引用本文:王悦华,王亚军,赵宏,刘东斌,赵菁,马胜海.临床实习期治疗方法选择CBL课程的基本设计[J].中华医学教育探索杂志,2022,21(12):1691-1695
临床实习期治疗方法选择CBL课程的基本设计
The basic design of CBL teaching course in clinical practice on clinical treatment options
DOI:10.3760/cma.j.cn116021-20200506-01109
中文关键词:  基于案例的学习  治疗方法选择  实习期  课程设计  临床思维
英文关键词:Case-based learning  Treatment option  Internship  Course design  Clinical thinking
基金项目:中华医学会医学教育分会、中国高等教育学会医学教育专业委员会2018年医学教育研究立项课题(2018B-N06026);教育部人文社会科学研究规划基金项目(14YJAZH083)
作者单位E-mail
王悦华 1首都医科大学宣武医院普外科北京 100053 wangyuehua301@sina.com 
王亚军 1首都医科大学宣武医院普外科北京 100053  
赵宏 2中国医学科学院肿瘤医院腹部外科北京 100021  
刘东斌 1首都医科大学宣武医院普外科北京 100053  
赵菁 1首都医科大学宣武医院普外科北京 100053  
马胜海 1首都医科大学宣武医院普外科北京 100053  
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中文摘要:
      以临床实习期原发性肝癌治疗方法选择病例讨论教学为例,探讨基于案例的学习(case-based learning,CBL)课程设计的基本要素。治疗方法选择"多方案择优"的临床思维能力培养是实习期临床教学的目的之一,适于采用CBL教学法。CBL课程的设计包括8要素:教学对象、目的、目标、内容、实施方案、考核要点、课程评价及参考资料。其核心设计要点是:①教学目标,包括知识、能力和专业素质;②课程内容包括决策组织及多方案择优临床思维能力的培养;③实施方案可采用一般的CBL教学步骤,重点需讨论每个决策环节所界定的决策问题。原发性肝癌CBL病例讨论的教学实践表明,所提出的CBL课程的设计要素具有通用性,有助于教师设计并实施有关治疗方法选择的CBL课程。
英文摘要:
      Taking case discussion of clinical treatment options of primary liver cancer during clinical internship as an example, the course design of basic elements of case-based learning (CBL) was discussed. The purpose of clinical practice is to cultivate the clinical thinking ability of "selecting the best one from multiple treatment options", which is suitable for taking CBL teaching method. The design of CBL course includes 8 elements: teaching object, purpose, objectives, course content, implementation plan, key points for assessment, course evaluation and reference materials. The core points of the design of CBL course are that: ①The teaching objectives include knowledge, ability and professionalism; ②The course content should includes the training of decision-making organizations and clinical thinking ability of selecting the best one from multiple treatment options; ③The general CBL teaching procedure can be adopted in the implementation of the scheme that focuses on the decision-making issues defined in each decision-making step. The teaching practice of CBL on primary liver cancer cases discussion shows the basic design of CBL course is universal, which is helpful for teachers to design and implement CBL course on clinical treatment options.
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