Research on the application of outcome-based education concept integrated with artificial intelligence tools in teaching clinic model of standardized training for pediatric residents

Wu Bichen; Ma Ye; Yao Tingxin; Fan Jianghua; Xiao Yunbin

doi:10.3760/cma.j.cn116021-20260121-02338

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Research on the application of outcome-based education concept integrated with artificial intelligence tools in teaching clinic model of standardized training for pediatric residents

更新时间：2026-07-17

- Research on the application of outcome-based education concept integrated with artificial intelligence tools in teaching clinic model of standardized training for pediatric residents
- Chinese Journal of Medical Education Research Pages: 1-10(2026)
- 作者机构：
  
  1.中南大学湘雅医学院附属儿童医院（湖南省儿童医院）呼吸内科，长沙 410007
  2.中南大学湘雅医学院附属儿童医院（湖南省儿童医院）新生儿科，长沙 410007
  3.中南大学湘雅医学院附属儿童医院（湖南省儿童医院）感染科，长沙 410007
  4.中南大学湘雅医学院附属儿童医院（湖南省儿童医院）急救中心，长沙 410007
  5.中南大学湘雅医学院附属儿童医院（湖南省儿童医院）心脏中心，长沙 410007
- 作者简介：
  
  Xiao Yunbin, Email: xiaoyunbinrui@126.com
- 基金信息：
- DOI：10.3760/cma.j.cn116021-20260121-02338
  CLC： R-0;R-4;R192
- Received：21 January 2026，
  
  Online First：17 July 2026，
- 稿件说明：
移动端阅览
Wu Bichen, Ma Ye, Yao Tingxin, et al. Research on the application of outcome-based education concept integrated with artificial intelligence tools in teaching clinic model of standardized training for pediatric residents[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-10.
DOI：

Wu Bichen, Ma Ye, Yao Tingxin, et al. Research on the application of outcome-based education concept integrated with artificial intelligence tools in teaching clinic model of standardized training for pediatric residents[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-10. DOI： 10.3760/cma.j.cn116021-20260121-02338.

摘要

目的

探索成果导向教育（outcome-based education，OBE）理念融合人工智能（artificial intelligence，AI）工具在儿科住院医师规范化培训（以下简称“住培”）教学门诊模式中的应用。

方法

选取2024年6月至2025年6月在湖南省儿童医院儿内科住院医师规范化培训基地轮转教学门诊的72名二、三年级住院医师，随机分为试验组和对照组，每组36人。试验组接受基于OBE理念融合AI工具的教学门诊带教，对照组接受常规教学门诊带教。比较2组轮转前后迷你临床演练评估（mini-clinical evaluation exercise，Mini-CEX）、出科理论考核和技能考核成绩及教学满意度。采用SPSS 27.0进行

检验、Mann-Whitney

检验及卡方检验。

结果

2组学员在学前的Mini-CEX总分及各维度得分差异无统计学意义（

0.05）。轮转后，试验组Mini-CEX总分及各维度（病史采集、体格检查、人文关怀、临床判断、沟通技巧、组织效能及整体表现）得分均高于对照组（

0.05）。试验组出科理论考核分数低于对照组（86.17±3.55 vs. 87.83±3.37，

=0.045），差异有统计学意义（

0.05）；出科技能考核分数高于对照组（84.12±2.94 vs. 83.90±5.12，

=0.824），但差异无统计学意义（

0.05）；试验组教学满意度高于对照组，差异有统计学意义（

0.05）。

结论

基于OBE理念融合AI工具的教学门诊是一种以“学员为中心”和“成果为导向”的创新教学模式，可有效提升儿科住培学员的核心胜任力。

Abstract

Objective

To explore the application of the outcome-based education (OBE) concept integrated with artificial intelligence (AI) tools in the teaching clinic model of standardized training for pediatric residents.

Methods

A total of 72 second- and third-year resident physicians who rotated in the teaching clinic of the standardized residency training base for internal pediatrics at Hunan Children's Hospital from June 2024 to June 2025 were randomly divided into an experimental group and a control group

with 36 residents in each group. The experimental group received teaching clinic instruction based on the OBE concept integrated with AI tools

while the control group received conventional teaching clinic instruction. The two groups were compared in terms of mini-clinical evaluation exercise (Mini-CEX) scores before and after rotation

theoretical and skill examination scores at the end of rotation

and teaching satisfaction. SPSS 27.0 was used to perform the

-test

Mann-Whitney

test

and chi-square test.

Results

There were no significant differences in the total Mini-CEX score and scores of all dimensions before rotation between the two groups (

0.05). After rotation

the total Mini-CEX score and scores of all dimensions (history taking

physical examination

humanistic care

clinical judgment

communication skills

organizational effectiveness

and overall performance) were higher in the experimental group than those in the control group (

0.05). The theoretical examination score at the end of rotation was lower in the experimental group than in the control group (86.17±3.55 vs. 87.83±3.37

=0.045)

with a statistically significant difference (

0.05); the skill examination score was higher in the experimental group than in the control group (84.12±2.94 vs. 83.

90±5.12

=0.824)

but the difference was not significant (

0.05). Teaching satisfaction was significantly higher in the experimental group than that in the control group (

0.05).

Conclusions

The teaching clinic model based on the OBE concept integrated with AI tools is an innovative teaching model that is learner-centered and outcome-oriented

and can effectively improve the core competencies of pediatric residents in standardized residency training.

