生物学杂志

生物学杂志 ›› 2025, Vol. 42 ›› Issue (5): 122-.doi: 10.3969/j.issn.2095-1736.2025.05.122

• 教学研究 • 上一篇    下一篇

基于案例导入式教学法提升医学规培生思维能力的研究

张明军， 陈　玮， 黄　琦， 李　娜， 彭　瑶， 姚森帮   

  1. 安徽医科大学第二附属医院， 合肥 230601
  • 出版日期:2025-10-18 发布日期:2025-10-14
  • 作者简介:张明军，博士，主任医师，研究方向为消化道恶性肿瘤的临床与基础研究，E-mail：zhangmingjun@ahmu.edu.cn
  • 基金资助:
    安徽省教育厅高校重点项目（2023AH040380）

Research on enhancing the thinking ability of medical residents through case-based study teaching method

ZHANG Mingjun, CHEN Wei, HUANG Qi, LI Na, PENG Yao, YAO Senbang   

  1. Second Affiliated Hospital of Anhui Medical University, Hefei 230601, China
  • Online:2025-10-18 Published:2025-10-14

摘要： 探讨案例导入式教学法（case-based study，CBS）在住院医师规范化培训中的应用效果，评估其对临床思维、综合能力及医患沟通技巧的提升作用。CBS组采用真实病例驱动的情境式、互动式教学模式。常规组采用传统讲授和资料查阅方式。比较两组的基础知识、病例分析、技能操作考试成绩以及医患沟通能力（Set Elicit Give Understand End，SEGUE）评分，培训效果反馈和满意度的差异。结果表明：CBS组3项考试平均分显著高于常规组（P＜0.05）；培训后SEGUE评分显著提升（P＜0.001）；CBS组在培训效果反馈评分及满意度均高于常规组（P＜0.001）。确定CBS教学模式对提高肿瘤科住院医师的理论水平、临床思维能力、技能操作水平及医患沟通技巧方面有益，适宜在肿瘤科规范化培训中推广。

关键词: 案例导入式教学, 肿瘤学, 规范化培训, 临床思维, 医患沟通

Abstract: This study investigated the effectiveness of the case-based study (CBS) teaching method in standardized residency training and evaluated its impact on clinical reasoning, comprehensive competence, and doctor-patient communication skills. In the CBS group, a scenario-driven, interactive approach based on real cases was implemented, whereas the control group received traditional lecture-based instruction supplemented literature review. Outcomes were assessed through examinations basic knowledge, case analysis, and procedural skills using the Set Elicit Give Understand End (SEGUE) framework; and training feedback and satisfaction surveys. Results demonstrated that the CBS group achieved significantly higher mean scores all three examinations the control group (P<0.05). Post-training SEGUE scores improved markedly (P<0.001), higher in the CBS group (P<0.001). These findings suggest that the CBS teaching model enhances oncology residents theoretical knowledge, clinical thinking, procedural skills, and communication abilities, demonstrating its efficacy.

Key words: case-based study, oncology, standardized training, clinical thinking, doctor-patient communication

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