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Clinical case performance by item at the summative test.
| Case item | TBL correct (%) | PBL correct (%) |
|---|---|---|
| Femoral hernia diagnosis | 85.3% | 93.8% |
| Contraindication recognition | 85.3% | 100% |
| Erect chest X-ray reasoning | 61.8% | 31.3% |
| Foster and Edmond stage IV accuracy | 85.3% | 68.8% |
| Diabetic foot ulcer classification | 88.2% | 93.8% |
Item-level analysis of selected clinical cases. PBL group performed better in diagnostic reasoning; TBL group showed stronger investigative and staging accuracy.
