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Lectures based on cardinal symptoms in undergraduate medicine - effects of evaluation-based interventions on teaching large groups.

GMS Z Med Ausbild · 2011 · PMC3140396 · PMID 21818230

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a positive trendno p-value reported
The second evaluation phase reveals six significant improvements in ratings after the intervention and all other items except for three show a positive trend.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.