113],"GPA":[115],"comparable":[117,166],"between":[118],"groups.":[119],"Students":[120],"trained":[121],"patients":[124,232],"achieved":[125],"higher":[126],"OSCE":[127,183],"scores":[128,136],"than":[129],"those":[130],"receiving":[131],"instruction,":[133],"mean":[135],"8.39":[138],"6.93,":[140],"respectively.":[141],"large":[146],"(Cohen's":[147],"d=1.07).":[148],"greatest":[150],"benefit":[151],"observed":[153],"students":[155,164,174,218],"lower":[159,222],"GPA,":[161],"whereas":[162],"high-performing":[163],"showed":[165],"outcomes":[167],"across":[168],"instructional":[169],"modalities.":[170],"Questionnaire":[171],"responses":[172],"from":[173],"group,":[180],"lecturers":[181],"examiners":[184],"favored":[185],"for":[189,202],"reasoning,":[191],"communication":[192,242],"skills":[193],"confidence,":[196],"while":[197],"preferred":[201],"procedural":[203],"skills.":[204,243],"CONCLUSIONS:":[205],"Standardized":[206],"associated":[210],"improved":[212],"performance,":[215],"particularly":[216],"standing.":[224],"These":[225],"findings":[226],"support":[227],"integration":[229],"into":[233],"hybrid":[234],"curricula":[236],"strengthen":[238]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-08-17T00:00:00"}