基于成果导向教育的教学门诊—病房一体化模式在肺病科中医住培中的应用

杨义; 王新星; 李玉洁; 周洵; 李波; 张军; 罗弦; 王克林; 刘娜; 刘正奇

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

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基于成果导向教育的教学门诊—病房一体化模式在肺病科中医住培中的应用

更新时间：2026-07-10

- 基于成果导向教育的教学门诊—病房一体化模式在肺病科中医住培中的应用
- 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
- 中华医学教育探索杂志 2026年页码：1-10
- 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：
  
  杨义，Email：yangyi433@stu.gzy.edu.cn
- 基金信息：
  
  贵州省研究生教育创新计划项目(2024YJXJGXM079);贵州中医药大学第二附属医院“三航”人才培养工程教育教学项目人才项目(JYJX2024003);贵州中医药大学青年“扬帆计划”（贵中医科合-QNYFSK〔2024〕14号）;贵州中医药大学研究生教育创新计划项目(YCXJG2024010);贵州中医药大学本科教学内容和课程体系改革项目(GZYJG2025021)
- DOI：10.3760/cma.j.cn116021-20260427-02326
  中图分类号： R-0;R-4
- 收稿：2026-04-27，
  
  网络首发：2026-07-10，
- 稿件说明：
移动端阅览
杨义, 王新星, 李玉洁, 等. 基于成果导向教育的教学门诊—病房一体化模式在肺病科中医住培中的应用[J/OL]. 中华医学教育探索杂志, 2026,1-10.

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.
杨义, 王新星, 李玉洁, 等. 基于成果导向教育的教学门诊—病房一体化模式在肺病科中医住培中的应用[J/OL]. 中华医学教育探索杂志, 2026,1-10. DOI： 10.3760/cma.j.cn116021-20260427-02326.

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

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