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A BOPPPS-based micro-lecture teaching intervention for orthopaedic postgraduates in China
Xu Yang1, Tianyang Liu2, Ying Li3
1Peking University China-Japan Friendship School of Clinical Medicine, Beijing, People's Republic of China.
Medical Education Online
|January 13, 2026
Summary
The Bridge-in, Learning Objective, Pre-test, Participatory Learning, Post-assessment, and Summary (BOPPPS) model improved orthopaedic postgraduate training. This teaching method enhanced clinical diagnostic and treatment skills compared to traditional methods.
Area of Science:
- Medical Education
- Orthopaedic Surgery
- Educational Technology
Background:
- Orthopaedic postgraduate education faces challenges due to complex knowledge and theoretical frameworks.
- Micro-lectures are increasingly used in medical education but may lack engagement and effectiveness.
- The BOPPPS teaching model offers a structured approach to enhance student participation and feedback.
Purpose of the Study:
- To develop and evaluate a BOPPPS-based micro-lecture system for orthopaedic postgraduates.
- To improve the quality of orthopaedic teaching and enhance clinical competencies.
- To provide evidence for teaching reform in postgraduate orthopaedics.
Main Methods:
- A randomized controlled trial involving 48 first-year surgical postgraduates.
- Experimental group received BOPPPS-based micro-lectures; control group received ordinary teaching.
- Assessment included Mini-Clinical Evaluation Exercise, Direct Observation of Procedural Skills, and satisfaction surveys.
Main Results:
- The BOPPPS group demonstrated significantly superior clinical diagnostic and treatment abilities (p < 0.007).
- Preoperative preparation performance was significantly improved (p = 0.005).
- The experimental group outperformed the control group in eight other clinical practice indicators (p < 0.005).
Conclusions:
- BOPPPS-based micro-lectures significantly enhance orthopaedic postgraduate clinical competencies.
- This teaching model shows promise for improving surgical education outcomes.
- Further research can explore its impact on other medical specialties.

