SPARK - Student Perceptions and Understanding of Urology in the United Kingdom

preprint OA: closed CC-BY-4.0
📄 Open PDF Full text JSON View at publisher

Abstract

Abstract Introduction: Exposure to urology in the UK remains limited despite its clinical relevance. Most prior studies on student awareness and attitudes predate the COVID-19 pandemic and include non-final-year students. This study evaluated final-year students’ awareness, preparedness, and perceptions of urology across UK medical schools. Methods: A 17-item survey was disseminated nationally to final-year students (June-July 2025) one-month from beginning clinical practice with Medical Schools Council approval. Domains included demographics, understanding of urology, perceptions of pre-clinical and clinical teaching, preparedness for practice, and career attitudes. Descriptive statistics summarized responses. Results: Fifty-four students from 12 UK medical schools responded, 42 (77.8%) were female. While all had heard of urology, 16.7% were unaware it was a mixed medical-surgical specialty and 3.7% were unfamiliar with urologists’ daily roles, with awareness of specific roles varying from 66.0% (fertility) to 96.3% (genitourinary surgery). Procedural knowledge varied, with 11.1% completely unaware of operations performed. Nearly half (48.1%) rated pre-clinical teaching inadequate and 31.5% felt clinical teaching insufficient for licensing exams. Confidence was limited, with only 42.6% prepared for history-taking and 20.4% for investigation interpretation. Career interest was low (12.9%), with lack of surgical interest and prior specialty commitment as common deterrents. Students identified workshops, simulation, and greater curricular integration as preferred improvements. Conclusion: Final-year UK students demonstrated high baseline awareness but misconceptions about urology’s scope, limited preparedness, and low career interest. Targeted educational initiatives and specialty outreach may enhance exposure, competence, and recruitment into urology.
Full text 22,815 characters · extracted from preprint-html · click to expand
SPARK - Student Perceptions and Understanding of Urology in the United Kingdom | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article SPARK - Student Perceptions and Understanding of Urology in the United Kingdom Reza Lahiji, Lally Iqbal, Bilal Safdar, Lorenzo Storino Ramacciotti, and 13 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7660225/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 28 Mar, 2026 Read the published version in BMC Medical Education → Version 1 posted 10 You are reading this latest preprint version Abstract Introduction: Exposure to urology in the UK remains limited despite its clinical relevance. Most prior studies on student awareness and attitudes predate the COVID-19 pandemic and include non-final-year students. This study evaluated final-year students’ awareness, preparedness, and perceptions of urology across UK medical schools. Methods: A 17-item survey was disseminated nationally to final-year students (June-July 2025) one-month from beginning clinical practice with Medical Schools Council approval. Domains included demographics, understanding of urology, perceptions of pre-clinical and clinical teaching, preparedness for practice, and career attitudes. Descriptive statistics summarized responses. Results: Fifty-four students from 12 UK medical schools responded, 42 (77.8%) were female. While all had heard of urology, 16.7% were unaware it was a mixed medical-surgical specialty and 3.7% were unfamiliar with urologists’ daily roles, with awareness of specific roles varying from 66.0% (fertility) to 96.3% (genitourinary surgery). Procedural knowledge varied, with 11.1% completely unaware of operations performed. Nearly half (48.1%) rated pre-clinical teaching inadequate and 31.5% felt clinical teaching insufficient for licensing exams. Confidence was limited, with only 42.6% prepared for history-taking and 20.4% for investigation interpretation. Career interest was low (12.9%), with lack of surgical interest and prior specialty commitment as common deterrents. Students identified workshops, simulation, and greater