基础医学与临床 ›› 2025, Vol. 45 ›› Issue (6): 829-833.doi: 10.16352/j.issn.1001-6325.2025.06.0829

• 医学教育 • 上一篇    下一篇

基于案例学习的教学法在八年制临床医学专业基础医学阶段的应用

郭潇潇1,2, 何舒雅3, 陈咏梅4, 王婧5, 闫莉5*, 李雪梅2*   

  1. 中国医学科学院 北京协和医学院 北京协和医院 1.心内科;2.内科学系,北京 100730;
    中国医学科学院基础医学研究所 北京协和医学院基础学院 3.生理学系;4.解剖与组织胚胎学系;5.病理生理学系,北京 100005
  • 收稿日期:2025-02-24 修回日期:2025-03-21 出版日期:2025-06-05 发布日期:2025-05-26
  • 通讯作者: *yanli@ibms.pumc.edu.cn; lixm@pumch.cn
  • 基金资助:
    中国医学科学院北京协和医学院青年医学教育学者计划(2023zlgc0708);北京协和医院青年拔尖人才培养项目(UBJ06514);北京协和医学院2024年中央高校教育教学改革专项(2024bkjg040)

Application of case-based learning teaching in basic medicine stage of eight-year medical program

GUO Xiaoxiao1,2, HE Shuya3, CHEN Yongmei4, WANG Jing5, YAN Li5*, LI Xuemei2*   

  1. 1. Department of Cardiology; 2. Department of Internal Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730;
    3. Department of Physiology; 4. Department of Anatomy, Histology & Embryology; 5. Department of Pathophysiology, Institute of Basic Medical Science CAMS, School of Basic Medicine PUMC, Beijing 100005, China
  • Received:2025-02-24 Revised:2025-03-21 Online:2025-06-05 Published:2025-05-26

摘要: 目的 探讨基于案例学习(CBL)的教学方法在八年制临床医学专业学生基础医学阶段课程中的应用效果。方法 选取北京协和医学院2014~2015级、2019~2020级八年制临床医学专业学生共320人为研究对象并分为两组,2014级和2015级八年制临床医学专业162名学生为对照组,2019级和2020级158名学生为实验组。对照组学生在基础医学学习阶段接受传统讲座形式为主的教学方法,实验组学生接受传统讲座辅以CBL的教学方法。本研究以心血管系统为例,收集两组学生在该系统的考核成绩及问卷调查,以评价教学效果,及时获得教学反馈。结果 传统理论教学结合CBL教学方法能够显著提高学生理论考核成绩,激发学习兴趣和内在学习动力,促进团队学习和解决问题的能力。问卷调查显示,CBL教学能够有效地提升理论联系临床实际的能力,促进了教师和学生之间的互动,并提高教学效率。结论 在基础医学教育阶段,从教师、学生、课程设置多层面设计及开展CBL教学,能够获得八年制临床医学专业学生的认可,并取得了良好的教学效果。

关键词: CBL教学法, 基础医学, 八年制, 临床医学

Abstract: Objective To explore the application of case-based learning(CBL) approach in the basic medical stage for eight-year clinical medical program. Methods A total of 320 students from the eight-year clinical medicine program at Peking Union Medical College in the grades of 2014—2015 and 2019—2020 were selected as the study subjects. These students were divided into two groups, 162 students in the classes of 2014 and 2015 as the control group, and 158 students in the classes of 2019 and 2020 as the experimental group. The students in the control group received classic teaching in the basic medicine stage characterized by traditional lectures as the main teaching method. The students in the experimental group received traditional lectures supplemented by CBL. In this study, the cardiovascular system was taken as an example, and the assessment scores and questionnaires of the two groups of students were collected in order to evaluate the teaching effectiveness and to obtain timely teaching feedback. Results Traditional lecture combined with CBL method significantly improved the theory assessment scores of students in the experimental group, stimulated learning interest and intrinsic motivation, and enhanced team learning and problem-solving ability. Students believed that CBL teaching could effectively improve the ability to link theory to clinical practice. In addition, CBL teaching method encouraged the interaction between teachers and students and improved teaching efficiency. Conclusions Well-designing and well-organized CBL teaching from multiple levels, including teachers, students, and curricula, can be better accepted and acknowledged by students from eight-year clinical medical program at the stage of basic medical education.

Key words: case-based learning, basic medicine, eight-year medical program, clinical medicine

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