关键词

Keywords

references

谢文照，何庆南 . 住院医师规范化培训专业基地过程性评价体系的构建与思考 [J ] . 中华医学教育杂志， 2024 ， 44 （ 1 ）： 58 - 62 . DOI: 10.3760/cma.j.cn115259-20230222-00166 http://dx.doi.org/10.3760/cma.j.cn115259-20230222-00166 .

袁静，赵琼姝，刘锦钰，等 . 儿科医患沟通及其影响因素探讨 [J ] . 中国医学伦理学， 2021 ， 34 （ 2 ）： 162 - 167 . DOI: 10.12026/j.issn.1001-8565.2021.02.06 http://dx.doi.org/10.12026/j.issn.1001-8565.2021.02.06 .

中国医师协会 . 住院医师规范化培训教学活动指南（2022版） [EB/OL ] . [ 2025-10-11 ] . https://ccgme-newslogin.oss-cn-beijing.aliyuncs.com/upload/2022/11/24/69b54230c9954edfa16fe787e5077c64.pdf https://ccgme-newslogin.oss-cn-beijing.aliyuncs.com/upload/2022/11/24/69b54230c9954edfa16fe787e5077c64.pdf .

黄晓明，李航，曾学军 . 什么是教学门诊 [J ] . 中华内科杂志， 2018 ， 57 （ 2 ）： 152 - 154 . DOI: 10.3760/cma.j.issn.0578-1426.2018.02.016 http://dx.doi.org/10.3760/cma.j.issn.0578-1426.2018.02.016 .

王玲，章晓云 . 成果导向教育理念在临床实践教学中的应用研究进展 [J ] . 中华医学教育探索杂志， 2023 ， 22 （ 12 ）： 1863 - 1868 . DOI: 10.3760/cma.j.cn116021-20230414-01538 http://dx.doi.org/10.3760/cma.j.cn116021-20230414-01538 .

王慧丽，张旭林，黄梦珠，等 . 基于OBE理念的医学类实验室安全培训实践研究 [J ] . 中华医学教育探索杂志， 2024 ， 23 （ 11 ）： 1495 - 1499 . DOI: 10.3760/cma.j.cn116021-20240107-01890 http://dx.doi.org/10.3760/cma.j.cn116021-20240107-01890 .

Faul F , Erdfelder E , Lang AG , et al . G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences [J ] . Behav Res Meth , 2007 , 39 ( 2 ): 175 - 191 . DOI: 10.3758/BF03193146 http://dx.doi.org/10.3758/BF03193146 .

闫辉，齐建光，张欣，等 . 儿科胜任力导向模式在住院医师规范化培训的探索与实践 [J ] . 中国毕业后医学教育， 2021 ， 5 （ 5 ）： 418 - 421， 425 . DOI: 10.3969/j.issn.2096-4293.2021.05.008 http://dx.doi.org/10.3969/j.issn.2096-4293.2021.05.008 .

李海潮 . 我国医师胜任力模型的形成性评价：设计、实施与思考 [J ] . 中华医学教育探索杂志， 2024 ， 23 （ 1 ）： 7 - 11 . DOI: 10.3760/cma.j.cn116021-20231215-01607 http://dx.doi.org/10.3760/cma.j.cn116021-20231215-01607 .

Mortaz Hejri S , Jalili M , Masoomi R , et al . The utility of mini-Clinical Evaluation Exercise in undergraduate and postgraduate medical education: a BEME review: BEME Guide No. 59 [J ] . Med Teach , 2020 , 42 ( 2 ): 125 - 142 . DOI: 10.1080/0142159X.2019.1652732 http://dx.doi.org/10.1080/0142159X.2019.1652732 .

刘美娟，张小茜，杜爱玲 . 迷你临床演练评估在本科医学生临床能力培养中的应用研究 [J ] . 中国高等医学教育， 2020 （ 1 ）： 87 - 88 . DOI: 10.3969/j.issn.1002-1701.2020.01.043 http://dx.doi.org/10.3969/j.issn.1002-1701.2020.01.043 .

杨阳，王亚，郑庆华，等 . Mini-CEX+DOPS评价Simodont培训系统在口腔全科住院医师培养中的运用研究 [J ] . 中华医学教育探索杂志， 2025 ， 24 （ 9 ）： 1164 - 1170 . DOI: 10.3760/cma.j.cn116021-20241022-01986 http://dx.doi.org/10.3760/cma.j.cn116021-20241022-01986 .

封羽婷，杨靓，徐国斌，等 . 基于OBE教育理念的康复医学理论课教学改革研究 [J ] . 中华医学教育探索杂志， 2023 ， 22 （ 10 ）： 1529 - 1532 . DOI: 10.3760/cma.j.cn116021-20220610-01455 http://dx.doi.org/10.3760/cma.j.cn116021-20220610-01455 .

王嫣，王智彪，李发琪，等 . 基于OBE线上线下混合式医学专业和人文精神融合的课程设计和实践 [J ] . 中华医学教育探索杂志， 2025 ， 24 （ 4 ）： 535 - 539 . DOI: 10.3760/cma.j.cn116021-20231112-02000 http://dx.doi.org/10.3760/cma.j.cn116021-20231112-02000 .

唐桂敏，苗鑫蕾，王倩倩，等 . 基于OBE理念的健康服务与管理人才培养路径优化策略 [J ] . 中华医学教育探索杂志， 2025 ， 24 （ 8 ）： 1147 - 1152 . DOI: 10.3760/cma.j.cn116021-20230509-01553 http://dx.doi.org/10.3760/cma.j.cn116021-20230509-01553 .

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