Objective The aimed explore the effectiveness and feasibility of introducing case-based learning(CBL)for situational simulation teaching in the standardized training of thoracic and cardiac surgery residents.Methods Sixty res-idents who underwent residential training in the Department of Thoracic Surgery at the First Affiliated Hospital of Univer-sity of Science and Technology of China,from January 2021 to April 2022,were selected as participants.They were ran-domly divided into two groups:the group A,which received traditional teaching method group,and the group B,which received CBL-based situational simulation teaching group,according to the admission order.The teaching methods in-cluded mini-clinical evaluation exercise(mini-CEX),direct observation,and direct observation of procedural skill(DOPS).At the end of the training,theory and skill assessment,as well as teaching satisfaction survey,were conduc-ted.Results There were no significant differences between the two groups in terms of age,sex,highest education,ma-jor,and time of participation in training(P＞0.05).The theoretical and skill scores of the group B were significantly higher than those of the group A(t=4.977,P＜0.001;t=3.607,P=0.001).The proportion of excellent Mini-CEX rating in the group B was higher than that in the group A(P＜0.05).Additionally,the Mini-CEX score in the group B was higher than that in the group A(t=2.670,P=0.010).There were no significant difference in DOPS rating and scores between the two groups(Z=-0.869,P=0.385;t=0.405,P=0.687).The satisfaction level of the group B was significantly higher than that of the group A(P＜0.05).Similarly,the satisfaction score of the group B was significantly higher than that of the group A(t=5.007,P＜0.001).Conclusion The implementation of peer and CBL-based situa-tional simulation teaching mode has the potential to creat a conductive learning atmosphere,improve the independent learning and clinical thinking skills of resident physicians,and hold significant promise for advancement.
Peer teachingCase-based learningStandardized residency trainingMini-clinical evaluation exerciseTho-racic surgery
维普
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