Application of simulation-based teaching with real world cases in standardized residency training for physicians in the Department of Cardiology

Xue Chao; Fan Yuqi; Huang Haiyi; Hu Jingchao; Zhang Junfeng; Chen Qizhi

doi:10.3760/cma.j.cn116021-20241123-02022

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Application of simulation-based teaching with real world cases in standardized residency training for physicians in the Department of Cardiology

Standardized Residency Training | 更新时间：2025-12-18

- Application of simulation-based teaching with real world cases in standardized residency training for physicians in the Department of Cardiology
- Chinese Journal of Medical Education Research Vol. 24, Issue 12, Pages: 1670-1675(2025)
- 作者机构：
  
  上海交通大学医学院附属第九人民医院心内科，上海 200011
- 作者简介：
  
  Chen Qizhi, Email: qizhi_chen@126.com
- 基金信息：
  
  Key Course Construction Project of Shanghai Jiao Tong University School of Medicine in 2018 (HJYJ [2018] No. 10)(沪交医教〔2018〕10号)
- DOI：10.3760/cma.j.cn116021-20241123-02022
  CLC： R33
- Received：23 November 2024，
  
  Published：20 December 2025
- 稿件说明：
移动端阅览
薛超, 范虞琪, 黄海怡, 等. 以真实案例为基础的模拟教学在心血管内科住院医师规范化培训教学实践中的应用[J]. 中华医学教育探索杂志, 2025, 24(12): 1670-1675.

Xue Chao, Fan Yuqi, Huang Haiyi, et al. Application of simulation-based teaching with real world cases in standardized residency training for physicians in the Department of Cardiology[J]. Chinese Journal of Medical Education Research, 2025, 24(12): 1670-1675.
薛超, 范虞琪, 黄海怡, 等. 以真实案例为基础的模拟教学在心血管内科住院医师规范化培训教学实践中的应用[J]. 中华医学教育探索杂志, 2025, 24(12): 1670-1675. DOI： 10.3760/cma.j.cn116021-20241123-02022.

Xue Chao, Fan Yuqi, Huang Haiyi, et al. Application of simulation-based teaching with real world cases in standardized residency training for physicians in the Department of Cardiology[J]. Chinese Journal of Medical Education Research, 2025, 24(12): 1670-1675. DOI： 10.3760/cma.j.cn116021-20241123-02022.

摘要

目的

探索以真实案例为基础的模拟教学在心血管内科住院医师规范化培训中的作用和效果。

方法

选取2022年8月至2024年7月在上海交通大学医学院附属第九人民医院心血管内科进行规范化培训的内科专业住院医师83人，其中2022年8月到2023年7月参加培训的43名医师为对照组，采用传统教学；2023年8月到2024年7月参加培训的40名医师为研究组，采用以真实案例为基础的模拟教学。教学任务结束后，采用理论知识测试和教学满意度调查评价教学效果。采用SPSS 22.0软件进行

检验和卡方检验。

结果

研究组规培医师理论知识成绩为（81.51±8.55）分、病例分析成绩为（90.19±7.45）分、技能操作成绩为（91.81±5.06）分、病史采集成绩为（93.85±6.61）分、体格检查成绩为（90.49±4.85）分，均高于对照组[（76.64±8.17）分、（84.06±12.43）分、（87.44±8.89）分、（89.57±8.88）分、（84.79±10.04）分

]

，差异有统计学意义（

0.05）。满意度问卷调查结果显示，研究组在增加学习兴趣、培养临床思维、提高人文素养、提高临床决策能力、提高同理心和沟通技巧以及整体满意度6个方面评分高于对照组，差异有统计学意义（

0.05）。

结论

在心血管内科住院医师规范化培训中采用以真实案例为基础的模拟教学可提升理论知识和实践考核成绩，且规培生对教学的满意度更高。

Abstract

Objective

To explore the role and effectiveness of simulation-based teaching with real-world cases in standardized residency training for physicians in the Department of Cardiology.

Methods

A total of 83 internal medicine residents who received standardized training in the Department of Cardiology at the Ninth People's Hospital

Shanghai Jiao Tong University School of Medicine between August 2022 and July 2024 were selected. 43 physicians who participated in standardized training from August 2022 to July 2023 were selected as the control group and the traditional teaching was used. 40 physicians who participated in standardized training from August 2023 to July 2024 were selected as the research group and the simulation-ba

sed teaching with real-world cases was used. After the standardized training

teaching effectiveness was evaluated using theoretical knowledge tests and teaching satisfaction survey. SPSS 22.0 software was used for

test and chi-square test.

Results

The study group achieved significantly higher scores in theoretical knowledge [(81.51±8.55) vs. (76.64±8.17)

]

case analysis [(90.19±7.45) vs. (84.06±12.43)

]

skill operation [(91.81±5.06) vs. (87.44±8.89)

]

medical history inquiry [(93.85±6.61) vs. (89.57±8.88)

]

and physical examination [(90.49±4.85) vs. (84.79±10.04)

]

compared to the control group (

0.05). The satisfaction survey showed that the research group scored significantly higher than the control group in six aspects: increasing learning interest

cultivating clinical thinking

improving humanistic literacy

enhancing clinical decision-making ability

increasing empathy and communication skills

and overall satisfaction (

0.05).

Conclusions

Simulation-based teaching with real-world cases in standardized residency training for physicians in the Department of Cardiology can improve theoretical knowledge and practical skill examination scores and increase trainee satisfaction with the teaching.

关键词

Keywords

references

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