The application of clinical path teaching method and case-based learning in the standardized residency training in the department of endocrinology

Zhou Wan; Ye Shandong; Wang Wei

doi:10.3760/cma.j.cn116021-20211219-01252

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The application of clinical path teaching method and case-based learning in the standardized residency training in the department of endocrinology

Postgraduate Medical Education | 更新时间：2023-05-12

- The application of clinical path teaching method and case-based learning in the standardized residency training in the department of endocrinology
- Chinese Journal of Medical Education Research Vol. 22, Issue 4, Pages: 582-586(2023)
- 作者机构：
  
  中国科学技术大学附属第一医院内分泌科，合肥　230001
- 作者简介：
  
  Zhou Wan, Email: zwan@ustc.edu.cn
- 基金信息：
  
  The Project of Graduate Education and Teaching Reform Research in Anhui Province(2022jyjxggyj011);The Project of the Provincial Quality Engineering of Colleges and Universities in Anhui Province(2021jyxm1759);The Project of Teaching and Research in University of Science and Technology of China(2020xjyxm080;2021xjyxm143);The Project of National Natural Science Foundation of China(82270863)
- DOI：10.3760/cma.j.cn116021-20211219-01252
  CLC： R-5
- Published：20 April 2023，
  
  Received：19 December 2021，
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周婉, 叶山东, 王炜. CPTM联合CBL教学在内分泌科规范化培训中的应用[J]. 中华医学教育探索杂志, 2023, 22(4): 582-586.

Zhou Wan, Ye Shandong, Wang Wei. The application of clinical path teaching method and case-based learning in the standardized residency training in the department of endocrinology. [J]. Chinese Journal of Medical Education Research 22(4):582-586(2023)
周婉, 叶山东, 王炜. CPTM联合CBL教学在内分泌科规范化培训中的应用[J]. 中华医学教育探索杂志, 2023, 22(4): 582-586. DOI： 10.3760/cma.j.cn116021-20211219-01252.

Zhou Wan, Ye Shandong, Wang Wei. The application of clinical path teaching method and case-based learning in the standardized residency training in the department of endocrinology. [J]. Chinese Journal of Medical Education Research 22(4):582-586(2023) DOI： 10.3760/cma.j.cn116021-20211219-01252.

摘要

目的

探讨临床路径教学法（clinical path teaching method，CPTM）联合CBL教学方法在内分泌科住院医师规范化培训中的应用效果。

方法

选择 2020年6月至2021年6月在中国科学技术大学附属第一医院参加内分泌科规范化培训的120名住院医师作为研究对象。将其分为对照组（传统模式教学）、CPTM组、CBL组、教改组（CPTM联合CBL模式教学），各30名。比较各组医师出科成绩及平时成绩，并对教学效果进行满意度调查。

结果

教改组学生的学习方法、任务完成度、临床思辨能力、技能考核均高于余下3组，学生学习积极性高于对照组及CPTM组，差异均有统计学意义（

0.05）。教改组出科总成绩为（55.97±5.58）分，高于对照组（51.97±4.54）分、CPTM组（53.48±3.37）分及CBL组（51.36±3.72）分。各组学生的教师满意度调查，教改组的满意度大于对照组。带教教师在教改组的教学体验更好。

结论

CPTM联合CBL教学法在内分泌科住院医师规范化培训的教学中，能提升学习主动性，提高诊疗思维，具有重要临床教学意义。

Abstract

Objective

To explore the application effect of clinical path teaching method (CPTM) and case-based learning (CBL) in the standardized residency training in the department of endocrinology.

Methods

A total of 120 residents who participated in the standardized residency training in the Department of Endocrinology in The First Affiliated Hospital of University of Science and Technology of China from June 2020 to June 2021 were selected as subjects. They were randomly divided into the control group (30 cases) who received traditional teaching mode

CPTM group (30 cases)

CBL group (30 cases) and the experimental group (30 cases) who received CPTM + CBL combination teaching mode. The graduation examination results

usual performances and the teaching satisfaction among the four groups were compared.

Results

The students in experimental group had higher score in learning methods

task completion

clinical thinking ability and operational assessment than the rest three groups. In addition

the students in experimental group were more enthusiastic to learn than the control group and CPTM group

and the difference was statistically significant (

0.05). The students in experimental group had better performance in graduation examination (55.97±5.58) than the control group (51.97±4.54)

CPTM group (53.48±3.37) and CBL group (51.36±3.72).The teaching satisfaction of the students in experimental group was higher than that of the rest three groups. Furthermore

the teaching experience of teachers in experimental group was better.