curricular integration as preferred improvements. Conclusion: Final-year UK students demonstrated high baseline awareness but misconceptions about urology’s scope, limited preparedness, and low career interest. Targeted educational initiatives and specialty outreach may enhance exposure, competence, and recruitment into urology. SPARK Education Urology Medical School Perceptions Full Text Additional Declarations No competing interests reported. Supplementary Files SupplementaryFigure1SPARKSurveyForm.pdf Cite Share Download PDF Status: Published Journal Publication published 28 Mar, 2026 Read the published version in BMC Medical Education → Version 1 posted Editorial decision: Revision requested 13 Dec, 2025 Reviews received at journal 09 Nov, 2025 Reviews received at journal 01 Nov, 2025 Reviewers agreed at journal 31 Oct, 2025 Reviewers agreed at journal 31 Oct, 2025 Reviewers invited by journal 31 Oct, 2025 Editor assigned by journal 29 Oct, 2025 Editor invited by journal 10 Oct, 2025 Submission checks completed at journal 09 Oct, 2025 First submitted to journal 09 Oct, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7660225","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":542587557,"identity":"819e1233-b539-42cf-acf3-589bf94cb73f","order_by":0,"name":"Reza Lahiji","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA8ElEQVRIie3PsYrCQBCA4VkGNk0u9aTKKyRccQqKrxJJcc3dG1h4BGKj1lr5ClaCXULAKuoDbJU3SJpjETkum+qaxC0P3L8YppivGACT6T+WtnMAPkKYVs3KLT1CLck2iqA2aSbaan9EHHEuSzkj782CMh/dDp6DwKr6o5u4l/dXn04UHGMI88+1CBIEdLeHbuIXnJPPie1zRZaCNYTjSz+xZPhDk5YMl2KiQzhkCU1bAlJMHxK34Oh+rSlSJFvNRZQgi3t/cQrOavk9Gu+vRVTJuxjvFnFW1T3kT3YILFELm2vdN1kpwF332GQymZ6pX/U1UmfwePbfAAAAAElFTkSuQmCC","orcid":"","institution":"Emory University School of Medicine","correspondingAuthor":true,"prefix":"","firstName":"Reza","middleName":"","lastName":"Lahiji","suffix":""},{"id":542587558,"identity":"cbcdca4b-d604-44e6-ab91-75c56391485e","order_by":1,"name":"Lally Iqbal","email":"","orcid":"","institution":"Royal Blackburn Teaching Hospital","correspondingAuthor":false,"prefix":"","firstName":"Lally","middleName":"","lastName":"Iqbal","suffix":""},{"id":542587559,"identity":"0cd4695f-1b62-4235-9249-ab4721bebafc","order_by":2,"name":"Bilal Safdar","email":"","orcid":"","institution":"Royal Blackburn Teaching Hospital","correspondingAuthor":false,"prefix":"","firstName":"Bilal","middleName":"","lastName":"Safdar","suffix":""},{"id":542587560,"identity":"b72291f0-da5b-44d8-983c-edd92880f812","order_by":3,"name":"Lorenzo Storino Ramacciotti","email":"","orcid":"","institution":"Emory University School of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Lorenzo","middleName":"Storino","lastName":"Ramacciotti","suffix":""},{"id":542587561,"identity":"cf38da97-e07c-4330-a012-2cb2473539d5","order_by":4,"name":"Maria Grosso Zelaya","email":"","orcid":"","institution":"Emory University School of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Maria","middleName":"Grosso","lastName":"Zelaya","suffix":""},{"id":542587562,"identity":"39b1215b-c057-443f-8516-98a1cd9d0686","order_by":5,"name":"Meghan Vora","email":"","orcid":"","institution":"Royal Bolton Hospital","correspondingAuthor":false,"prefix":"","firstName":"Meghan","middleName":"","lastName":"Vora","suffix":""},{"id":542587563,"identity":"78d22dd0-0b01-4570-bafc-144e93c8096c","order_by":6,"name":"William Craton","email":"","orcid":"","institution":"Newcastle University","correspondingAuthor":false,"prefix":"","firstName":"William","middleName":"","lastName":"Craton","suffix":""},{"id":542587564,"identity":"0fd0fff9-2c3d-4e2a-a6ac-2a5c5d84f5f2","order_by":7,"name":"Craig Hong","email":"","orcid":"","institution":"Newcastle University","correspondingAuthor":false,"prefix":"","firstName":"Craig","middleName":"","lastName":"Hong","suffix":""},{"id":542587565,"identity":"ef2ef8fc-6e45-404a-a582-78230847dcf7","order_by":8,"name":"Jacob McKenzie","email":"","orcid":"","institution":"Royal Victoria Infirmary","correspondingAuthor":false,"prefix":"","firstName":"Jacob","middleName":"","lastName":"McKenzie","suffix":""},{"id":542587566,"identity":"d4640942-4a78-4e65-96ca-4943b9c5bbb9","order_by":9,"name":"Ezra