基于模拟的"用良好的判断进行解答"和基于案例的学习的综合方法,以增强中国居民的临床思维
Wenming Shao1, Xin Cheng2, Wanjie Gu3
1Department of Emergency, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Frontiers in public health
|February 20, 2026
概括
基于模拟的良好的判断 (DwGJ) 与基于案例的学习 (CBL) 相结合,显著提高了住院医生的临床推理技能. 这种教学策略改善了批判性,系统性和基于证据的思维,从而提高了考试成绩.
科学领域:
- 医学教育 医学教育
- 临床技能培训 临床技能培训
- 医生培训 医生培训 医生培训
背景情况:
- 临床推理对于医生来说是必不可少的,但对医生来说很有挑战性.
- 开发有效的策略来增强居民的临床推理是医学教育的优先事项.
研究的目的:
- 评估结合基于模拟的善判断报告 (DwGJ) 与基于案例的学习 (CBL) 的有效性,以改善居民的临床推理.
- 为了比较这种综合方法与传统CBL对居民思维能力和考试成绩的影响.
主要方法:
- 一个随机控制的教育试验,涉及70名来自不同专业的住户.
- 居民被分配到对照组 (传统CBL) 或干预组 (CBL + DwGJ).
- 干预后评估了临床推理能力,理论知识和实践技能.
主要成果:
- 与对照组相比,DwGJ组报告了更高的课程满意度.
- DwGJ组表现出显著改善的临床推理,包括批判性,系统性和基于证据的思维.
- 在DwGJ组中,理论和实践考试成绩都显著高于DwGJ组.
结论:
- 将基于模拟的DwGJ与CBL集成是增强住院临床推理的更有效策略.
- 这种方法可以培养学员的批判性,系统性和基于证据的思维.
- 这些发现支持在住院计划中使用DWGJ增强的CBL.
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