Li Xiaodong
Xiaodong Li, Department of Nephrology, Baoding No.1 Central Hospital of Hebei Medical University, Baoding 071000, Hebei, China.
Pak J Med Sci. 2024 Oct;40(9):2046-2051. doi: 10.12669/pjms.40.9.9434.
This study explores the application and feasibility of problem based learning (PBL), integrating case based learning (CBL), and the mini clinical evaluation exercise (Mini-CEX) into the standardized training of residents in nephrology department, in order to assess their clinical skills in a comprehensive manner.
This prospective study enrolled 60, three years residents majoring in clinical medicine, from June 2022 to December 2023 in Nephrology Department of Baoding No.1 Central Hospital. These participants were randomly allocated into either the combined PBL-CBL and Mini-CEX teaching group (experimental group) or the traditional lecture-based teaching group (control group). Two groups were evaluated with Mini-CEX assessments and test scores upon exit the department, followed by a questionnaire survey to measure satisfaction levels for the teachers.
There was no statistically significant difference in age, sex, year of graduate school, specialty and student source between the two groups of residents upon the entering the department (P>0.05). Upon the completion, the experimental group, which received PBL-CBL and Mini-CEX teaching methods, demonstrated significantly higher scores in all aspects compared to the control group, with a statistically significant difference (P<0.01). Furthermore, compared the control group, most residents in the experimental group agreed that the PBL-CBL and Mini-CEX teaching methods improve curiosity and enthusiasm for learning (73.3%), communication and expression abilities (73.3%), self-learning abilities (80%), understanding of diseases (76.7%), and like this teaching method (86.7%).
PBL-CBL and Mini-CEX may be an effective method for improving medical residents' performance and enhancing their clinical skills, which is worthy of promotion in the standardized training of the residents.
本研究探讨基于问题的学习（PBL）、整合基于案例的学习（CBL）和迷你临床评估练习（Mini-CEX）在肾内科住院医师规范化培训中的应用及可行性，以便全面评估他们的临床技能。
这项前瞻性研究纳入了2022年6月至2023年12月在保定市第一中心医院肾内科的60名临床医学专业三年级住院医师。这些参与者被随机分配到PBL-CBL与Mini-CEX联合教学组（实验组）或传统讲座式教学组（对照组）。两组在出科时进行Mini-CEX评估和考试成绩评估，随后进行问卷调查以衡量教师的满意度。
两组住院医师入科时在年龄、性别、研究生年级、专业和生源地方面无统计学差异（P>0.05）。完成培训后，接受PBL-CBL和Mini-CEX教学方法的实验组在各方面的得分均显著高于对照组，差异有统计学意义（P<0.01）。此外，与对照组相比，实验组的大多数住院医师认为PBL-CBL和Mini-CEX教学方法提高了学习的好奇心和积极性（73.3%）、沟通和表达能力（73.3%）、自主学习能力（80%）、对疾病的理解（76.7%），并且喜欢这种教学方法（86.7%）。
PBL-CBL和Mini-CEX可能是提高住院医师表现和增强其临床技能的有效方法，值得在住院医师规范化培训中推广。
