基础医学与临床 ›› 2026, Vol. 46 ›› Issue (1): 144-149.doi: 10.16352/j.issn.1001-6325.2026.01.0144

• 医学教育 • 上一篇    下一篇

CBL与TBL联合教学模式在临床医学八年制医学生影像学见习中的效果评价

阮帅之#, 颜瑞仪#, 刘琪星, 许湘, 贾鸣男, 黄欣莹, 王勤, 张燕, 王凤丹*, 王怡宁, 冯逢   

  1. 中国医学科学院 北京协和医学院 北京协和医院,放射科,北京 100730
  • 收稿日期:2025-05-08 修回日期:2025-07-21 出版日期:2026-01-05 发布日期:2025-12-29
  • 通讯作者: *wfdpumc@126.com
  • 作者简介:#对本文有相同贡献
  • 基金资助:
    北京协和医学院2024年中央高校教育教学改革专项资金支持项目(2024bkjg021)

Effectiveness evaluation of combined CBL and TBL teaching in the radiology clerkship for students from eight-year program of clinical medicine

RUAN Shuaizhi#, YAN Ruiyi#, LIU Qixing, XU Xiang, JIA Mingnan, HUANG Xinying, WANG Qin, ZHANG Yan, WANG Fengdan*, WANG Yining, FENG Feng   

  1. Department of Radiology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China
  • Received:2025-05-08 Revised:2025-07-21 Online:2026-01-05 Published:2025-12-29
  • Contact: *wfdpumc@126.com

摘要: 目的 探讨案例导向教学法(CBL)和团队导向教学法(TBL)在临床医学八年制医学生影像学见习中的教学效果。方法 研究对象为2024年7月至2025年2月在北京协和医学院临床见习阶段参加医学影像学巡诊课程的89名临床医学八年制医学生,针对各器官系统开展8次影像教学课程(共24学时)。学生被随机分为对照组(传统教学)和实验组(CBL与TBL结合教学),每次课后通过问卷统计学生的学习成果及自我满意度情况。结果 问卷调查显示,实验组学生在临床思维和逻辑分析能力提升、学习反馈等多方面均显著优于对照组(P<0.05),而且参与课堂展示比单纯听讲更有助于提升知识的掌握程度,调动学习兴趣与主动性(P<0.05)。结论 CBL与TBL相结合的教学方法能提升八年制医学生的临床分析能力和教学满意度,具备一定推广潜力。

关键词: 案例导向教学法, 团队导向教学法, 医学影像学, 八年制医学教育, 北京协和医学院(PUMC)

Abstract: Objective To explore the teaching effects of case-based learning (CBL) and team-based learning (TBL) in students from eight-year program of clinical medicine at department of radiology. Methods A total of 89 students joined radiology clerkship training at Peking Union Medical College from July 2024 to February 2025. Eight radiology teaching sessions (24 class hours in total) were conducted according to organ system. Students were randomly divided into a control group (classic training program) and an experimental group (combined CBL and TBL methodology). After each session, questionnaires were used to collect data about students' learning outcomes and self-evaluation based satisfaction. Results Students in experimental were grouped significantly out-performed those in the control group in capacity building of clinical reasoning, logical analysis and learning feedback(P<0.05). Additionally, presentation training in classroom was believed to be more effective than classic teaching in terms of listening in enhancing knowledge retention, motivation, and learning initiative (P<0.05). Conclusions The combined application of CBL and TBL can significantly improve the clinical analysis capacity and learning satisfaction of eight-year medical students.

Key words: case-based learning, team-based learning, radiology clerkship, eight-year program

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