Laundy-Blair","email":"","orcid":"","institution":"University Hospital of North Tees","correspondingAuthor":false,"prefix":"","firstName":"Ezra","middleName":"","lastName":"Laundy-Blair","suffix":""},{"id":542587567,"identity":"7e3f99b0-2a57-4d01-b91b-96e7b00da8b3","order_by":10,"name":"Sejla Zahirovic","email":"","orcid":"","institution":"Emory University School of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Sejla","middleName":"","lastName":"Zahirovic","suffix":""},{"id":542587568,"identity":"2cfd2316-ae6c-4535-b55b-3d4c436fa84a","order_by":11,"name":"Adam Braunschweig","email":"","orcid":"","institution":"Emory University School of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Adam","middleName":"","lastName":"Braunschweig","suffix":""},{"id":542587569,"identity":"5807f3f1-cbc1-480e-a22b-2bfc84cd9495","order_by":12,"name":"Bushra Abdelqader","email":"","orcid":"","institution":"British Association of Urologic Surgeons (BAUS), Royal College of Surgeons","correspondingAuthor":false,"prefix":"","firstName":"Bushra","middleName":"","lastName":"Abdelqader","suffix":""},{"id":542587570,"identity":"02453c67-c1e0-4eb3-8e95-4e5fd71d18bb","order_by":13,"name":"Mohammad Hajiha","email":"","orcid":"","institution":"Emory University School of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Mohammad","middleName":"","lastName":"Hajiha","suffix":""},{"id":542587571,"identity":"a685bc0c-19d1-4d59-a4cc-0849e0a57a6a","order_by":14,"name":"Kenneth Ogan","email":"","orcid":"","institution":"Emory University School of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Kenneth","middleName":"","lastName":"Ogan","suffix":""},{"id":542587572,"identity":"e721c0c2-6774-492d-a710-4e9d52abc4d1","order_by":15,"name":"Viraj A. Master","email":"","orcid":"","institution":"Emory University School of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Viraj","middleName":"A.","lastName":"Master","suffix":""},{"id":542587573,"identity":"2d7ec867-8dd7-473a-9903-633d49eede56","order_by":16,"name":"Behnam Nabavizadeh","email":"","orcid":"","institution":"Weill Cornell Medicine","correspondingAuthor":false,"prefix":"","firstName":"Behnam","middleName":"","lastName":"Nabavizadeh","suffix":""}],"badges":[],"createdAt":"2025-09-19 16:08:26","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-7660225/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-7660225/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s12909-026-09100-2","type":"published","date":"2026-03-28T16:09:46+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":95727417,"identity":"08b0b117-69b4-4c25-b94e-2f3511ce3162","added_by":"auto","created_at":"2025-11-12 10:46:09","extension":"docx","order_by":0,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":2354653,"visible":true,"origin":"","legend":"","description":"","filename":"SPARKManuscript.docx","url":"https://assets-eu.researchsquare.com/files/rs-7660225/v1/b21d65940b9e84bbfc13eb39.docx"},{"id":95727411,"identity":"ecc4070d-8e84-4ddb-b8a6-c5790cf25a73","added_by":"auto","created_at":"2025-11-12 10:46:09","extension":"json","order_by":1,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":16769,"visible":true,"origin":"","legend":"","description":"","filename":"87abfa54181a49b1b7e52f6e5ae47b66.json","url":"https://assets-eu.researchsquare.com/files/rs-7660225/v1/87acc6579e11fcdb30972a27.json"},{"id":95727420,"identity":"645acc44-327f-49d4-91f7-bbec67d7076b","added_by":"auto","created_at":"2025-11-12 10:46:09","extension":"pdf","order_by":2,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":225963,"visible":true,"origin":"","legend":"","description":"","filename":"SupplementaryFigure1SPARKSurveyForm.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7660225/v1/ca2fe61987fd45788cd3ce92.pdf"},{"id":95727413,"identity":"7c5f24df-d7cd-4a19-b80f-cd8ca5c65a13","added_by":"auto","created_at":"2025-11-12 10:46:09","extension":"xml","order_by":3,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":102512,"visible":true,"origin":"","legend":"","description":"","filename":"87abfa54181a49b1b7e52f6e5ae47b661enriched.xml","url":"https://assets-eu.researchsquare.com/files/rs-7660225/v1/9539fc6462e217f3fa6209d5.xml"},{"id":95727419,"identity":"c6b0960f-c182-4b9d-9ffc-64f2ab9911c5","added_by":"auto","created_at":"2025-11-12 10:46:09","extension":"jpeg","order_by":4,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":565767,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage1.