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Authors
Qian, Yizhou
Liu, Meishan
Zhu, Liye
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Funding
Funding for this research was provided by:
Undergraduate Education and Teaching Reform Research Project of Jiangnan University (JG240112)
Jiangsu Higher Education Teaching Reform Research Project (2025JGYB100)
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Article History
Received: 1 August 2025
Accepted: 3 June 2026
First Online: 9 June 2026
Competing interests
: The authors declare no competing interests.
: All research was performed in accordance with the Declaration of Helsinki. The study protocol was reviewed and approved by the ethics committee of Jiangnan University (Approval ID: JNU202306RB005) on June 16, 2023.
: Written informed consent for participation and data use was obtained from all participants. The first cohort provided consent upon completing the final exam on December 21, 2023, and the second cohort on December 27, 2024. All participants were informed that their data would be anonymized to protect confidentiality.
