Application of an integrated teaching clinic-ward model based on outcome-based education in standardized training of traditional Chinese medicine residents in the department of pulmonary disease

Yang Yi; Wang Xinxing; Li Yujie; Zhou Xun; Li Bo; Zhang Jun; Luo Xian; Wang Kelin; Liu Na; Liu Zhengqi

doi:10.3760/cma.j.cn116021-20260427-02326

您当前的位置：

首页 >

文章列表页 >

Application of an integrated teaching clinic-ward model based on outcome-based education in standardized training of traditional Chinese medicine residents in the department of pulmonary disease

更新时间：2026-07-10

- Application of an integrated teaching clinic-ward model based on outcome-based education in standardized training of traditional Chinese medicine residents in the department of pulmonary disease
- Chinese Journal of Medical Education Research Pages: 1-10(2026)
- 作者机构：
  
  1.贵州中医药大学第二附属医院肺病科，贵阳 550002
  2.贵州中医药大学第二附属医院教务科，贵阳 550002
  3.贵州中医药大学第二附属医院住院医师规范化培训办公室，贵阳 550002
- 作者简介：
  
  Yang Yi, Email: yangyi433@stu.gzy.edu.cn
- 基金信息：
  
  Guizhou Provincial Graduate Education Innovation Project(2024YJXJGXM079);Education and Teaching Project of the "Sanhang" Talent Development Program of The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine(JYJX2024003);Youth "Yangfan" Program of Guizhou University of Traditional Chinese Medicine (Guizhongyikehe-QNYFSK [2024] No. 14);Graduate Education Innovation Project of Guizhou University of Traditional Chinese Medicine(YCXJG2024010);Undergraduate Teaching Content and Curriculum System Reform Project of Guizhou University of Traditional Chinese Medicine(GZYJG2025021)
- DOI：10.3760/cma.j.cn116021-20260427-02326
  CLC： R-0;R-4
- Received：27 April 2026，
  
  Online First：10 July 2026，
- 稿件说明：
移动端阅览
Yang Yi, Wang Xinxing, Li Yujie, et al. Application of an integrated teaching clinic-ward model based on outcome-based education in standardized training of traditional Chinese medicine residents in the department of pulmonary disease[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-10.
DOI：

Yang Yi, Wang Xinxing, Li Yujie, et al. Application of an integrated teaching clinic-ward model based on outcome-based education in standardized training of traditional Chinese medicine residents in the department of pulmonary disease[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-10. DOI： 10.3760/cma.j.cn116021-20260427-02326.

摘要

目的

探讨基于成果导向教育理念的教学门诊—病房一体化模式在肺病科中医住培中的应用效果。

方法

采用单中心、非同期对照类实验研究。选取2025年1月至6月在贵州中医药大学第二附属医院肺病科轮转的48名中医住院医师为对照组，采用传统带教模式；2025年7月至12月轮转的48名为试验组，实施基于成果导向教育理念的教学门诊—病房一体化模式。比较两组一般资料、理论考核、客观结构化临床考试（objective structured clinical examination，OSCE）、迷你临床演练评估（mini-clinical evaluation exercise，Mini-CEX）评分变化、常用操作考核及教学满意度。采用SPSS 26.0分析，计量资料行

检验或重复测量方差分析，计数资料行

²检验。

结果

两组年龄、性别、培训年级、入科前理论总分及第一次Mini-CEX评分的比较，差异均无统计学意义。轮转结束后

，试验组理论考核总分高于对照组（78.59±3.18 vs. 75.52±3.43，

=4.54，

0.001）；OSCE总分高于对照组（79.04±3.25 vs. 73.82±4.31，

=6.71，

0.001）；Mini-CEX改善值高于对照组（1.15±0.15 vs. 0.88±0.12，

=9.74，

0.001）；操作考核总分高于对照组（47.11±1.71 vs. 44.41±2.11，

=6.89，

0.001）。试验组总体满意度评分及满意率均高于对照组（均

0.001）。两组方剂与中成药应用、末梢指氧检测、吸氧操作及能力提升感受评分差异均无统计学意义。

结论

基于成果导向教育理念的教学门诊—病房一体化教学模式有助于提高肺病科中医住培医师的理论水平、临床综合能力、工作表现及部分专科技能，并改善教学满意度。

Abstract

Objective

To evaluate the effects of an integrated teaching clinic-ward model based on the concept of outcome-based education (OBE) in standardized training of traditional Chinese medicine (TCM) residents in the department of pulmonary disease.

