Journal of Advances in Medical Education & Professionalism

Editorial

How to Teach Generation Z Students: Reflections from Medical Educators

MITRA AMINI; RITA REZAEE; JAVAD KOJURI

Volume 13, Issue 4 , October 2025, Pages 257-258

https://doi.org/10.30476/jamp.2025.108312.2245

Abstract

Generation Z (Gen Z) or iGen describes individuals born between 1995 and 2012. They are the first generation raised entirely in the digital world. They have always had the technology, ... Read More

Review article

A Systematic Review and Meta-Analysis on the Impact of Peer-Made MCQ Question-Bank Usage on Summative Assessments in Medical Education

ROBERT HWANG; MAX PALEY; DAVID BULL; OSAMA OMRANI; DIEGO VERGARA-JALANDONI; GERALD EGBURY

Volume 13, Issue 4 , October 2025, Pages 259-269

https://doi.org/10.30476/jamp.2025.104780.2084

Abstract

Introduction: This systematic review and meta-analysis investigated the impact of utilising peer-generated multiplechoice question (MCQ) banks on the summative performance of undergraduate ... Read More Introduction: This systematic review and meta-analysis investigated the impact of utilising peer-generated multiplechoice question (MCQ) banks on the summative performance of undergraduate students studying medicine and allied subjects. Answering and writing peer-made MCQ questions are hypothesised to enhance learning through achievement of thedomains of Bloom’s taxonomy and thus summative examination performance.Methods: A random-effects meta-analysis of correlation coefficients was conducted on six studies (n = 1,571) published between 2011 and 2021, drawn from MEDLINE, Scopus, Web of Science, PubMed, CENTRAL, and ERIC. The studies included undergraduate medical students from four countries. The risk of bias was assessed using the ROBINS-I tool.Results: A weak positive correlation was found between answering peer-made MCQs and summative performance (Spearman’s ρ = 0.22, 95% CI: 0.15 to 0.29, p < 0.0001), with a prediction interval of 0.00 to 0.42, indicating that in future studies, the effect of answering peer-made questions is likely beneficial or, at worst, neutral. A similar weak positive correlation was observed for writing peer-made MCQs (Spearman’s ρ = 0.21, 95% CI: 0.09 to 0.32, p < 0.0004), though the prediction interval (-0.27 to 0.61) cannot exclude negative correlation between writing questions and summative performance in future studies. The findings suggest that answering and creating peer-generated MCQs positively influence exam performance. The modest correlations likelyreflect confounding factors, such as prior academic performance and socio-economic background. This complicates isolating the impact of MCQ banks and may understate their true impact.Conclusion: This study advocates for the integration of peergenerated MCQ banks into medical curricula, highlighting their potential as a cost-effective method to improve summativeperformance. Future research should focus on large-scale observational studies to better quantify these effects as well as controlling for confounding factors. The study underscores the value of peer engagement in learning and the utility of peer-made MCQ banks as educational tools.

Review article

The Role of AI in Shaping Medical Education: Insights from an Umbrella Review of Review Studies

FATEME JAFARI; AHMAD KEYKHA; ATEFEH TAHERIANKALATI; AVA TAGHAVI MONFARED

Volume 13, Issue 4 , October 2025, Pages 270-293

https://doi.org/10.30476/jamp.2025.105625.2116

Abstract

Introduction: Artificial intelligence (AI) has become integral to various fields, including medical education. This study explores AI applications in medical education through a review ... Read More

Original Article

Understanding Surgeon Professionalism in Indonesia: A Qualitative Study in a Multicultural and Resource-Limited Context

DANIEL ARDIAN SOESELO; RETNO ASTI WERDHANI; TOAR JEAN MAURICE LALISANG; AGUS PURWADIANTO; WIRSMA ARIF HARAHAP; RENNIE YOLANDA; THEDDEUS OCTAVIANUS HARI PRASETYONO; DIANTHA SOEMANTRI; ARDI FINDYARTINI

