摘要
探讨案例导入式教学法(case-based study,CBS)在住院医师规范化培训中的应用效果,评估其对临床思维、综合能力及医患沟通技巧的提升作用。CBS组采用真实病例驱动的情境式、互动式教学模式。常规组采用传统讲授和资料查阅方式。比较两组的基础知识、病例分析、技能操作考试成绩以及医患沟通能力(Set Elicit Give Understand End,SEGUE)评分,培训效果反馈和满意度的差异。结果表明:CBS组3项考试平均分显著高于常规组(P<0.05);培训后SEGUE评分显著提升(P<0.001);CBS组在培训效果反馈评分及满意度均高于常规组(P<0.001)。确定CBS教学模式对提高肿瘤科住院医师的理论水平、临床思维能力、技能操作水平及医患沟通技巧方面有益,适宜在肿瘤科规范化培训中推广。
This study investigated the effectiveness of the case-based study(CBS)teaching method in standardized residency training and evaluated its impact on clinical reasoning,comprehensive competence,and doctor-patient communication skills.In the CBS group,a scenario-driven,interactive approach based on real cases was implemented,whereas the control group received traditional lecture-based instruction supplemented literature review.Outcomes were assessed through examinations basic knowledge,case analysis,and procedural skills using the Set Elicit Give Understand End(SEGUE)framework;and training feedback and satisfaction surveys.Results demonstrated that the CBS group achieved significantly higher mean scores all three examinations the control group(P<0.05).Post-training SEGUE scores improved markedly(P<0.001),higher in the CBS group(P<0.001).These findings suggest that the CBS teaching model enhances oncology residents theoretical knowledge,clinical thinking,procedural skills,and communication abilities,demonstrating its efficacy.
作者
张明军
陈玮
黄琦
李娜
彭瑶
姚森帮
ZHANG Mingjun;CHEN Wei;HUANG Qi;LI Na;PENG Yao;YAO Senbang(Second Affiliated Hospital of Anhui Medical University,Hefei 230601,China)
出处
《生物学杂志》
北大核心
2025年第5期122-125,共4页
Journal of Biology
基金
安徽省教育厅高校重点项目(2023AH040380)。
关键词
案例导入式教学
肿瘤学
规范化培训
临床思维
医患沟通
case-based study
oncology
standardized training
clinical thinking
doctor-patient communication