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-7660225/v1/160ac18490a13b7911c3b23f.jpeg"},{"id":95727414,"identity":"6ab815b8-ed88-4501-b2d9-6536b7dd95c4","added_by":"auto","created_at":"2025-11-12 10:46:09","extension":"png","order_by":5,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":125807,"visible":true,"origin":"","legend":"","description":"","filename":"floatimage2.png","url":"https://assets-eu.researchsquare.com/files/rs-7660225/v1/0ddb484a1c6f757682be075a.png"},{"id":95799319,"identity":"81056555-bc5d-458d-ade6-5ba37ee60799","added_by":"auto","created_at":"2025-11-13 08:19:30","extension":"png","order_by":6,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":93368,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage1.png","url":"https://assets-eu.researchsquare.com/files/rs-7660225/v1/852d4f47dd3294c37d8d0f26.png"},{"id":95800675,"identity":"4980d851-1dbf-490b-aad4-219d865e327f","added_by":"auto","created_at":"2025-11-13 08:23:10","extension":"png","order_by":7,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":45142,"visible":true,"origin":"","legend":"","description":"","filename":"Onlinefloatimage2.png","url":"https://assets-eu.researchsquare.com/files/rs-7660225/v1/b25bbc5cfb8f91ceab2c270a.png"},{"id":95727421,"identity":"f8766c3c-5bc6-4ba5-a003-e65c7b4518e2","added_by":"auto","created_at":"2025-11-12 10:46:10","extension":"xml","order_by":8,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":100096,"visible":true,"origin":"","legend":"","description":"","filename":"87abfa54181a49b1b7e52f6e5ae47b661structuring.xml","url":"https://assets-eu.researchsquare.com/files/rs-7660225/v1/87adc61ec10d91687ebfde12.xml"},{"id":95727416,"identity":"f44df569-4da4-45f2-bf3c-b9e420a042a1","added_by":"auto","created_at":"2025-11-12 10:46:09","extension":"html","order_by":9,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":108193,"visible":true,"origin":"","legend":"","description":"","filename":"earlyproof.html","url":"https://assets-eu.researchsquare.com/files/rs-7660225/v1/16d4e2925cd354a239470708.html"},{"id":105754950,"identity":"d80d2e71-fa5f-4713-9280-64076df122b2","added_by":"auto","created_at":"2026-03-30 16:23:24","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":774746,"visible":true,"origin":"","legend":"","description":"","filename":"SPARKManuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7660225/v1_covered_f46e4e1f-19e1-410b-87c3-bab5431425a9.pdf"},{"id":95727412,"identity":"f26bb6c7-4210-45cb-b869-b7d3f129046d","added_by":"auto","created_at":"2025-11-12 10:46:09","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"supplement","size":225963,"visible":true,"origin":"","legend":"","description":"","filename":"SupplementaryFigure1SPARKSurveyForm.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7660225/v1/24f0e7bf34cfdb27e9dab80f.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"SPARK - Student Perceptions and Understanding of Urology in the United Kingdom","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-medical-education","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"meed","sideBox":"Learn more about [BMC Medical Education](http://bmcmededuc.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/meed/default.aspx","title":"BMC Medical Education","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"SPARK, Education, Urology, Medical School, Perceptions","lastPublishedDoi":"10.21203/rs.3.rs-7660225/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-7660225/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eIntroduction: \u003c/strong\u003eExposure to urology in the UK remains limited despite its clinical relevance. Most prior studies on student awareness and attitudes predate the COVID-19 pandemic and include non-final-year students. This study evaluated final-year students’ awareness, preparedness, and perceptions of urology across UK medical schools.