Application of the “Case-based, problem-oriented, and reflective practice teaching model” in clinical internships
“以案例为基础、以问题为导向、反思性实践教学模式”在临床实习中的应用

摘要

目的 临床实习是医学教育的重要环节，传统教学模式存在理论与实践脱节、学生主动性不足等问题。本研究旨在探讨“以案例为基础、以问题为导向、反思性实践教学模式”（CPRP教学模式）在临床实习中的应用效果。方法 通过选取某医学院附属医院临床实习学生为研究对象，将其随机分为观察组和对照组，分别采用CPRP教学模式和传统教学模式进行教学。结果 结果显示，观察组学生在理论知识、临床技能、自主学习能力及教学满意度等方面均优于对照组，差异具有统计学意义（P<0.05）。结论 研究认为，CPRP教学模式能够有效提升学生的临床实践能力和自主学习能力，值得在临床教学中推广应用。

Abstract

Objective Clinical internship is a crucial component of medical education. Traditional teaching models often suffer from a disconnect between theory and practice, as well as insufficient student engagement. This study aims to explore the effectiveness of the “Case-Based, Problem-Oriented, and Reflective Practice Teaching Model” (CPRP model) in clinical internships.
Methods Clinical internship students from an affiliated hospital of a medical college were selected as participants and randomly divided into an observation group and a control group. The observation group received teaching based on the CPRP model, while the control group followed traditional teaching methods.
Results The results showed that students in the observation group outperformed those in the control group in theoretical knowledge, clinical skills, self-directed learning ability, and teaching satisfaction, with statistically significant differences (P < 0.05).
Conclusion   The CPRP teaching model effectively enhances students’ clinical practice ability and self-directed learning capacity, making it a valuable approach for promotion in clinical education.