Development and application effectiveness of a clinical-pathological case discussion model for resident physicians

Dai Jianhua; Lin Yong; Zhang Xi; Luo Qinya; Zhang Huarong; Zhu Jiang; Chen Kun; Peng Zhihong; Tang Bo; Chen Wei; Zhang Li; Yao Xiaohong; Yan Xiaochu; Bian Xiuwu; Xu Senlin

doi:10.3760/cma.j.cn116021-20250317-02286

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Development and application effectiveness of a clinical-pathological case discussion model for resident physicians

更新时间：2026-08-01

- Development and application effectiveness of a clinical-pathological case discussion model for resident physicians
- Chinese Journal of Medical Education Research Pages: 1-8(2026)
- 作者机构：
  
  1.陆军军医大学第一附属医院消化内科，重庆 400038
  2.陆军军医大学第一附属医院临床病理科，重庆 400038
  3.陆军军医大学第一附属医院普通外科，重庆 400038
  4.陆军军医大学第一附属医院放射科，重庆 400038
- 作者简介：
  
  Xu Senlin, Email: xusenlin@tmmu.edu.cn
- 基金信息：
  
  General Project on Teaching Reform of Post-Graduation Medical Education, The First Affiliated Hospital of Army Medical University(2023bjg210)
- DOI：10.3760/cma.j.cn116021-20250317-02286
  CLC： R818.02
- Received：17 March 2025，
  
  Online First：01 August 2026，
- 稿件说明：
移动端阅览
Dai Jianhua, Lin Yong, Zhang Xi, et al. Development and application effectiveness of a clinical-pathological case discussion model for resident physicians[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-8.
DOI：

Dai Jianhua, Lin Yong, Zhang Xi, et al. Development and application effectiveness of a clinical-pathological case discussion model for resident physicians[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-8. DOI： 10.3760/cma.j.cn116021-20250317-02286.

摘要

目的

评估面向住院医师的临床-病理联合病例讨论会模式的初步应用效果。

方法

针对本院病理科医师（60人），临床科室医师（46人）开展临床-病理联合病例讨论会研究，通过知识水平测试、满意度调查问卷及半结构化访谈质性结果检验该模式的效果。采用 SPSS 26.0 进行重复测量方差分析。

结果

参与研究的医师后测成绩均高于前测。其中临床知识模块[病理医师：（24.77±2.83） vs. （18.52±3.24）

]

；临床医师：（27.46±2.13） vs. （22.13±3.75），时间主效应显著（

=350.25，

0.001）。病理知识模块[病理医师：（36.75±2.49） vs. （28.64±4.05）；临床医师：（32.81±3.63） vs.（20.33±5.24）），时间主效应显著（

=480.63，

0.001）。整合应用模块[病理医师：（25.37±3.24） vs.（15.84±5.47）；临床医师：（26.98±2.45） vs. （16.20±5.85），时间主效应显著（

=420.18，

0.001）。满意度调查显示，学员整体满意度高，认为推广价值高。质性研究显示，临床-病理联合病例讨论会模式在加深对疾病本质的跨维度理解、激发自主探索与跨学科学习兴趣及促进整合性临床思维模式的初步构建方面有积极影响。

结论

构建的临床-病理联合病例讨论会模式，通过多学科合作，能提升住院医师将临床-病理整合能力，学员普遍认可度高。

Abstract

Objective

To evaluate the preliminary application effect of the clinical pathological joint case discussion mode for resident physicians.

Method

A clinical pathology joint case discussion study was conducted for 60 pathologists and 46 clinical department physicians in our hospital. The effectiveness of this model was tested through knowledge level tests

satisfaction surveys

and semi-structured interviews. Perform repeated measures ANOVA using SPSS 26.0.

Result

The post test scores of the participating physicians were higher than those of the pre-test. Among them

the clinical knowledge module [Pathologist: (24.77±2.83) vs. (18.52±3.24)

]

; Clinical physician: (27.46±2.13) vs. (22.13±3.75)

with a significant time main effect (

=350.25

0.001). Pathology knowledge module [Pathologist: (36.75±2.49) vs. (28.64±4.05); Clinical physician: (32.81±3.63) vs. (20.33±5.24)

with a significant time main effect (

=480.63

0.001). Integrated application module [Pathologist: (25.37±3.24) vs. (15.84±5.47)

]

; Clinical physician: (26.98±2.45) vs. (16.20±5.85)

with a significant time main effect (

=420.18

0.001). The satisfaction survey shows that the overall satisfaction of the students is high

and they believe that the promotion value is high. Qualitative research has shown that the clinical pathological joint case discussion mode has a positive impact on deepening the multidimensional understanding of the nature of diseases

stimulating interest in independent exploration and interdisciplinary learning

and promoting the initial construction of integrated clinical thinking patterns.

Conclusions

The constructed clinical pathological joint case discussion mode

through multidisciplinary cooperation

can enhance the ability of resident physicians to integrate clinical pathology

and is widely recognized by students.

关键词

Keywords

references

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