Reform practices and explorations under the double-track medical integration education reform: a case study of the circulatory system

Shao Heng; Di Hongjun; Qiang Zhaoyan; Yan Jingrui; Deng Weimin

doi:10.3760/cma.j.cn116021-20240201-02032

您当前的位置：

首页 >

文章列表页 >

Reform practices and explorations under the double-track medical integration education reform: a case study of the circulatory system

Teaching Reform | 更新时间：2025-08-28

- Reform practices and explorations under the double-track medical integration education reform: a case study of the circulatory system
- Chinese Journal of Medical Education Research Vol. 24, Issue 8, Pages: 1069-1073(2025)
- 作者机构：
  
  1.天津医科大学基础医学院人体解剖学系，天津 300070
  2.天津医科大学基础医学院生理学与病理生理学系，天津 300070
  3.天津医科大学基础医学院药理学系，天津 300070
  4.天津医科大学基础医学院教学办公室，天津 300070
  5.天津医科大学基础医学院免疫学系，天津 300070
- 作者简介：
  
  Deng Weimin, Email: dengweimin@tmu.edu.cn
- 基金信息：
  
  Chinese Medical Association Medical Education Branch and National Center for Health Professions Education Development 2023 Annual Medical Education Research Project(2023B254);Medical Education Research Project of Basic Medical College of Tianjin Medical University in 2024(JCJG202401)
- DOI：10.3760/cma.j.cn116021-20240201-02032
  CLC： R3
- Received：01 February 2024，
  
  Published：20 August 2025
- 稿件说明：
移动端阅览
邵珩, 邸红军, 强兆艳, 等. 双轨医学整合教改下的改革实践与探索：以循环系统为例[J]. 中华医学教育探索杂志, 2025, 24(8): 1069-1073.

Shao Heng, Di Hongjun, Qiang Zhaoyan, et al. Reform practices and explorations under the double-track medical integration education reform: a case study of the circulatory system[J]. Chinese journal of medical education research, 2025, 24(8): 1069-1073.
邵珩, 邸红军, 强兆艳, 等. 双轨医学整合教改下的改革实践与探索：以循环系统为例[J]. 中华医学教育探索杂志, 2025, 24(8): 1069-1073. DOI： 10.3760/cma.j.cn116021-20240201-02032.

Shao Heng, Di Hongjun, Qiang Zhaoyan, et al. Reform practices and explorations under the double-track medical integration education reform: a case study of the circulatory system[J]. Chinese journal of medical education research, 2025, 24(8): 1069-1073. DOI： 10.3760/cma.j.cn116021-20240201-02032.

摘要

器官系统整合式课程体系克服了单一教学方法的局限性，并解决了忽视整体化与相互联系的问题，有效实现了知识向能力的转化。天津医科大学围绕临床医学本科人才培养目标，创新实施“双轨制整合教学改革”。该体系以人体8大系统为核心，打破传统学科壁垒，实现基础医学与临床课程的系统化整合。自2019年起在临床及儿科“5+3”专业中率先推行，通过三轮教学实践（2021年启动首轮），构建了特色鲜明的整合式课程群。以循环系统为示范，重组教学内容并开发专用教材，组建跨学科教学团队，通过交叉培训形成教学共识。教学模式融合理论实践与课程思政，采用以问题为基础的学习（problem-based learning，PBL）引导自主学习，线上线下混合式教学提升成效。创新构建包含形成性评价的闭环考核体系，结合考试分析、师生问卷及教学督导等多维度反馈，持续优化课程建设。改革显著提升了医学生专业素养与综合能力，为新时代高水平医学人才培养提供了创新范式。

Abstract

The organ system-integrated curriculum system overcomes the limitations of single teaching methods and the drawbacks of neglecting holism and interconnectedness

effectively transforming knowledge into competency. Tianjin Medical University has pioneered the "double-track integrated teaching reform" to align with the objective of training undergraduate clinical medical talents. This system is centered on the eight major human body systems

breaking traditional disciplinary boundaries and achieving systematic integration of basic medical and clinical courses. First implemented in 2019 in the "5+3" clinical and pediatric programs

the system has undergone three rounds of teaching practice since 2021

forming a distinctive integrated curriculum system. Using the circulatory system as a model

the reform reorganized teaching content

developed specialized textbooks

and assembled interdisciplinary teaching teams

fostering a shared instructional approach through cross-disciplinary training. The teaching model integrates theoretical and practical learning with curriculum-based ideological and political education

employing problem-based learning to encourage self-directed study and leveraging an online-offline mixed approach to enhance teaching effectiveness. An innovative closed-loop assessment system incorporating formative evaluation has been established

integrating multidimensional feedback from exam analysis

student and faculty questionnaire surveys

and teaching supervision to continuously optimize curriculum development. The reform has significantly enhanced medical students' professional competencies and overall capabilities

providing an innovative paradigm for training high-level medical professionals in the new era.

