CBL结合病例演练评估应用于妇产科教学中的效果及对学生临床思维能力的影响研究

Study on the effect of CBL combined with case evaluation exercise in obstetrics and gynecology teaching and its influence on students’clinical thinking ability

目的探讨案例教学法(CBL)结合病例演练评估应用于妇产科教学中的效果及对学生临床思维能力的影响。方法于2022年10月至2023年10月在潍坊医学院附属医院妇产科实习的医学生中选取80名,根据随机数表法分为两组,对照组(40名)行传统带教,观察组(40名)通过CBL结合病例演练评估实施带教,比较两组的学习成绩、迷你临床演练评估(Mini-CEX)结果、临床思维。结果观察组出科时的理论考试、技能操作考核成绩高于对照组,差异有统计学意义(P<0.05);观察组出科时的Mini-CEX评分高于对照组,差异有统计学意义(P<0.05);观察组出科时的医学生临床思维能力评价量表评分、批判性思维能力测量表评分高于对照组,差异有统计学意义(P<0.05)。结论CBL结合病例演练评估应用于妇产科教学中达到良好教学效果,有效提升实习医学生学习成绩、实践能力,且临床思维得到有效培养。

Objective To explore the effect of case-based learning(CBL)combined with case evaluation exercise in obstetrics and gynecology teaching and its influence on students’clinical thinking ability.Methods A total of 80 medical students who interned in the Department of Obstetrics and Gynecology,Affiliated Hospital of Weifang Medical University from October 2022 to October 2023 were selected and divided into two groups according to the numerical random table method.The control group(40 students)was given traditional teaching,while the observation group(40 students)was given CBL combined with case evaluation exercise.The academic performance,mini-clinical evaluation exercise(Mini-CEX)results and clinical thinking of the two groups were compared.Results The results of theoretical examination and skill operation examination in the observation group were higher than those in the control group,with statistical significance(P<0.05).The after-department Mini-CEX score in the observation group was higher than that in the control group,with statistically significant difference(P<0.05).The after-department scores of clinical thinking ability assessment scale and critical thinking disposition invention of medical students in the observation group were higher than those in the control group,with statistically significant difference(P<0.05).Conclusion CBL combined with case evaluation exercise can achieve good teaching effect in obstetrics and gynecology teaching,effectively improve the academic performance and practical ability of interns,and effectively cultivate their clinical thinking.