Volume 13, Issue 4 , October 2025, Pages 294-302

https://doi.org/10.30476/jamp.2025.105730.2126

Abstract

Introduction: Surgeons’ professionalism is vital for ensuring safe surgical care, particularly in Indonesia, where cultural and systemic factors present unique challenges to healthcare ... Read More Introduction: Surgeons’ professionalism is vital for ensuring safe surgical care, particularly in Indonesia, where cultural and systemic factors present unique challenges to healthcare delivery.Professionalism affects surgical outcomes, patient safety, and interprofessional collaboration directly. This study represents the first national-level exploration of surgical professionalism, involving culturally diverse participants from various regions. To explore how healthcare professionals and patients perceive surgeon professionalism in Indonesia, emphasizing cultural and systemic influences.Methods: This qualitative study employed a phenomenological approach to capture the lived experiences and perspectives of informants regarding surgeons’ professionalism. This study was conducted at public, private, and military healthcare institutions in Indonesia, including type B, C,and D hospitals, as well as specialty hospitals. A total of 27 participants, including surgeons, anesthesiologists, pediatricians, internists, operating room nurses, ward nurses, hospital management, and patient representatives, were recruited through snowball sampling to ensurediverse perspectives. In-depth interviews were conducted to elicit the participants’ perceptions of surgeons’ professionalism in their healthcare context. Reflexivity and triangulation methods were applied to ensure validity and minimize bias. The study identified key themes and subthemesof professionalism as perceived by participants, highlighting non-technical aspects of surgeon professionalism in Indonesia.Results: Four non-technical themes of surgeon professionalism were identified: fulfilling roles and responsibilities, upholding integrity, having good communication skills, and engaging in multidisciplinary collaboration. These aspects were influenced by cultural values and systemic challenges, including disparities in healthcare resources.Conclusions: Surgeons’ professionalism in Indonesia is shaped by cultural and structural factors distinct from global standards. The findings provide insights for culturally sensitive interventions that enhance professionalism and surgical care quality in Indonesia. Addressing these unique dynamics is essential for improving patient safety, healthcare outcomes, and professional relationships.

Original Article

Evaluating the Clinical Learning Environment for Competency-based Postgraduate Education in a Low-Middle Income Country: Trainee Perceptions using PHEEM Inventory

QAMAR RIAZ; MUHAMMAD RIZWAN KHAN; SADIA MASOO

Volume 13, Issue 4 , October 2025, Pages 303-310

https://doi.org/10.30476/jamp.2025.105990.2140

Abstract

Introduction: The clinical learning environment (CLE) is an important element of competency-based postgraduate medical education (CBME). Trainee perceptions of their CLE serve as a ... Read More

Original Article

Bridging the Gaps: Allied Health Practitioners, Clinical Educators, and Peers Perspectives on Resident Performance Assessments

BAU DILAM ARDYANSYAH; MASRIAN MASRIAN; ZAKIAH ZAKIAH; ANDI RATIH RADIAH ISKANDAR; SITI ADANI AYUNDI; DWI SARTIKA; TENRI PADA RUSTHAM

Volume 13, Issue 4 , October 2025, Pages 311-321

https://doi.org/10.30476/jamp.2025.106145.2148

Abstract

Introduction: Teaching hospitals integrate healthcare, education, and research but face challenges in assessing residents as learners and healthcare providers. Conventional supervisor-led ... Read More

Original Article

Defining Entrustable Professional Activities for Hematology Residency Program in a Low-Resource Setting: A Modified Delphi Study

JAVERIA REHMAN; MUHAMMAD SHARIQ SHAIKH; MUHAMMAD HASAN; SANA BROHI; BUSHRA MOIZ

Volume 13, Issue 4 , October 2025, Pages 322-333

https://doi.org/10.30476/jamp.2025.106370.2155

Abstract

Introduction: The concept of Entrustable Professional Activities (EPAs) is central to competency-based medical education, which enables the assessment and guidance of learners in clinical ... Read More

Original Article

The Cognitive Error Styles of Midwifery Students in Clinical Decision-Making: A Directed Qualitative Content Analysis Study

HADIS SOURINEJAD; ELHAM ADIB MOGHADDAM; SAYED AHMAD REZA RAEISI DEHKORDI; ZIBA RAISI DEHKORDI

Volume 13, Issue 4 , October 2025, Pages 334-343

https://doi.org/10.30476/jamp.2025.107111.2191

Abstract

Introduction: Cognitive error styles refer to faulty patterns of thinking that can negatively influence individuals’ decision-making and behavior. Among midwifery students, identifying ... Read More

