Exploration and practice of a DeepSeek-enhanced, scenario-based teaching model integrated with a multidisciplinary team approach in neurology residency training

Zhang Zhaoxu; Yu Yao; Zhang Shuangmei; Fan Yangyi; Song Xiaodong

doi:10.3760/cma.j.cn116021-20250606-02202

您当前的位置：

首页 >

文章列表页 >

Exploration and practice of a DeepSeek-enhanced, scenario-based teaching model integrated with a multidisciplinary team approach in neurology residency training

Digital Intelligence MedicalEducation | 更新时间：2026-02-13

- Exploration and practice of a DeepSeek-enhanced, scenario-based teaching model integrated with a multidisciplinary team approach in neurology residency training
- Chinese Journal of Medical Education Research Vol. 25, Issue 1, Pages: 23-29(2026)
- 作者机构：
  
  1.北京大学人民医院神经内科，北京 100032
  2.中国科学院大学附属肿瘤医院（浙江省肿瘤医院）疼痛康复科，杭州 310022
  3.重庆医科大学附属第一医院神经内科，重庆 400016
- 作者简介：
  
  Song Xiaodong, Email: 2018yiding6@sina.com
- 基金信息：
  
  National Natural Science Foundation of China(82401523)
- DOI：10.3760/cma.j.cn116021-20250606-02202
  CLC： R33
- Received：06 June 2025，
  
  Published：20 January 2026
- 稿件说明：
移动端阅览
张兆旭, 于垚, 张霜梅, 等. 基于DeepSeek的神经内科住培情境式教学与MDT融合模式探索[J]. 中华医学教育探索杂志, 2026, 25(1): 23-29.

Zhang Zhaoxu, Yu Yao, Zhang Shuangmei, et al. Exploration and practice of a DeepSeek-enhanced, scenario-based teaching model integrated with a multidisciplinary team approach in neurology residency training[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 23-29.
张兆旭, 于垚, 张霜梅, 等. 基于DeepSeek的神经内科住培情境式教学与MDT融合模式探索[J]. 中华医学教育探索杂志, 2026, 25(1): 23-29. DOI： 10.3760/cma.j.cn116021-20250606-02202.

Zhang Zhaoxu, Yu Yao, Zhang Shuangmei, et al. Exploration and practice of a DeepSeek-enhanced, scenario-based teaching model integrated with a multidisciplinary team approach in neurology residency training[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 23-29. DOI： 10.3760/cma.j.cn116021-20250606-02202.

摘要

目的

探讨基于DeepSeek系统的情境式教学联合多学科团队（multidisciplinary team，MDT）模式在神经内科住院医师规范化培训一年级阶段的多维度、可量化的教学效果。

方法

选取2025年2月至6月在北京大学人民医院轮转的70名住培第一年学员，随机分为对照组与试验组各35人。对照组实施案例为基础的学习教学模式，试验组则实施基于DeepSeek的情境式模拟教学联合MDT教学模式。通过阶段性理论考试、临床实践操作考核、加利福尼亚批判性思维倾向量表（the California Critical Thinking Disposition Inventory，CCTDI）及教学满意度问卷，综合评估教学成效。

结果

与对照组相比，试验组理论成绩[（82.94±5.55）分 vs. （74.31±5.49）分，

=6.44，

0.001

]

及临床实践考核成绩[（83.63±6.33）分 vs. （74.80±5.26）分，

=6.25，

0.001

]

均显著提升。CCTDI评估显示，试验组在真相寻找[（31.43±6.72）分 vs. （24.80±5.60）分，

=4.42，

0.001

]

、分析能力[（31.29±6.98）分 vs. （25.60±4.55）分，

=3.98，

0.001

]

等7个维度得分均优于对照组，总得分显著更高[（217.20±20.64）分 vs. （178.46±16.78）分，

=8.49，

0.001

]

。教学满意度调查中，试验组各项目评分均高于对照组，如学习积极性[（7.86±1.12分） vs. （6.34±1.04）分，

=5.76，

0.001

]

及临床思维培养[（7.97±0.

97）分 vs. （6.17±0.99）分，

=7.53，

0.001

]

，总得分亦显著提升[（54.20±2.61）分 vs. （43.80±3.12）分，

=14.20，

0.001

]

。

结论

基于DeepSeek的情境式模拟联合MDT教学模式能有效提升住培初期学员的临床知识掌握、实践操作能力及思维素养，激发其学习积极性与团队协作意识，是优化神经内科住培教学体系、强化初期培训质量的有益尝试。

Abstract

Objective

To evaluate the effectiveness of a DeepSeek-enhanced

scenario-based teaching model combined with a multidisciplinary team approach for first-year neurology residents in standardized training

using multidimensional and quantifiable metrics.

