基于OBE理念的附属医院临床教学基地同质化管理实践——以沈医中心医院内分泌科为例
Practice of Homogenized Management in Clinical Teaching Bases of Affiliated Hospitals Based on OBE Concept—A Case Study of the Endocrinology Department, Central Hospital of Shenyang Medical College
摘要: 目的：探索基于成果导向教育(OBE)理念的附属医院临床教学基地同质化管理模式，以内分泌科为例验证其应用效果。方法：以沈阳医学院附属中心医院内分泌科为研究对象，构建“培养目标–教学内容–教学过程–考核评价”四位一体的OBE同质化管理框架。选取2024年1月至2025年12月在该科实习的临床医学专业本科生80名，按实施OBE同质化管理前后分为对照组(n = 40)与观察组(n = 40)，比较两组出科考试成绩、Mini-CEX评分及教学满意度。结果：观察组出科理论考试成绩(85.32 ± 6.08分)和技能考核成绩(88.65 ± 5.17分)均显著高于对照组(78.15 ± 7.42分和80.08 ± 6.73分) (P < 0.001)；Mini-CEX五个维度评分均有提升，“临床判断”维度提升最为显著(1.52分)；教学满意度从77.5%提高至95.0% (P = 0.023)。结论：基于OBE理念的同质化管理能有效提升临床教学质量，促进教学标准的统一与持续改进，为附属医院教学基地建设提供可复制的实践路径。
Abstract: Objective: To explore a homogenized management model for clinical teaching bases in affiliated hospitals based on the Outcome-Based Education (OBE) concept, using the endocrinology department as a case study to validate its effectiveness. Methods: Taking the Endocrinology Department of Shenyang Medical College Central Hospital as the research subject, a four-in-one OBE homogenized management framework encompassing “training objectives, teaching content, teaching process, assessment and evaluation” was constructed. Eighty clinical medicine undergraduates who completed their internship in the department between January 2024 and December 2025 were enrolled and divided into a control group (n = 40, before OBE implementation) and an observation group (n = 40, after OBE implementation). The two groups were compared on exit examination scores, Mini-CEX ratings, and teaching satisfaction. Results: The observation group scored significantly higher than the control group on both theoretical (85.32 ± 6.08 vs. 78.15 ± 7.42) and practical examinations (88.65 ± 5.17 vs. 80.08 ± 6.73) (P < 0.001). All five Mini-CEX dimensions improved, with the largest gain in “clinical judgment” (1.52 points). Teaching satisfaction increased from 77.5% to 95.0% (P = 0.023). Conclusion: Homogenized management based on the OBE concept can effectively enhance clinical teaching quality, promote the unification and continuous improvement of teaching standards, and provide a replicable practice pathway for teaching base construction in affiliated hospitals.
文章引用：杨晨, 朱琦. 基于OBE理念的附属医院临床教学基地同质化管理实践——以沈医中心医院内分泌科为例[J]. 教育进展, 2026, 16(7): 1952-1961. https://doi.org/10.12677/ae.2026.1671580

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