Item

Before training

After training

Control group

(n = 43)

Study group

(n = 43)

t value

P value

Control group

(n = 43)

Study group

(n = 43)

t value

P value

History collection

6.13 ± 1.27

6.08 ± 1.33

0.178

0.859

7.09 ± 1.35^★

7.95 ± 1.62^☆

−2.674

0.01

Medical record writing

5.76 ± 1.08

5.81 ± 1.04

−0.219

0.827

6.53 ± 1.19^★

7.06 ± 1.12^☆

−2.127

0.036

General medicine clinical thinking

5.48 ± 1.47

5.44 ± 1.49

0.125

0.901

6.67 ± 1.51^★

7.55 ± 1.62^☆

−2.606

0.011

Clinical operations

5.79 ± 1.35

5.73 ± 1.38

0.204

0.839

7.24 ± 1.05^★

7.99 ± 1.27^☆

−2.985

0.004

Physical examination

6.25 ± 1.46

6.30 ± 1.42

−0.161

0.873

7.18 ± 1.64^★

8.04 ± 1.59^☆

−2.467

0.016

Auxiliary examination analysis

5.43 ± 1.36

5.39 ± 1.40

0.134

0.893

6.71 ± 1.50^★

7.38 ± 1.46^☆

−2.099

0.039