Methods

From February to June 2025

70 first-year residents rotating at Peking University People's Hospital were randomly assigned to either a control group (

=35) receiving case-based teaching or an intervention group (

=35) receiving DeepSeek-enhanced

scenario-based simulation teaching integrated with multidisciplinary team approach. Outcomes were assessed using periodic theoretical knowledge examinations

clinical skill assessments

the California Critical Thinking Disposition Inventory

and a teaching satisfaction questionnaire.

Results

The intervention group demonstrated significantly higher scores than the control group in both theoretical knowledge examinations (82.94±5.55 vs. 74.31±5.49

=6.44

0.001) and clinical skill assessments (83.63±6.33 vs. 74.80±5.26

=6.25

0.001). On the California Critical Thinking Disposition Inventory

the intervention group outperformed the control group across all seven dimensions

including truth-seeking (31.43±6.72 vs. 24.80±5.60

=4.42

0.001) and analytical ability (31.29±6.98 vs. 25.60±4.55

=3.98

0.001)

and achieved a significantly higher total score (217.20±20.64 vs. 1

78.46±16.78

=8.49

0.001). The teaching satisfaction survey also revealed higher scores for the intervention group across all items

including learning motivation improvement (7.86±1.12 vs. 6.34±1.04

=5.76

0.001) and clinical thinking cultivation (7.97±0.97 vs. 6.17±0.99

=7.53

0.001). The total satisfaction score was also significantly higher for the intervention group (54.20±2.61 vs. 43.80±3.12

=14.20

0.001).

Conclusions

The integration of a DeepSeek-based

scenario-based teaching model with a multidisciplinary team approach can effectively enhance clinical knowledge

practical skills

and critical thinking in early-stage neurology residents. This method can also foster active learning and team collaboration

representing a valuable attempt to optimize the neurology residency training system and to strengthen the quality of early-stage training.

关键词

Keywords

references

丁海霞，刘毅，胡伟力，等 . 我国住院医师规范化培训研究演进、热点及展望：基于CiteSpace知识图谱的可视化分析 [J ] . 中国卫生事业管理， 2025 ， 42 （ 3 ）： 328 - 333， 343 . DOI: 10.3969/j.issn.1004-4663.2025.3.zgwssygl202503015 http://dx.doi.org/10.3969/j.issn.1004-4663.2025.3.zgwssygl202503015 .

刘超，刘昌，种铁，等 . 住院医师规范化培训督导体系探索与实践 [J ] . 中国毕业后医学教育， 2025 ， 9 （ 3 ）： 202 - 205 . DOI: 10.3969/j.issn.2096-4293.2025.03.010 http://dx.doi.org/10.3969/j.issn.2096-4293.2025.03.010 .

陆苗苗，朱滨海 . 住院医师规范化培训临床带教教师岗位胜任力评价模型构建 [J ] . 浙江医学教育， 2025 ， 24 （ 2 ）： 93 - 99 . DOI: 10.20019/j.cnki.1672-0024.2025.02.093.07 http://dx.doi.org/10.20019/j.cnki.1672-0024.2025.02.093.07 .

黄童童，管丽丽，周欣，等 . 内科住院医师规范化培训中门诊教学模式的探索 [J ] . 中国毕业后医学教育， 2025 ， 9 （ 4 ）： 254- 257. DOI: 10.3969/j.issn.2096-4293.2025.04.004 http://dx.doi.org/10.3969/j.issn.2096-4293.2025.04.004 .

羡微微，刘忠锦，刘桂清，等 . 基于EPAs的实践教学模式在住院医师规范化培训中的应用 [J ] . 中国继续医学教育， 2025 ， 17 （ 7 ）： 113 - 117 . DOI: 10.3969/j.issn.1674-9308.2025.07.025 http://dx.doi.org/10.3969/j.issn.1674-9308.2025.07.025 .

尚进 . 神经内科规范化培训中案例结合情景模拟教学法的运用探究 [J ] . 文渊（中学版）， 2021 （ 9 ）： 432 - 433 . DOI: 10.12252/j.issn.2096-627X.2021.09.210 http://dx.doi.org/10.12252/j.issn.2096-627X.2021.09.210 .

唐海，张婷 . 循证医学结合PBL教学模式在住院医师规范化培训神经内科教学中的应用 [J ] . 中国卫生产业， 2024 ， 21 （ 3 ）： 34- 37. DOI: 10.16659/j.cnki.1672-5654.2024.03.034 http://dx.doi.org/10.16659/j.cnki.1672-5654.2024.03.034 .

边颖，丘宝，李姝，等 . 脑病学科群的团队协助模式在神经内科临床教学中的应用 [J ] . 沈阳医学院学报， 2025 ， 27 （ 1 ）： 91 - 95 . DOI: 10.16753/j.cnki.1008-2344.2025.01.017 http://dx.doi.org/10.16753/j.cnki.1008-2344.2025.01.017 .

