临床途径和基于案例的学习在儿童心脏病学实习培训中的应用
Junjun Shen1,2, Qin-Chang Chen1, Jun-Jie Li1
1Department of Pediatric Cardiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510000, People's Republic of China.
Advances in medical education and practice
|September 4, 2025
概括
与传统方法相比,整合临床途径 (CP) 和基于病例的学习 (CBL) 显著改善了儿科心脏病专科医生的培训. 这种结合方法提高了知识获取和学习者参与度, 标志着医学教育的重大进步.
科学领域:
- 医学教育
- 儿童心脏病学培训
- 基于能力的医学教育
背景情况:
- 在中国,儿童心脏病专业的培训通常是短暂的 (2-3个月),讲座繁重.
- 专业知识和临床技能对于儿童心脏病学家来说至关重要.
- 目前的培训模式可能不够有效地发展专业知识.
研究的目的:
- 探索临床途径 (CP) 和基于案例的学习 (CBL) 模型的整合.
- 提高儿科心脏病实习培训的效率和有效性.
- 将CP-CBL结合方法与传统教学 (TT) 的结果进行比较.
主要方法:
- 这是一项为期3个月的随机对照试验,涉及47名儿科学员.
- CP-CBL组通过CP接受常见疾病和CBL接受复杂病例的标准化指导.
- 通过理论测试,病例分析和问卷评估结果.
主要成果:
- 与TT组相比,CP-CBL组在综合评估 (病例分析+理论考试) 中表现明显好 (37.5%对4.3%的得分超过90分).
- 在CP-CBL组的实习生对学习兴趣和感知技能提高的满意度更高 (p < 0.01).
- 在课程组织或教师表现方面没有发现任何显著差异.
结论:
- 结合临床途径和基于案例的学习 (CP-CBL) 模式优于儿童心脏病医疗实习的传统教学 (TT).
- 通过CP-CBL提高了知识获取和学习者参与度.
- 这种综合方法为专业医疗培训提供了更有效的模式.
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