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  3. Aceing Cognitive Integration: Evidence From A Structural Equation Model.
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  3. Aceing Cognitive Integration: Evidence From A Structural Equation Model.

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Applying an eMASS Customization Program as a Research Tool to Evaluate Consumer Benefits
08:27

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Published on: September 27, 2019

ACEing Cognitive Integration: Evidence from a Structural Equation Model.

Christian C Steciuch1,2, Cayla R Teal1,3, Emma Nguyen1,2

  • 1Office of Medical Education, University of Kansas School of Medicine, Kansas City, Kansas, USA.

Teaching and Learning in Medicine
|May 25, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

The Active-Learning, Competency-Based, Excellence-Driven (ACE) curriculum effectively promotes cognitive integration, linking foundational science knowledge to clinical skills and knowledge in medical students.

Keywords:
Cognitive integrationclinical skillsfoundational knowledgestructural equation modeling

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08:27

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Published on: September 27, 2019

Area of Science:

  • Medical Education
  • Cognitive Science
  • Curriculum Development

Background:

  • Medical education reform emphasizes integrating basic sciences with clinical applications.
  • Cognitive integration is crucial for developing clinical reasoning and expertise.
  • The Active-Learning, Competency-Based, Excellence-Driven (ACE) curriculum aims to foster this integration.

Purpose of the Study:

  • To evaluate the extent to which the ACE curriculum promotes cognitive integration in medical learners.
  • To assess the relationship between foundational knowledge and clinical skills/knowledge.
  • To examine the mediating role of developmental clinical skills and knowledge.

Main Methods:

  • Structural equation modeling was used to analyze data from graduating classes of 2023-2025 (N=630) at KUSOM.
  • Examined the relationship between foundational knowledge (course exams) and clinical skills assessment.
  • Assessed the mediation by developmental clinical skills and developmental clinical knowledge (NBME Subject Exam) on USMLE Step 2 CK scores.

    • Main Results:

    • Foundational knowledge strongly correlated with clinical skills assessment, fully mediated by developmental clinical skills.
    • Foundational knowledge strongly correlated with USMLE Step 2 CK scores, fully mediated by developmental clinical knowledge.
    • Higher foundational knowledge predicted better performance on clinical skills assessments.

    Conclusions:

    • The ACE curriculum appears successful in promoting cognitive integration.
    • Foundational knowledge acquired early is strongly linked to later clinical competence.
    • The curriculum design supports the development of connections between basic science and clinical practice.