Application of CBL combined with clinical pathway in thoracic surgery practice teaching

Tao Shaolin; Feng Yonggeng; Kang Poming; Shen Cheng; Deng Bo; Wang Ruwen; Tan Qunyou

doi:10.3760/cma.j.cn116021-20201129-01180

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Application of CBL combined with clinical pathway in thoracic surgery practice teaching

Clinical Teaching | 更新时间：2023-04-14

- Application of CBL combined with clinical pathway in thoracic surgery practice teaching
- Chinese Journal of Medical Education Research Vol. 22, Issue 2, Pages: 232-235(2023)
- 作者机构：
  
  陆军军医大学大坪医院胸外科，重庆　400042
- 作者简介：
  
  Tan Qunyou, Email: tanqy001@163.com
- 基金信息：
  
  Chongqing Science and Technology Committee and Health Commission Joint Medical Research Project(2020FYYXO61)
- DOI：10.3760/cma.j.cn116021-20201129-01180
  CLC： R44
- Published：20 February 2023，
  
  Received：29 November 2020，
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陶绍霖, 冯涌耕, 康珀铭, 等. CBL联合临床路径在胸外科实习教学中的应用[J]. 中华医学教育探索杂志, 2023, 22(2): 232-235.

Tao Shaolin, Feng Yonggeng, Kang Poming, et al. Application of CBL combined with clinical pathway in thoracic surgery practice teaching. [J]. Chinese Journal of Medical Education Research 22(2):232-235(2023)
陶绍霖, 冯涌耕, 康珀铭, 等. CBL联合临床路径在胸外科实习教学中的应用[J]. 中华医学教育探索杂志, 2023, 22(2): 232-235. DOI： 10.3760/cma.j.cn116021-20201129-01180.

Tao Shaolin, Feng Yonggeng, Kang Poming, et al. Application of CBL combined with clinical pathway in thoracic surgery practice teaching. [J]. Chinese Journal of Medical Education Research 22(2):232-235(2023) DOI： 10.3760/cma.j.cn116021-20201129-01180.

摘要

目的

探讨以案例为基础的学习（case-based learning，CBL）联合临床路径在胸外科实习带教中的可行性和应用价值。

方法

筛选2018年1月至2018年8月实习的临床专业本科学生30名，按照随机数字表法分为传统组和研究组。传统组以传统教学模式带教，研究组以CBL联合临床路径教学。对比两组学生的出科理论成绩、实践技能成绩和病例分析能力等。另外通过匿名调查问卷的方式观察两组教师和学生对教学效果的评价。采用 SPSS 21.0 进行

检验和卡方检验。

结果

研究组学生出科各项成绩均优于传统组，其中理论成绩[（88.20±4.02） vs. （80.76±4.62），

0.001]、实践技能成绩[（90.80±2.16） vs. （84.80±3.07），

0.001]和病例分析能力成绩[（89.80±3.34） vs. （81.86±4.31），

0.001]，差异均有统计学意义。同时调查问卷显示，研究组在提高学生的学习兴趣、临床技能、病例分析能力、临床沟通能力，加深对理论知识的理解及培养临床思维能力方面均优于传统组，差异有统计学意义（

0.05）；而在学生对带教教师的满意度方面，两组差异无统计学意义（

=0.083）。

结论

CBL联合临床路径教学法可提高胸外科实习带教效果，值得推广使用。

Abstract

Objective

To explore the feasibility and application value of case-based learning (CBL) combined with clinical pathway in thoracic surgery practice teaching.

Methods

A total of 30 clinical undergraduate students who practiced from January 2018 to August 2018 were selected and randomly divided into the traditional group and the research group. The traditional group used traditional teaching mode

while the research group adopted the CBL combined with clinical pathway teaching. The scores of theoretical examination and practice skills assessment and the case analysis ability of the two groups were compared at the time of department. In addition

the evaluation of the teaching effect of the two groups of teachers and students was observed through anonymous questionnaires. SPSS 21.0 was used for

-test and Chi-square test.

