PBL教学法联合Mini-CEX对神经内科实习医师岗位胜任力培养的应用效果探究

许可; 苏保; 杨小林; 朱丹; 郑鹏; 吴绮思; 吴宁; 冯金洲

doi:10.3760/cma.j.cn116021-20241218-02151

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PBL教学法联合Mini-CEX对神经内科实习医师岗位胜任力培养的应用效果探究

教学改革 | 更新时间：2025-11-21

- PBL教学法联合Mini-CEX对神经内科实习医师岗位胜任力培养的应用效果探究
- Effects of problem-based learning combined with mini-clinical evaluation exercise on the training of post competency of interns in the Department of Neurology
- 中华医学教育探索杂志 2025年24卷第11期页码：1534-1539
- 作者机构：
  
  1.重庆医科大学附属第一医院神经内科，重庆 400016
  2.重庆医科大学附属第一医院骨科，重庆 400016
  3.重庆医科大学教务处，重庆 400010
  4.重庆医科大学附属第一医院教务处，重庆 400016
- 作者简介：
  
  冯金洲，Email：fengjinzhou@hotmail.com
- 基金信息：
  
  重庆医科大学教育教学研究项目(20220320)
- DOI：10.3760/cma.j.cn116021-20241218-02151
  中图分类号： R-741
- 收稿：2024-12-18，
  
  纸质出版：2025-11-20
- 稿件说明：
移动端阅览
许可, 苏保, 杨小林, 等. PBL教学法联合Mini-CEX对神经内科实习医师岗位胜任力培养的应用效果探究[J]. 中华医学教育探索杂志, 2025, 24(11): 1534-1539.

Xu Ke, Su Bao, Yang Xiaolin, et al. Effects of problem-based learning combined with mini-clinical evaluation exercise on the training of post competency of interns in the Department of Neurology[J]. Chinese Journal of Medical Education Research, 2025, 24(11): 1534-1539.
许可, 苏保, 杨小林, 等. PBL教学法联合Mini-CEX对神经内科实习医师岗位胜任力培养的应用效果探究[J]. 中华医学教育探索杂志, 2025, 24(11): 1534-1539. DOI： 10.3760/cma.j.cn116021-20241218-02151.

Xu Ke, Su Bao, Yang Xiaolin, et al. Effects of problem-based learning combined with mini-clinical evaluation exercise on the training of post competency of interns in the Department of Neurology[J]. Chinese Journal of Medical Education Research, 2025, 24(11): 1534-1539. DOI： 10.3760/cma.j.cn116021-20241218-02151.

摘要

目的

探讨以问题为基础的学习（problem-based learning，PBL）联合迷你临床演练评估（mini-clinical evaluation exercise，Mini-CEX）在神经内科实习医师岗位胜任力培养中的应用价值。

方法

选取2023年6月至2024年1月在重庆医科大学附属第一医院神经内科轮转的56名实习医师作为研究对象，采用随机数字表法分为对照组和试验组，每组28人。对照组实施传统小讲座联合教学查房模式，试验组采用PBL教学法联合Mini-CEX评估。通过理论考核、技能操作考核、师生满意度调查及Mini-CEX量表评估（试验组在入科、中期、出科时各进行1次测评）进行效果评价。数据采用SPSS 23.0软件进行分析，计量资料组间比较使用独立样本

检验或Mann-Whitney

检验，计数资料采用卡方检验，重复测量数据采用Kruskal-Wallis

检验。

结果

试验组的理论成绩[（45.36±2.67）分 vs. （42.00±4.29）分，

0.01

]

和技能操作成绩[（45.11±2.53）分 vs. （42.39±4.53）分，

0.01

]

均高于对照组；试验组的出科Mini-CEX评分较入科时提升（

0.05），且能力提升表现出持续性；试验组师生满意度分别为71.43%（20/28）和67.86%（19/28），高于对照组的39.29%（11/28）和35.71%（10/28）（

0.05）。

结论

PBL联合Mini-CEX教学模式可有效提升神经内科实习医师的岗位胜任力，为临床本科教学提供新的思路。

Abstract

Objective

To explore the application value of problem-based learning (PBL) combined with mini-clinical evaluation exercise (Mini-CEX) in the development of post competency for interns in the Department of Neurology.

Methods

A total of 56 interns rotating at the Department of Neurology of The First Affiliated Hospital of Chongqing Medical University from June 2023 to January 2024 were enrolled as the study subjects. They were randomly divided into a control group and an experiment group using the random number table method

with 28 interns in each group. The control group received traditional methods including small lectures and teaching rounds

while the experimental group received the PBL teaching method combined with Mini-CEX. The teaching effectiveness was evaluated through theoretical assessments

practical skill evaluation

teacher and student satisfaction surveys

and Mini-CEX scale assessments conducted at the beginning

middle

and end of the rotation for the experimental group. The data were analyzed using SPSS 23.0 software. For continuous data

the independent-samples

test or Mann-Whitney

test was used for comparison between groups. The chi-square test was used for categorical data and the Kruskal-Wallis

test for repeated-measurement data.

Results

The theoretical scores [(45.36±2.67) vs. (42.00±4.29)

0.01

]

and practical skill scores [(45.11±2.53) vs. (42.39±4.53)

0.01

]

were significantly higher in the experimental group compared to the control group. The Mini-CEX score of the experimental group at the end of the rotation was notably higher than that at the beginning of rotation (

0.05)

and their abilities improved continuously. The satisfaction rates of teachers and students in the experimental group were 71.43% (20/28) and 67.86% (19/28)

respectively

which were significantly higher than those in the control group [39.29% (11/28) and 35.71% (10/28)

0.05

]

Conclusions

The teaching model integrating PBL and Mini-CEX can effectively enhance the post competency of interns in the Department of Neurology

thus offering a new perspective for clinical undergraduate teaching.

关键词

Keywords

references

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