Conclusion

CPTM combined with CBL teaching method can improve the thinking skills and learning initiative

which is beneficial to cultivate the clinical ability of residents in the standardized residency training of endocrinology.

关键词

临床路径教学法案例教学内分泌规范化培训

Keywords

Clinical path teaching methodCase-based learningEndocrinologyStandardized training

references

Chalkidou K, Lord J, Obeidat NA, et al. Piloting the development of a cost-effective evidence-informed clinical pathway: managing hypertension in Jordanian primary care [J]. Int J Technol Assess Health Care, 2011, 27(2): 151-158. DOI: 10.1017/S0266462311000122http://dx.doi.org/10.1017/S0266462311000122.

程宪永，巴莹，王凯，等. 临床路径教学在消化科规范化培训带教中的效果[J]. 中国继续医学教育， 2020， 12（26）： 37-40. DOI: 10.3969/j.issn.1674-9308.2020.26.011http://dx.doi.org/10.3969/j.issn.1674-9308.2020.26.011.

魏博，李芝峰. CBL联合临床路径教学在全科医师转岗培训心内科教学中的应用[J]. 中华医学教育探索杂志， 2021， 20（6）： 687-690. DOI: 10.3760/cma.j.cn116021-20191219-00521http://dx.doi.org/10.3760/cma.j.cn116021-20191219-00521.

Scheuerlein H, Rauchfuss F, Dittmar Y, et al. New methods for clinical pathways—business Process Modeling Notation (BPMN) and Tangible Business Process Modeling (t.BPM) [J]. Langenbecks Arch Surg, 2012, 397(5): 755-761. DOI: 10.1007/s00423-012-0914-zhttp://dx.doi.org/10.1007/s00423-012-0914-z.

关翎，郭昱君，杨燕绥，等. 临床路径优化卫生资源的分析研究[J]. 中国卫生质量管理， 2020， 27（1）： 39-43. DOI: 10.13912/j.cnki.chqm.2020.27.1.10http://dx.doi.org/10.13912/j.cnki.chqm.2020.27.1.10.

王敏，廖嘉慧，夏海斌，等. PBL结合CBL教学法在口腔种植学规培中的应用[J]. 中国继续医学教育， 2021， 13（33）： 41-44. DOI: 10.3969/j.issn.1674-9308.2021.33.011http://dx.doi.org/10.3969/j.issn.1674-9308.2021.33.011.

李洁超，韩磊，薛长春，等. 内分泌科住院医师规范化培训中CBL教学法优势评价[J]. 中国病案， 2020， 21（1）： 83-85. DOI: 10.3969/j.issn.1672-2566.2020.01.030http://dx.doi.org/10.3969/j.issn.1672-2566.2020.01.030.

丁瑜洁，苏玉华，吴文雅，等. 融合PBL/CBL特征的翻转课堂在皮肤科规培教学中的应用[J]. 医学理论与实践， 2021， 34（17）： 3109-3110， 3116. DOI：10.19381/j.issn.1001-7585.2021.17.086http://dx.doi.org/10.19381/j.issn.1001-7585.2021.17.086.

苏思标，陈雯，陈艺飞. 案例教学法联合临床路径教学法在临床实习教学中的应用[J]. 科教导刊， 2020（6）： 119-120， 125. DOI： 10.16400/j.cnki.kjdkx.2020.02.057http://dx.doi.org/10.16400/j.cnki.kjdkx.2020.02.057.

卢艳慧，李春霖. 多元化教学模式在内分泌学科教学中的应用[J]. 医学研究与教育， 2015， 32（1）： 92-94， 107. DOI: 10.3969/j.issn.1674-490X.2015.01.021http://dx.doi.org/10.3969/j.issn.1674-490X.2015.01.021.

李彩霞，吕艳，王小玲，等. WPBL+CBL教学结合临床路径在皮肤科护理教学中的应用[J]. 中华医学教育探索杂志， 2021， 20（10）： 1219-1222. DOI: 10.3760/cma.j.cn116021-20200806-00654http://dx.doi.org/10.3760/cma.j.cn116021-20200806-00654.

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