Methods

In this single-center

non-concurrent controlled quasi-experimental study

48 TCM residents who rotated from January to June 2025 in the Department of Pulmonary Disease

The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine were assigned to the control group and received the traditional teaching model

and another 48 TCM residents who rotated from July to December 2025 were assigned to the experimental group and received the integrated teaching clinic-ward model based on the OBE concept. General characteristics

theoretical examination scores

objective structured clinical examination scores

changes in mini-clinical evaluation exercise (Mini-CEX) scores

common procedural skills assessment scores

and teaching satisfaction were compared between the two groups. Statistical analysis was performed using SPSS 26.0. Measurement data were analyzed using the

test or repeated-measures analysis of variance

and count data were analyzed using the

test.

Results

There were no significant differenc

es between the two groups in age

sex

training year

pre-rotation total theoretical examination score

or the first Mini-CEX score. After rotation

the experimental group had higher total theoretical examination score than the control group (78.59±3.18 vs. 75.52±3.43

=4.54

0.001)

higher objective structured clinical examination total score (79.04±3.25 vs. 73.82±4.31

=6.71

0.001)

greater improvement in Mini-CEX score (1.15±0.15 vs. 0.88±0.12

=9.74

0.001)

and higher total procedural skills score (47.11±1.71 vs. 44.41±2.11

=6.89

0.001). The overall satisfaction score and satisfaction rate were also higher in the experimental group (both

0.001). No significant differences were observed between the two groups in scores for formula and Chinese patent medicine application

peripheral oxygen saturation measurement

oxygen administration

or perceived improvement in competence.

Conclusions

The integrated teaching clinic-ward model based on the OBE concept can improve theoretical knowledge

clinical comprehensive competence

workplace performance

and some specialty-specific skills of TCM residents in the department of pulmonary disease

and can also improve teaching satisfaction.

关键词

Keywords

references

国家中医药局，国家卫生健康委 , 教育部 . 国家中医药局国家卫生健康委教育部关于印发中医医师规范化培训实施办法等文件的通知 [EB/OL ] . ( 2024-01-26 )[ 2026-04-09 ] . https://www.natcm.gov.cn/renjiaosi/zhengcewenjian/2024-01-26/33151.html https://www.natcm.gov.cn/renjiaosi/zhengcewenjian/2024-01-26/33151.html .

国家中医药管理局 . 关于中医医师规范化培训实施办法和培训标准修订情况的解读说明 [EB/OL ] . ( 2024-01-26 )[ 2026-04-09 ] . https://www.natcm.gov.cn/renjiaosi/zhengcewenjian/2024-01-26/33152.html https://www.natcm.gov.cn/renjiaosi/zhengcewenjian/2024-01-26/33152.html .

Khalaf Z , Khan S . Education during ward rounds: systematic review [J ] . Interact J Med Res , 2022 , 11 ( 2 ): e40580 . DOI: 10.2196/40580 http://dx.doi.org/10.2196/40580 .

Frearson S , Gale S . Educational opportunities on a ward round; utilising near-peer teaching [J ] . Future Hosp J , 2017 , 4 ( 1 ): 19 - 22 . DOI: 10.7861/futurehosp.4-1-19 http://dx.doi.org/10.7861/futurehosp.4-1-19 .

Chen KL , Yuan SE , Asfaw EK , et al . Near-peer supervision in primary care: bringing teaching teams from the wards to the clinic [J ] . J Graduate Med Educ , 2023 , 15 ( 4 ): 481 - 487 . DOI: 10.4300/jgme-d-22-00830.1 http://dx.doi.org/10.4300/jgme-d-22-00830.1 .

Huang M , Yang H , Guo J , et al . Faculty standardized patients versus traditional teaching method to improve clinical competence among traditional Chinese medicine students: a prospective randomized controlled trial [J ] . BMC Med Educ , 2024 , 24 ( 1 ): 793 . DOI: 10.1186/s12909-024-05779-3 http://dx.doi.org/10.1186/s12909-024-05779-3 .

Yang H , Xiao X , Wu X , et al . Virtual standardized patients versus traditional academic training for improving clinical competence among traditional Chinese medicine students: prospective randomized controlled trial [J ] . J Med Internet Res , 2023 , 25 : e43763 . DOI: 10.2196/43763 http://dx.doi.org/10.2196/43763 .

Dong T , Zhao C , Wu M , et al . Development and testing of a post competency scale for traditional Chinese medicine physicians undergoing standardized training [J ] . Heliyon , 2024 , 10 ( 6 ): e27666 . DOI: 10.1016/j.heliyon.2024.e27666 http://dx.doi.org/10.1016/j.heliyon.2024.e27666 .

Alharbi NS . Evaluating competency-based medical education: a systematized review of current practices [J ] . BMC Med Educ , 2024 , 24 ( 1 ): 612 . DOI: 10.1186/s12909-024-05609-6 http://dx.doi.org/10.1186/s12909-024-05609-6 .