Facione NC , Facione PA , Sanchez CA . Critical thinking disposition as a measure of competent clinical judgment: the development of the California Critical Thinking Disposition Inventory [J ] . J Nurs Educ , 1994 , 33 ( 8 ): 345 - 350 . DOI: 10.3928/0148-4834-19941001-05 http://dx.doi.org/10.3928/0148-4834-19941001-05 .

闫温馨，刘珏，梁万年 . DeepSeek赋能全科医学：潜在应用与展望 [J ] . 中国全科医学， 2025 ， 28 （ 17 ）： 2065 - 2069 . DOI: 10.12114/j.issn.1007-9572.2025.0023 http://dx.doi.org/10.12114/j.issn.1007-9572.2025.0023 .

闾海荣，江瑞，张学工，等 . DeepSeek与医学大语言模型：技术创新与医疗服务模式重构 [J ] . 医学信息学杂志， 2025 ， 46 （ 2 ）： 1 - 7， 13 . DOI: 10.3969/j.issn.1673-6036.2025.02.001 http://dx.doi.org/10.3969/j.issn.1673-6036.2025.02.001 .

张丽玲，魏明阳，孙慧，等 . 多学科诊疗模式联合基于问题学习的教学法在神经内科实践教学中的应用 [J ] . 中国卫生产业， 2024 ， 21 （ 12 ）： 8 - 11 . DOI: 10.16659/j.cnki.1672-5654.2024.12.008 http://dx.doi.org/10.16659/j.cnki.1672-5654.2024.12.008 .

王育，莫佳瑜 . 医学生对以MDT为导向的PBL教学的效果反馈及问题探讨 [J ] . 西北医学教育， 2015 ， 23 （ 6 ）： 1067 - 1070 . DOI: 10.13555/j.cnki.c.m.e.2015.06.054 http://dx.doi.org/10.13555/j.cnki.c.m.e.2015.06.054 .

魏成群，高展，薛睿，等 . MDT联合EBL-CBL教学法在全科医学教学中的实践与应用 [J ] . 中国继续医学教育， 2023 ， 15 （ 11 ）： 70 - 74 . DOI: 10.3969/j.issn.1674-9308.2023.11.016 http://dx.doi.org/10.3969/j.issn.1674-9308.2023.11.016 .

张梅，陈艳芹，张懿刚 . 教学督导模式在住院医师规范化培训中的作用研究 [J ] . 中国标准化， 2025 （ 4 ）： 261 - 264 .

张楚悦，杨丽娜，马良，等 . 近10年国内外情境模拟教学在住院医师规范化培训中的应用现状与前沿分析 [J ] . 中国毕业后医学教育， 2023 ， 7 （ 8 ）： 655 - 660， 664 . DOI: 10.3969/j.issn.2096-4293.2023.08.015 http://dx.doi.org/10.3969/j.issn.2096-4293.2023.08.015 .

李姣，吴庆庆，付钢 . 新医科背景下口腔医学课前预习教学改革探讨 [J ] . 基础医学教育， 2023 ， 25 （ 9 ）： 762 - 766 . DOI: 10.13754/j.issn2095-1450.2023.09.05 http://dx.doi.org/10.13754/j.issn2095-1450.2023.09.05 .

郭心瑜，王飞 . 慕课在医学生假期课前预习中的应用探讨 [J ] . 中国继续医学教育， 2021 ， 13 （ 10 ）： 61 - 64 . DOI: 10.3969/j.issn.1674-9308.2021.10.017 http://dx.doi.org/10.3969/j.issn.1674-9308.2021.10.017 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Application of a tiered-categorized-integrated training model in standardized neurology residency training

Application of ADDIE model-based situational simulation teaching curricula in pediatric residency training for infection control

Large language models in aiding course design for standardized residency training: a case study on teaching the interpretation of chest X-ray plain film reports

Analysis of large language model application status in standardized training for Chinese ophthalmology residents based on artificial intelligence peer review

A New Capacitive Sensor-by the Principle of Fringe-field

Related Author

Pan Yuanmei

Yao Xiaoying

Feng Zhiying

Dai Ruolian

Wang Gang

Yao Tingxin

Xiao Gengji

Ma Ye

Related Institution

Department of Neurology, Renji Hospital, Shanghai Jiao Tong University School of Medicine

Department of Infectious Diseases, Hunan Children's Hospital

Department of Imaging, Tongren Hospital, Shanghai Jiao Tong University School of Medicine

Department of Education, Tongren Hospital, Shanghai Jiao Tong University School of Medicine

Dean's Office, Tongren Hospital, Shanghai Jiao Tong University School of Medicine

⁰