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods: \u003c/strong\u003eA 17-item survey was disseminated nationally to final-year students (June-July 2025) one-month from beginning clinical practice with Medical Schools Council approval. Domains included demographics, understanding of urology, perceptions of pre-clinical and clinical teaching, preparedness for practice, and career attitudes. Descriptive statistics summarized responses.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults: \u003c/strong\u003eFifty-four students from 12 UK medical schools responded, 42 (77.8%) were female. While all had heard of urology, 16.7% were unaware it was a mixed medical-surgical specialty and 3.7% were unfamiliar with urologists’ daily roles, with awareness of specific roles varying from 66.0% (fertility) to 96.3% (genitourinary surgery). Procedural knowledge varied, with 11.1% completely unaware of operations performed. Nearly half (48.1%) rated pre-clinical teaching inadequate and 31.5% felt clinical teaching insufficient for licensing exams. Confidence was limited, with only 42.6% prepared for history-taking and 20.4% for investigation interpretation. Career interest was low (12.9%), with lack of surgical interest and prior specialty commitment as common deterrents. Students identified workshops, simulation, and greater curricular integration as preferred improvements.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion: \u003c/strong\u003eFinal-year UK students demonstrated high baseline awareness but misconceptions about urology’s scope, limited preparedness, and low career interest. Targeted educational initiatives and specialty outreach may enhance exposure, competence, and recruitment into urology.\u003c/p\u003e","manuscriptTitle":"SPARK - Student Perceptions and Understanding of Urology in the United Kingdom","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-11-12 10:46:04","doi":"10.21203/rs.3.rs-7660225/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2025-12-13T14:03:52+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-11-09T18:24:57+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-11-01T04:55:05+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"289430308393997630797611689678967189854","date":"2025-10-31T10:51:55+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"58563135364263396697151535712900959909","date":"2025-10-31T10:18:05+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2025-10-31T10:13:31+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-10-29T18:06:58+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2025-10-10T05:15:54+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-10-09T17:23:25+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Medical Education","date":"2025-10-09T16:42:34+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-medical-education","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"meed","sideBox":"Learn more about [BMC Medical Education](http://bmcmededuc.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/meed/default.aspx","title":"BMC Medical Education","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"0bca5764-74a4-4a93-a83c-207870979249","owner":[],"postedDate":"November 12th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2026-03-30T16:17:24+00:00","versionOfRecord":{"articleIdentity":"rs-7660225","link":"https://doi.org/10.1186/s12909-026-09100-2","journal":{"identity":"bmc-medical-education","isVorOnly":false,"title":"BMC Medical Education"},"publishedOn":"2026-03-28 16:09:46","publishedOnDateReadable":"March 28th, 2026"},"versionCreatedAt":"2025-11-12 10:46:04","video":"","vorDoi":"10.1186/s12909-026-09100-2","vorDoiUrl":"https://doi.org/10.1186/s12909-026-09100-2","workflowStages":[]},"version":"v1","identity":"rs-7660225","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-7660225","identity":"rs-7660225","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: preprint-html

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. This is a recent paper (2025) — citers typically take a year or two to land, and the OpenAlex reference graph may still be filling in.

Source provenance

europepmc
last seen: 2026-05-20T01:45:00.602351+00:00
unpaywall
last seen: 2026-05-27T02:00:06.600101+00:00
License: CC-BY-4.0