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基于CBME的免疫课程教学改革与实践研究OA

Research on CBME-based educational reform and practice in the course of immunology

中文摘要英文摘要

传统医学教育以固定学制为核心."时间本位"的培养模式已难以适应当代医疗系统对医生能力的多元需求,存在医学生能力不均、与临床需求脱节等突出问题.基于胜任力的医学教育(CBME)作为一种以结果为导向的教育模式,为解决上述问题提供了理论基础.文章对比分析了 CBME较于传统模式的核心特征与优势,阐述其实施过程中的目标导向、评估体系与多重角色上的形式革新及系统性挑战,并以免疫系统与疾病器官系统整合课程为例,提出实现课程教学CBME的实践路径.该研究为医学教育改革,即从时间本位向能力本位的转型、加快基础与临床贯通、提升医师培养质量和最终保障患者安全的核心价值,提供了理论参考.

Traditional medical education is centered on fixed-duration programs and a"time-based"training model,leading to the problems of uneven competency in medical students and disconnection from clinical needs.Due to the fundamental flaws,it increasing-ly fails to meet the diverse requirements of modern healthcare system for physician competence.Competency-Based Medical Education(CBME)emerges as an outcome-oriented educational paradigm,providing a theoretical framework for addressing the aforementioned issues.We conduct a comparative study to analyze the core characteristics and advantages of CBME over the traditional time-based model,and then elaborate on the paradigm shift and systemic challenges during implementation in terms of goal orientation,assessment system,and multi-stakeholder roles.Taking the organ-system integrated course of immune system and diseases as an example,we propose the practical pathways to the application of CBME in teaching.This study aims to provide theoretical reference for medical edu-cation reform,which involves the transformation from time-based to competency-based approach,the accelerated integration of basic and clinical medicine,the improvement of cultivation quality of physicians,and the ultimate protection of patient safety.

孙丽娜;张丹;周晓勃;史霖;杨小丰;雷蕾;张保军;孙晨鸣

西安交通大学基础医学院病原生物学与免疫学系,西安 710061西安交通大学医学部医学研究生教学实验中心西安交通大学基础医学院病原生物学与免疫学系,西安 710061西安交通大学基础医学院病原生物学与免疫学系,西安 710061西安交通大学基础医学院病原生物学与免疫学系,西安 710061西安交通大学基础医学院病原生物学与免疫学系,西安 710061西安交通大学基础医学院病原生物学与免疫学系,西安 710061西安交通大学基础医学院病原生物学与免疫学系,西安 710061

医药卫生

免疫学系统与疾病整合课程教学改革胜任力教育模式过程化评估

immune system and diseasesintegrated courseteaching reformcompetencyeducational paradigmprocess assessment

《基础医学教育》 2026 (7)

600-605,6

10.13754/j.issn2095-1450.2026.07.02

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