Practice and exploration of computer-based case simulations in pediatric clerkship teaching for eight-year clinical medicine program students

Zhang Rui; Song Danyu; Xu Wenrui; Sang Tian; Liao Ying; Qi Jianguang

doi:10.3760/cma.j.cn116021-20260108-02278

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Practice and exploration of computer-based case simulations in pediatric clerkship teaching for eight-year clinical medicine program students

Clinical Teaching | 更新时间：2026-07-27

- Practice and exploration of computer-based case simulations in pediatric clerkship teaching for eight-year clinical medicine program students
- Chinese Journal of Medical Education Research Vol. 25, Issue 7, Pages: 842-848(2026)
- 作者机构：
  
  北京大学第一医院儿童医学中心，北京 102627
- 作者简介：
  
  Qi Jianguang, Email: qjg2006@126.com
- 基金信息：
  
  Artificial Intelligence-based Curriculum Construction Project of Peking University in 2024(2024AI08);2025 Peking University Undergraduate Teaching Reform Project;2025 Key Special Project for Demonstration Smart Learning Courses under the Peking University Health Science Center's Education and Teaching Reform Research Program(2025SFZD05);2026 Peking University "New Teaching Ideas 3.0" Project(2026XSL31)
- DOI：10.3760/cma.j.cn116021-20260108-02278
  CLC： R-0;R-4
- Received：08 January 2026，
  
  Online First：27 July 2026，
  
  Published：20 July 2026
- 稿件说明：
移动端阅览
张瑞, 宋丹羽, 徐文瑞, 等. 计算机模拟病例在临床医学八年制儿科学见习教学中的实践与探索[J]. 中华医学教育探索杂志, 2026, 25(7): 842-848.

Zhang Rui, Song Danyu, Xu Wenrui, et al. Practice and exploration of computer-based case simulations in pediatric clerkship teaching for eight-year clinical medicine program students[J]. Chinese Journal of Medical Education Research, 2026, 25(7): 842-848.
张瑞, 宋丹羽, 徐文瑞, 等. 计算机模拟病例在临床医学八年制儿科学见习教学中的实践与探索[J]. 中华医学教育探索杂志, 2026, 25(7): 842-848. DOI： 10.3760/cma.j.cn116021-20260108-02278.

Zhang Rui, Song Danyu, Xu Wenrui, et al. Practice and exploration of computer-based case simulations in pediatric clerkship teaching for eight-year clinical medicine program students[J]. Chinese Journal of Medical Education Research, 2026, 25(7): 842-848. DOI： 10.3760/cma.j.cn116021-20260108-02278.

摘要

目的

探讨计算机模拟病例（computer-based case simulations，CCS）在临床医学八年制儿科学见习教学中的应用效果，评估其对临床能力培养的价值与局限性。

方法

选取2024年10月至12月在北京大学第一医院儿科见习的52名八年制医学生，按学号顺序将其分为试验组（25名）和对照组（27名）。试验组采用传统教学联合CCS的方式开展教学，对照组仅采用传统教学。通过课程考核、问卷调查和质性访谈进行定量与定性评价，采用SPSS 29.0软件，并运用卡方检验、Wilcoxon秩和检验进行统计分析。

结果

试验组与对照组学生理论考核成绩[90.25（85.18，94.15）分 vs. 88.00（86.00，89.70）分

]

与病例分析成绩[13.7（13.2，14.2）分 vs. 13.8（13.0，14.1）分

]

差异均无统计学意义（

=-1.77，

=-0.12，均

0.05）。问卷调查显示，95.24%（20/21）的学生认为CCS有助于培养临床思维；在辅助检查选择环节，52.38%（11/21）的学生更倾向于CCS，而在问诊（16/21，76.19%）和体格检查（13/21，61.91%）环节则更倾向于传统教学。访谈结果显示，CCS形式新颖，能模拟真实接诊场景，提升临床思维，是对典型病例的标准化补充；但其存在问诊重点不突出、操作模式压缩思考空间等设计局限，且无法完全替代真实临床体验，对教师的能力要求更高。

结论

CCS作为儿科学见习教学的有效辅助工具，在培养临床思维和激发学习兴趣方面具有明确价值，但在人际互动和实操技能训练方面存在一定局限性，且未能显著提升学生的考核成绩。CCS仍需与传统临床实践相结合，持续优化以实现优势互补。

Abstract

Objective

To explore the application effects of computer-based case simulations (CCS) in pediatric clerkship teaching for eight-year clinical medicine program students and to evaluate its value and limitations in cultivating clinical competencies.

Methods

A total of 52 eight-year program medical students undergoing pediatric clerkship at Peking University First Hospital

China from October to December 2024 were selected and divided into an experimental group (

=25) and a control group (

=27) according to their student ID number sequence. The experimental group received traditional teaching combined with CCS

while the control group received t

raditional teaching only. Quantitative and qualitative evaluations were conducted through course assessments

questionnaire surveys

and qualitative interviews. Statistical analysis was performed using SPSS 29.0 software

including the chi-square test and Wilcoxon rank-sum test.

Results

There were no statistically significant differences between the two groups in theoretical assessment scores [90.25 (85.18

94.15) vs. 88.00 (86.00

89.70)

]

or case analysis scores [13.7 (13.2

14.2) vs. 13.8 (13.0

14.1)

]

(

=-1.77

=-0.12

0.05). The questionnaire survey showed that 95.24% (20/21) of the students believed CCS was helpful for cultivating clinical thinking ability. In terms of teaching session preferences

52.38% (11/21) of students preferred CCS for auxiliary examination selection

whereas the majority preferred traditional teaching for history taking (16/21

76.19%) and physical examination (13/21

61.91%). Interview results indicated that CCS was perceived as innovative

capable of simulating real clinical scenarios and enhancing clinical thinking ability

serving as a standardized supplement to typical cases. However

limitations were identified

including a lack of focus in history taking sessions

an operation mode that may constrain thinking space

and an inability to fully replace real clinical experience

which imposes higher demands on teachers' proficiency in using the tool.

Conclusions

As an effective auxiliary tool in pediatric clerkship teaching

CCS demonstrates clear value in fostering clinical thinking ability and stimulating learning interest. However

it exhibits limitations in interpersonal interaction and practical skill training and did not significantly improve students' assessment performance. CCS should be integrated with traditional clinical practice and continually optimized to achieve complementary advantages.

关键词

Keywords

references

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