关键词

Keywords

references

Brauer DG , Ferguson KJ . The integrated curriculum in medical education: AMEE Guide No. 96 [J ] . Med Teach , 2015 , 37 ( 4 ): 312 - 322 . DOI: 10.3109/0142159X.2014.970998 http://dx.doi.org/10.3109/0142159X.2014.970998 .

张家宇，舒涛，袁野，等 . 学习理论视角下国内外医学课程整合现状的比较与思考 [J ] . 中华医学教育探索杂志， 2022 ， 21 （ 6 ）： 786 - 790 . DOI: 10.3760/cma.j.cn116021-20200509-00902 http://dx.doi.org/10.3760/cma.j.cn116021-20200509-00902 .

Khalil MK , Giannaris EL , Lee V , et al . Integration of clinical anatomical sciences in medical education: design, development and implementation strategies [J ] . Clin Anat , 2021 , 34 ( 5 ): 785 - 793 . DOI: 10.1002/ca.23736 http://dx.doi.org/10.1002/ca.23736 .

Maximilian Buja L . Medical education today: all that glitters is not gold [J ] . BMC Med Educ , 2019 , 19 ( 1 ): 110 . DOI: 10.1186/s12909-019-1535-9 http://dx.doi.org/10.1186/s12909-019-1535-9 .

蒋周凌，王闻楚 . 新医科背景下基础医学专业研究生思政教育建设初步探索 [J ] . 科教导刊， 2022 （ 3 ）： 20 - 22 . DOI: 10.16400/j.cnki.kjdk.2022.03.007 http://dx.doi.org/10.16400/j.cnki.kjdk.2022.03.007 .

刘文丽，穆欣，张键，等 . 案例教学在皮肤科住院医师规范化培训中的应用 [J ] . 医学教育研究与实践， 2020 ， 28 （ 6 ）： 1095- 1097. DOI: 10.13555/j.cnki.c.m.e.2020.06.043 http://dx.doi.org/10.13555/j.cnki.c.m.e.2020.06.043 .

魏璐，沈理，高艳虹 . 器官系统整合课程在临床医学专业本科生中的教学效果分析 [J ] . 中华医学教育探索杂志， 2022 ， 21 （ 1 ）： 34 - 38 . DOI: 10.3760/cma.j.cn116021-20200706-00726 http://dx.doi.org/10.3760/cma.j.cn116021-20200706-00726 .

杜抱朴，高艳，刘丽 . 基于数字化标本考试系统的人体解剖学实验考试模式的建立与应用 [J ] . 解剖学研究， 2023 ， 45 （ 6 ）： 581 - 584 . DOI: 10.20021/j.cnki.1671-0770.2023.06.14 http://dx.doi.org/10.20021/j.cnki.1671-0770.2023.06.14 .

贾雪，吴元刚，李明阳，等 . PBL和LBL联合教学在骨骼运动系统疾病教学中的效果评价 [J ] . 中华医学教育探索杂志， 2022 ， 21 （ 8 ）： 1012 - 1015 . DOI: 10.3760/cma.j.cn116021-20201102-00955 http://dx.doi.org/10.3760/cma.j.cn116021-20201102-00955 .

肖蓉 . 基于问题教学法融合对分课堂的基础医学整合课程教学改革研究 [J ] . 科技资讯， 2020 ， 18 （ 15 ）： 162 ， 164 . DOI: 10.16661/j.cnki.1672-3791.2020.15.162 http://dx.doi.org/10.16661/j.cnki.1672-3791.2020.15.162 .

王瑾，白晓洁，李建红，等 . PBL在基础医学整合教学中的改革及实践 [J ] . 基础医学教育， 2019 ， 21 （ 5 ）： 360 - 363 . DOI: 10.13754/j.issn2095-1450.2019.05.08 http://dx.doi.org/10.13754/j.issn2095-1450.2019.05.08 .

相静，魏飞，于微微，等 . B-Learning模式在国内外高等医学教育中的应用现状 [J ] . 中华医学教育探索杂志， 2022 ， 21 （ 1 ）： 6 - 10 . DOI: 10.3760/cma.j.cn116021-20200309-00719 http://dx.doi.org/10.3760/cma.j.cn116021-20200309-00719 .

朱云娟，刘奔，邸红军，等 . 消化系统整合教学模式的探索与体会 [J ] . 基础医学教育， 2023 ， 25 （ 11 ）： 934 - 936 . DOI: 10.13754/j.issn2095-1450.2023.11.02 http://dx.doi.org/10.13754/j.issn2095-1450.2023.11.02 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Exploration and effectiveness of the integration of biomedical and clinical medical education and teaching reform between China and the UK

Thoughts and exploration on cultivating excellent clinical medical talents in the cross-disciplinary context of medicine and engineering and the background of "New Medicine"

Exploration and practice of developing top-notch innovative medical personnel based on research-oriented hospital with thick cultivation culture

Related Author

Shao Heng

Di Hongjun

Qiang Zhaoyan

Yan Jingrui

Deng Weimin

Luo Zhijun

Yang Yi

Yu Jiahe

Related Institution

Nanchang University Queen Mary School

Health Science Center, Chongqing University

Medical School, Chongqing University

四川大学华西临床医学院

⁰