Volume 24 Issue 6
Jun.  2026
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(6): 1029-1031
CHEN Tianping, ZHANG Naiju. Application of flipped classroom combined with case-based learning in cultivating clinical reasoning skills for chest pain diagnosis[J]. Chinese Journal of General Practice, 2026, 24(6): 1029-1031. doi: 10.16766/j.cnki.issn.1674-4152.004546
Citation: CHEN Tianping, ZHANG Naiju. Application of flipped classroom combined with case-based learning in cultivating clinical reasoning skills for chest pain diagnosis[J]. Chinese Journal of General Practice, 2026, 24(6): 1029-1031. doi: 10.16766/j.cnki.issn.1674-4152.004546
shu

Application of flipped classroom combined with case-based learning in cultivating clinical reasoning skills for chest pain diagnosis

doi: 10.16766/j.cnki.issn.1674-4152.004546
  • 1.

    Department of Cardiovascular Medicine, the First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui 233004, China

Funds:

 2022jyxm1012

 2024zyxwjxalk186

  • Received Date: 2025-10-19
    Available Online: 2026-11-10
    Abstract
  •   Objective  Chest pain has complex etiologies and poses significant diagnostic challenges. Traditional teaching methods often fall short in developing clinical reasoning skills in medical students. This study aimed to evaluate whether a teaching model combining case-based learning (CBL) with flipped classroom (FC) could effectively improve medical students' clinical reasoning skills in chest pain diagnosis.  Methods  A single-center randomized controlled trial was conducted at the First Affiliated Hospital of Bengbu Medical University from September 2023 to March 2024. A total of 122 clinical medicine undergraduates were randomly allocated using a random number table into an experimental group (CBL+FC, n=61) and a control group [traditional lecture-based learning (LBL), n=61]. The experimental group watched multimodal case videos on chest pain before class and participated in group discussions during class; the control group received traditional textbook-based lectures. Assessment metrics included the diagnostic thinking inventory (DTI) score, diagnostic accuracy, self-directed learning ability, and teaching satisfaction score.  Results  The experimental group scored higher than the control group in the DTI (160.3±17.3 vs. 149.4±10.9, P < 0.001), diagnostic accuracy (91.8% vs. 75.4%, P=0.014), self-directed learning ability (79.7±5.6 vs. 69.3±6.0, P < 0.001), and teaching satisfaction (86.1±7.2 vs. 83.6±6.7, P=0.042).  Conclusion  The teaching model combining CBL and FC can significantly enhance medical students' clinical reasoning ability and diagnostic efficiency for chest pain, strengthen their self-directed learning awareness, and effectively improve classroom time utilization.

     

    • FullText(HTML)
  • loading
    • References(16)
  • [1]
    米玉红, 陈倬, 陆艳辉, 等. 问题导向"集束化"培训模式助力急诊住院医师对致命性胸痛甄别思维体系的建立[J]. 中华急诊医学杂志, 2023, 32(12): 1724-1728.

    Mi Y H, Chen Z, Lu Y H, et al. The problem-oriented "clustered" training model helps emergency resident physicians establish a thinking system for identifying fatal chest pain[J]. Chinese Journal of Emergency Medicine, 2023, 32(12): 1724-1728.
    [2]
    SHOHANI M, BASTAMI M, GHESHLAGHI L A, et al. Nursing student's satisfaction with two methods of CBL and lecture-based learning[J]. BMC Med Educ, 2023, 23(1): 48. DOI: 10.1186/s12909-023-04028-3.
    [3]
    MAI M, MOLINA R L, AGUAYO-MAZZUCATO C, et al. A standardized clinical case-based assessment for evaluating medical students' oral Spanish communication skills[J]. MedEdPORTAL, 2025, 21: 11518. DOI: 10.15766/mep_2374-8265.11518.
    [4]
    YANG W J, ZHANG X Y, CHEN X H, et al. Based case based learning and flipped classroom as a means to improve international students'active learning and critical thinking ability[J]. BMC Med Educ, 2024, 24(1): 759. DOI: 10.1186/s12909-024-05758-8.
    [5]
    DURMUŞOĞLU H, DEMIROK M S. Effects of flipped classrooms on the academic achievements, individualised education plan competencies and quality of related preparation of pre-service teachers[J]. Behav Sci (Basel), 2025, 15(4): 438. DOI: 10.3390/bs15040438.
    [6]
    GUMMELT G, WRIGHT L, MALICK S, et al. Experiential learning in mental health diversion: interdisciplinary approaches using Kolb's learning theory[J]. J Evid Based Soc Work (2019), 2025, 22(2): 171-188. doi: 10.1080/26408066.2024.2444316
    [7]
    OWLIA F, KESHMIRI F, KAZEMIPOOR M, et al. Assessment of clinical reasoning and diagnostic thinking among dental students[J]. Int J Dent, 2022, 2022: 1085326. DOI: 10.1155/2022/1085326.
    [8]
    LI S S, JIA X J, ZHAO Y J, et al. The mediating role of self-directed learning ability in the impact of educational environment, learning motivation, and emotional intelligence on metacognitive awareness in nursing students[J]. BMC Nurs, 2024, 23(1): 789. DOI: 10.1186/s12912-024-02457-z.
    [9]
    刘林, 李佳佳, 伍燕平, 等. 病案教学结合翻转课堂模式在内科学临床教学中的探索与应用[J]. 中华全科医学, 2024, 22(5): 867-870. doi: 10.16766/j.cnki.issn.1674-4152.003522

