基于OBE-CDIO理念的创新教学模式在内科住院医师规范化培训中的应用

Application of Innovative Teaching Model Based on OBE-CDIO Concept in Standardized Training of Internal Medicine Residents

摘要: 目的：探讨基于OBE-CDIO理念的创新教学模式在内科住院医师规范化培训中的应用效果。方法：采用随机对照试验设计，选取90名内科住院医师随机分为试验组和对照组各45名。试验组采用基于成果导向教育(OBE)理念结合CDIO工程教育模式的创新教学方法，包括案例导向教学、项目式学习、翻转课堂、同伴教学和反思性学习；对照组采用传统的“教师主导”教学模式。培训周期为12个月。比较两组住院医师的学习成绩考核、临床思维能力、学习动机和参与度以及学习满意度。结果：试验组在综合理论成绩、临床操作技能、病历分析能力方面均显著优于对照组。试验组在临床思维能力的五个维度评分及总分均明显高于对照组。试验组在学习动机、参与度和满意度方面的表现也显著优于对照组。结论：基于OBE-CDIO理念的创新教学模式能够有效提高内科住院医师规范化培训的教学质量，增强学员的临床思维能力，提升学习动机和参与度，具有良好的应用前景。

Abstract: Objective: To investigate the effectiveness of an innovative teaching model based on Outcome-Based Education (OBE) and CDIO (Conceive-Design-Implement-Operate) concepts in the standardized training of internal medicine residents. Methods: A randomized controlled trial was conducted with 90 internal medicine residents randomly assigned to either an experimental group (n = 45) or a control group (n = 45). The experimental group received innovative teaching methods based on OBE concept combined with CDIO engineering education model, including case-based learning, project-based learning, flipped classroom, peer teaching, and reflective learning. The control group received traditional teacher-centered teaching methods. The training period was 12 months. Academic performance, clinical thinking ability, learning motivation, participation, and satisfaction were compared between the two groups. Results: The experimental group demonstrated significantly superior performance compared to the control group in comprehensive theoretical scores, clinical operational skills, and medical record analysis ability. The experimental group showed significantly higher scores in all five dimensions of clinical thinking ability and total clinical thinking scores. The experimental group also exhibited significantly better performance in learning motivation, participation, and satisfaction. Conclusion: The innovative teaching model based on OBE-CDIO concept can effectively improve the quality of standardized training for Internal medicine residents, enhance trainees’ clinical thinking ability, and increase learning motivation and participation, showing promising application prospects.