Results

The scores of the students in the research group were better than those in the traditional group

including score of theoretical examination [(88.20±4.02) vs. (80.76±4.62)

0.001]

score of practice skills assessment [(90.80±2.16) vs. (84.80±3.07)

0.001] and case analysis ability [(89.80±3.34) vs. (81.86±4.31)

0.001]. The differences were statistically significant. At the same time

the questionnaire showed that the research group was superior to the traditional group in improving students' learning interest

clinical skills

case analysis ability

clinical communication ability

theoretical knowledge understanding and clinical thinking ability

with a statistically significant difference (

0.05). While the two groups had no statistically significant difference in students' satisfaction with teachers (

=0.083).

Conclusion

The CBL method combined with clinical pathway teaching method can improve the teaching effect of thoracic surgery practice

which is worth popularizing.

关键词

医学生临床教学以案例为基础的学习临床路径胸外科临床教学

Keywords

Clinical teaching of medical studentCase-based learningClinical pathwayClinical thoracic surgery teaching

references

Stehlik P, Noble C, Brandenburg C, et al. How do trainee doctors learn about research? Content analysis of Australian specialist colleges' intended research curricula [J]. BMJ Open, 2020, 10(3): e034962. DOI: 10.1136/bmjopen-2019-034962http://dx.doi.org/10.1136/bmjopen-2019-034962.

王以新，廉京雷，杨杰，等. 我国在校医学生全科医学教育的教学模式研究[J]. 中国全科医学， 2016， 19（13）： 1552-1555. DOI: 10.3969/j.issn.1007-9572.2016.13.017http://dx.doi.org/10.3969/j.issn.1007-9572.2016.13.017.

游文献，古赛. 医学生临床实习阶段问题分析[J]. 现代医药卫生， 2020， 36（6）： 935-937. DOI: 10.3969/j.issn.1009-5519.2020.06.050http://dx.doi.org/10.3969/j.issn.1009-5519.2020.06.050.

Bi MH, Zhao ZB, Yang JR, et al. Comparison of case-based learning and traditional method in teaching postgraduate students of medical oncology [J]. Med Teach, 2019, 41(10): 1124-1128. DOI: 10.1080/0142159X.2019.1617414http://dx.doi.org/10.1080/0142159X.2019.1617414.

Aluko A, Rana J, Burgin S. Teaching & Learning Tips 9: case-based teaching with patients [J]. Int J Dermatol, 2018, 57(7): 858-861. DOI: 10.1111/ijd.13781http://dx.doi.org/10.1111/ijd.13781.

李炳震，李学民. 案例综合教学法在眼科学课程教学中的应用[J]. 中华医学教育探索杂志， 2019， 18（6）： 588-592. DOI: 10.3760/cma.j.issn.2095-1485.2019.06.011http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2019.06.011.

Lawal AK, Rotter T, Kinsman L, et al. What is a clinical pathway? Refinement of an operational definition to identify clinical pathway studies for a Cochrane systematic review [J]. BMC Med, 2016, 14: 35. DOI: 10.1186/s12916-016-0580-zhttp://dx.doi.org/10.1186/s12916-016-0580-z.

郭建平，刘权祥，李增新，等. 骨科临床实习教学的PBL教学模式设计及应用[J].中国地方病防治杂志， 2017， 32（12）： 1341-1342.

张道军，黄显琼，朱堂友，等. 案例结合临床路径式教学法在皮肤科临床实践教学中的应用[J]. 中国皮肤性病学杂志， 2016， 30（9）： 968-969. DOI: 10.13735/j.cjdv.1001-7089.201504009http://dx.doi.org/10.13735/j.cjdv.1001-7089.201504009.

Pearson SD, Goulart-Fisher D, Lee TH, et al. Critical pathways as a strategy for improving care problems and potential [J]. Ann Intern Med, 1995, 123(12): 941-948. DOI: 10.7326/0003-4819-123-12- 199512150-00008http://dx.doi.org/10.7326/0003-4819-123-12-199512150-00008.

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