    Liu L, Li J J, Wu Y P, et al. Exploration and application of CBL combined with flipped classroom model in clinical teaching of internal medicine[J]. Chinese Journal of General Practice, 2024, 22(5): 867-870. doi: 10.16766/j.cnki.issn.1674-4152.003522
    [10]
    葛君, 宣玲, 沙莎, 等. 翻转课堂联合案例教学法在心内科住院医师规范化培训中的应用[J]. 中华全科医学, 2022, 20(12): 2134-2137. doi: 10.16766/j.cnki.issn.1674-4152.002787

    Ge J, Xuan L, Sha S, et al. Application on flipped classroom combined with Case-based learning in the standardized training of residents in cardiology[J]. Chinese Journal of General Practice, 2022, 20(12): 2134-2137. doi: 10.16766/j.cnki.issn.1674-4152.002787
    [11]
    ZHANG W W, LI L, PAN K J, et al. The multitiered evaluation of teaching based on improved case-based learning: a continuous survey in biochemistry and molecular biology[J]. Biochem Mol Biol Educ, 2025, 53(4): 344-357. doi: 10.1002/bmb.21901
    [12]
    ZHANG H, WANG X M, LI X J, et al. The impact of large-class flipped classrooms incorporating design thinking on self-awareness, team collaboration, learning efficiency, and comprehensive literacy of clinical medicine undergraduates[J]. BMC Med Educ, 2025, 25(1): 562. DOI: 10.1186/s12909-025-07116-8.
    [13]
    CAI L, LI Y L, HU X Y, et al. Implementation of flipped classroom combined with case-based learning: a promising and effective teaching modality in undergraduate pathology education[J]. Medicine (Baltimore), 2022, 101(5): e28782. DOI: 10.1097/MD.0000000000028782.
    [14]
    HU X M, LI Z X, DENG J, et al. Integration of theory and practice in medical morphology curriculum in postgraduate training: a flipped classroom and case-based learning exercise[J]. Curr Med Sci, 2023, 43(4): 741-748. doi: 10.1007/s11596-023-2759-9
    [15]
    左晓虎, 黄国涛, 何勇, 等. 线上FC联合CBL在妇产科实习教学中的应用[J]. 医学教育研究与实践, 2022, 30(6): 774-778.

    Zuo X H, Huang G T, He Y, et al. Application of FC combined with CBL method in clinical internship teaching of obstetrics and gynecology department online under the COVID-19 pandemic[J]. Medical Education Research and Practice, 2022, 30(6): 774-778.
    [16]
    贾静, 王国华, 赵秀萍, 等. 翻转课堂结合CBL+TBL教学模式在留学生中医妇科学网络教学中的应用探索[J]. 中医教育, 2023, 42(3): 99-103.

    Jia J, Wang G H, Zhao X P, et al. Application and exploration of flipped classroom combined with CBL+TBL in online teaching of Traditional Chinese Gynecology to international students[J]. Education of Chinese Medicine, 2023, 42(3): 99-103.
    • Relative Articles
    • Supplements(0)
    • Cited By

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (14) PDF downloads(1) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return