Wang, Fan https://orcid.org/0009-0000-3426-9153
Zou, Jinhao https://orcid.org/0009-0001-9357-4358
Huang, Yanjin
Cao, Meng
Funding for this research was provided by:
Ningxia Medical University school-level teaching reform project (NYJY2025100)
Article History
Received: 8 June 2026
Accepted: 18 August 2026
First Online: 21 August 2026
Declarations
Ethics approval and consent to participate: The study was approved by the institutional ethics committee (approval No. 2025-080; approval date: October 28, 2025). Students received information about the study purpose, voluntary participation, use of de-identified survey data, and aggregate reporting of results. Electronic informed consent was obtained before questionnaire completion. Declining participation or discontinuing the questionnaire before submission had no effect on course assessment. Student numbers were used only for duplicate checking and data quality control and were removed before data export. The analytic dataset contained no names or other direct personal identifiers, and survey responses were not used for grading or individual student evaluation.
Consent for publication: Not applicable.
Competing interests: The authors declare no competing interests.