{
  "abstract": "Background\n\nCounty hospitals and township health centers in China provide frontline care for time-sensitive neurological emergencies, and three-year junior-college clinical medicine programs are an important pathway into this workforce. We evaluated a faculty-supervised artificial intelligence (AI)-supported BOPPPS (Bridge-in, Objectives, Pre-assessment, Participatory Learning, Post-assessment, and Summary) and case-based learning (CBL) instructional package among junior-college medical interns.Methods\n\nIn this prospective, batch-stratified randomized educational study, 118 interns from 12 monthly rotation batches were assigned to AI-supported BOPPPS-CBL (n = 58) or conventional BOPPPS-CBL (n = 60) during a one-month neurology rotation. The intervention used standardized DeepSeek prompts for Socratic questioning, error-focused feedback, and structured reflection under faculty supervision. The primary endpoint was the total score on a locally developed four-station simulated neurological-emergency assessment (0-100). Secondary outcomes included a written examination, while learner-reported questionnaire items were exploratory. Regression models adjusted for rotation batch, baseline academic performance, and digital literacy. The study was not prospectively registered; no public trial registration identifier or registry URL exists, and no publicly time-stamped protocol or statistical analysis plan was available.Results\n\nAll 118 participants completed the primary assessment. Mean total scores were 82.07 in the AI-supported group and 76.43 in the control group, with an adjusted between-group difference of 5.67 points (95% CI, 2.86-8.49; P < 0.001; adjusted Cohen's d = 0.74). In secondary station-specific analyses, only lesion localization met the multiplicity-adjusted threshold (adjusted mean difference, 2.58 points; 95% CI, 1.25-3.91; P < 0.001; adjusted d = 0.71). A Station 2-specific ICC was not estimated. Post hoc sensitivity analyses excluding the station containing reused case contexts yielded standardized estimates of similar magnitude but could not exclude cueing or carry-over. Written-examination estimates were smaller and imprecise. Exploratory learner-reported findings indicated greater perceived preparation-time burden in the AI-supported group.Conclusion\n\nAssignment to the faculty-supervised AI-supported BOPPPS-CBL package was associated with higher scores on a locally developed simulated neurological-emergency assessment than conventional BOPPPS-CBL. These findings do not establish transfer to workplace clinical performance or patient outcomes. Multicenter studies using independent assessment cases, longer-term follow-up, and workplace-based outcomes are warranted.",
  "abstract_shown": true,
  "affiliations": [
    "Holistic Center for Neurological Diseases, The People's Hospital of Chongqing Yubei District, Chongqing, China.",
    "School of Clinical Medicine, Chongqing Medical and Pharmaceutical College, Chongqing, China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Junhuai Zhang"
    },
    {
      "affs": [
        0
      ],
      "name": "Zhanqin Xiao"
    },
    {
      "affs": [
        0
      ],
      "name": "Xiang Gu"
    },
    {
      "affs": [
        0
      ],
      "name": "Qi Lang"
    },
    {
      "affs": [
        0
      ],
      "name": "Chanxi Chen"
    },
    {
      "affs": [
        1
      ],
      "name": "Yaxi Chen"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/b1g7nszqjjmv4.bib",
  "cited_by": 0,
  "doi": "10.3389/fmed.2026.1945397",
  "fulltext_url": "https://europepmc.org/articles/PMC13713343",
  "id": "b1g7nszqjjmv4",
  "issns": [
    "2296-858X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42952540",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "2739|Innovations in Medical Education"
    ]
  ],
  "openalex": "W7221747364",
  "pdf_url": "https://europepmc.org/articles/PMC13713343?pdf=render",
  "pmcid": "PMC13713343",
  "pmid": "42952540",
  "published": "2026-10-14",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/b1g7nszqjjmv4.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T00:20:34Z",
      "native_id": "MED:42952540",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42952540"
    },
    {
      "first_seen": "2026-10-31T12:23:54Z",
      "native_id": "PMC13713343",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fmed.2026.1945397"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Innovations in Medical Education",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Faculty-supervised AI-supported BOPPPS-CBL and performance on a simulated neurological-emergency assessment among junior-college medical interns: a batch-stratified randomized educational study.",
  "title_text": "Faculty-supervised AI-supported BOPPPS-CBL and performance on a simulated neurological-emergency assessment among junior-college medical interns: a batch-stratified randomized educational study.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-01T12:21:02Z",
  "url": "https://research.draconitic.com/paper/b1g7nszqjjmv4",
  "venue": "Frontiers in medicine",
  "versions": []
}