Original Article

The Impact of Digital Storytelling on Learning Outcomes and Student Satisfaction in Psychology Education for Nursing and Midwifery Students: A Quasi-Experimental Study

MARJAN NOORSHADI; MEHRI YAVARI; HOURA ASHRAFIFARD; SHIMA SADAT ZARIF NAHAD

Volume 13, Issue 4 , October 2025, Pages 344-352

https://doi.org/10.30476/jamp.2025.104978.2095

Abstract

Introduction: The importance of retaining content in the longterm memory of medical students is well-documented. Given the narrative structure of medical disciplines, digital storytelling ... Read More Introduction: The importance of retaining content in the longterm memory of medical students is well-documented. Given the narrative structure of medical disciplines, digital storytelling is an effective educational tool. This study investigates the effect of digital storytelling on the learning and satisfaction of nursing and midwifery students.Methods: This quasi-experimental study included 20 thirdsemester midwifery students (intervention group, digital storytelling) and 50 first-semester nursing students (control group, traditional lectures), all enrolled in an undergraduate psychology course. Both groups participated in five initial lecturebased sessions. Thereafter, the intervention group received six weekly digital storytelling sessions, each featuring a 3–8 minute narrative followed by instructor-led discussions, while the control group continued with standard lectures and question–and–answer sessions. Learning outcomes were measured using pre- and posttests, and student satisfaction was assessed using a validated questionnaire. Statistical analyses were performed, adjusting forbaseline scores and demographic confounders. Results: The digital storytelling group showed significantly higher post-test scores in learning outcomes (75.21±17.75 vs. 54.97±23.40, p=0.001) and satisfaction (38.15±6.45 vs. 31.22±4.59, p=0.0003) compared to the traditional lecture group. The potential effect of baseline values, as well as non-homogeneous demographic variables across groups, was removed using non-parametric ANCOVA. The result confirmed that gender had no confounding effects on either learning outcomes or satisfaction. Additionally, the differences between the two groups in terms of learning and satisfaction remained significant (p<0.001).Conclusion: Digital storytelling offers a meaningful and learnercentered approach that extends beyond content delivery. By fostering active engagement and deeper cognitive involvement,it transforms traditional instruction into a more personalized and reflective learning experience. This approach is recommended in healthcare education to improve instructional effectiveness andstudent satisfaction.

Commentary

Organizational Professionalism: Role of Medical Council in Public Trust in the Profession

FARIBA ASGHARI

Volume 13, Issue 4 , October 2025, Pages 353-358

https://doi.org/10.30476/jamp.2025.105902.2133

Abstract

As an ideology for managing healthcare relying on internal professional oversight, medical professionalism entrusts the responsibility of regulation to the members of the profession ... Read More

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Volume & Issue: Volume 13, Issue 4, October 2025, Pages 257-358

How to Teach Generation Z Students: Reflections from Medical Educators

Abstract

A Systematic Review and Meta-Analysis on the Impact of Peer-Made MCQ Question-Bank Usage on Summative Assessments in Medical Education

Abstract

The Role of AI in Shaping Medical Education: Insights from an Umbrella Review of Review Studies

Abstract

Understanding Surgeon Professionalism in Indonesia: A Qualitative Study in a Multicultural and Resource-Limited Context

Abstract

Evaluating the Clinical Learning Environment for Competency-based Postgraduate Education in a Low-Middle Income Country: Trainee Perceptions using PHEEM Inventory

Abstract

Bridging the Gaps: Allied Health Practitioners, Clinical Educators, and Peers Perspectives on Resident Performance Assessments

Abstract

Defining Entrustable Professional Activities for Hematology Residency Program in a Low-Resource Setting: A Modified Delphi Study

Abstract

The Cognitive Error Styles of Midwifery Students in Clinical Decision-Making: A Directed Qualitative Content Analysis Study

Abstract

The Impact of Digital Storytelling on Learning Outcomes and Student Satisfaction in Psychology Education for Nursing and Midwifery Students: A Quasi-Experimental Study

Abstract

Organizational Professionalism: Role of Medical Council in Public Trust in the Profession

Abstract