杨士芳，姬路鹏，李晓明，等 . 基于多学科协作的CBL教学法对提高全科医师临床应诊能力的影响研究 [J ] . 中国全科医学， 2024 ， 27 （ 31 ）： 3941 - 3945， 3952 . DOI: 10.12114/j.issn.1007-9572.2023.0796 http://dx.doi.org/10.12114/j.issn.1007-9572.2023.0796 .

杨信，潘萱达，徐浩枫，等 . 全科住院医师规范化培训师资开展教学门诊的意愿及影响因素研究 [J ] . 中国全科医学， 2024 ， 27 （ 31 ）： 3933 - 3940 . DOI: 10.12114/j.issn.1007-9572.2023.0790 http://dx.doi.org/10.12114/j.issn.1007-9572.2023.0790 .

曹俊岭，李学林，李春晓，等 . 中成药临床应用专家共识（第一版） [J ] . 中国药学杂志， 2022 ， 57 （ 6 ）： 502 - 506 . DOI: 10.11669/cpj.2022.06.012 http://dx.doi.org/10.11669/cpj.2022.06.012 .

So HY , Choi YF , Chan PT , et al . Workplace-based assessments: what, why, and how to implement [J ] . Hong Kong Med J , 2024 , 30 ( 3 ): 250 - 254 . DOI: 10.12809/hkmj2311361 http://dx.doi.org/10.12809/hkmj2311361 .

龙义添，蒋小凤，肖丹，等 . 改良式迷你临床评估量表在放射科专业基地规范化培训中的应用 [J ] . 中国毕业后医学教育， 2024 ， 8 （ 4 ）： 263 - 267 . DOI: 10.3969/j.issn.2096-4293.2024.04.006 http://dx.doi.org/10.3969/j.issn.2096-4293.2024.04.006 .

杨君，董振辉，卢芳，等 . 小组协作式分层教学在重症医学科规范化培训中的效果研究 [J ] . 中华医学教育探索杂志， 2024 ， 23 （ 6 ）： 856 - 860 . DOI: 10.3760/cma.j.cn116021-20221011-01625 http://dx.doi.org/10.3760/cma.j.cn116021-20221011-01625 .

彭科，嵇富海，单希胜，等 . PBL-CTU教学查房在麻醉科住院医师规范化培训中的应用成效 [J ] . 中华医学教育探索杂志， 2025 ， 24 （ 6 ）： 835 - 840 . DOI: 10.3760/cma.j.cn116021-20230825-01594 http://dx.doi.org/10.3760/cma.j.cn116021-20230825-01594 .

Wang Y , Chen G , Chen J , et al . Application of Mini-CEX combined with DOPS in standardized training of community outpatient residents [J ] . BMC Med Educ , 2024 , 24 ( 1 ): 780 . DOI: 10.1186/s12909-024-05739-x http://dx.doi.org/10.1186/s12909-024-05739-x .

Zheng B , He Q , Lei J . Informing factors and outcomes of self-assessment practices in medical education: a systematic review [J ] . Ann Med , 2024 , 56 : 2421441 . DOI: 10.1080/07853890.2024.2421441 http://dx.doi.org/10.1080/07853890.2024.2421441 .

杜雪晴，程瑞杰，徐梦丹，等 . 基于ACGME核心能力的Milestones 2.0评估系统在全科住院医师规范化培训中的应用效果研究 [J ] . 中国全科医学， 2025 ， 28 （ 28 ）： 3489 - 3494 . DOI: 10.12114/j.issn.1007-9572.2024.0170 http://dx.doi.org/10.12114/j.issn.1007-9572.2024.0170 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Effect of experiential "Learning-Thinking-Expressing" teaching on the post competency of emergency nursing interns

The application of multimodal image fusion system combined with comparative imaging in teaching radiotherapy residents

Innovative practice and application of digital intelligence technology in clinical inquiry teaching

Effects of problem-based learning combined with mini-clinical evaluation exercise on the training of post competency of interns in the Department of Neurology

The teaching practice of competency-oriented Seminar immersion method combined with problem-oriented three-part method in pathophysiology

Related Author

Li Ying

Jiang Wei

Zhu Ju

Liu Di

Li-Yang Yujing

Chen Wenbing

Gao Changyan

Kong Weiwei

Related Institution

Department of Emergency, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology

The Comprehensive Cancer Centre, Nanjing Drum Tower Hospital/The Affiliated Hospital of Nanjing University Medical School

Department of Geriatrics, Zhongnan Hospital of Wuhan University

School of Public Health, Wuhan University

Teaching Office, The Second Clinical College, Zhongnan Hospital of Wuhan University

⁰