案例教学联合BOPPPS教学法在骨科住院医师规范化培训中的应用

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【中图分类号】R816.8 【文献标识码】A

Application of the case-based learning combined with the BOPPPS teaching method in standardized training of orthopedic resident physicians

LIAO Bo， ZHANG Xiaoping， ZHAO Hai'en， YAN Kang， ZHAO Jian， DONG Xin DepartmentofOrthopedics，SecondHospitaloftheAirForceMedicalUniversity，Xi'an7oo38，China Corresponding author： LIAO Bo， Email： liaobo_spine@163.com

【Abstract】 Objective To analyze the application effect of BOPPPS teaching method combined with case-based learning （CBL） in the standardized training of orthopedic residents. Methods Residents who participated in standardized training in the department of orthopedics of the Second Hospital of the Air Force Medical University from September 2023 to September 2024 were selected as research subjects，and were divided into the control group （conventional teaching） and the observation group （BOPPPS teaching method combined with CBL+ conventional teaching）. After 6 months of training，the theoretical knowledge of orthopedics， clinical case analysis ability， clinical practice ability and satisfaction with the teaching method of orthopedic standardized training were compared between the two groups of residents. Results A total of 164 subjects were included in this study，82 in each group.The scores of aspects of basic knowledge，caseanalysis and clinical skils and total score of theoretical knowledge of orthopedics，scores of items and total score of clinical case analysis ability （diagnosis and basis，diferential diagnosis and analysis，examination item and principle， treatment principle and scheme，prognosis judgment and analysis），scores of tems and total score of mini-clinical evaluation exercise （Mini-CEX） and aspects of satisfaction with teaching method （closely integrated practice and theory， stimulating learning interest， improving teaching learning atmosphere， etc.） in the observation group were all significantly higher than those in the control group （P<0.05） . Conclusion The application of CBL combined with the BOPPPS teaching method in the standardized teaching for orthopedic residents can effectivelyenhance the mastery degree ofbasic knowledge，clinical thinking ability，practical abilityand residents' satisfaction with teaching.

【Keywords 】BOPPPS teaching method; Case-based learning; Department of orthopedics; Standardized trainingof residents; Practical ability

住院医师规范化培训是培养高素质临床医师队伍的关键环节，而骨科作为外科领域的重要组成部分，其临床教学对提升骨科医生的临床技术、临床思维、决策能力等至关重要[。（剩余9397字）