Journal Article
AI-assisted case-based learning and flipped classroom to improve clinical decision-making: a randomized controlled trial in reproductive medicine.
Medical education online · December 31, 2026 · Wang Q
TL;DR
An AI-assisted case-based learning and flipped classroom model significantly improved theoretical knowledge, clinical decision-making skills, and self-directed learning in reproductive medicine residents compared to traditional lecture-based instruction in a randomized controlled trial.
Key findings
- AI-assisted case-based learning with virtual standardized patients and flipped classroom format yielded higher post-course theoretical test scores, Mini-CEX, and OSCE performance versus traditional lectures
- Participants in the AI-assisted group reported greater improvements in learning motivation, clinical reasoning ability, self-directed learning capacity, and perceived course effectiveness
- The intervention integrated pre-class interactive case work on the DoctorU platform followed by in-class discussions to develop clinical decision-making skills
- Baseline characteristics were balanced between groups, supporting the internal validity of the observed improvements in clinical competence
Why this matters at the bedside
Demonstrates an evidence-based training model that may improve clinical competency development in reproductive medicine residents, with potential applicability to other medical specialties facing similar educational challenges and workforce training constraints.