Effect of Integrated Lecture‐, Case‐, and Problem‐Based Learning on Critical Thinking and Clinical Competence in Gastrointestinal Surgery Trainees: A Randomized Controlled Trial.
Background: Enhancing clinical thinking and competence is central to gastrointestinal surgical training. This study is aimed at evaluating the effectiveness of an integrated instructional model combining lecture‐based learning (LBL), problem‐based learning (PBL), and case‐based learning (CBL) in gas...
| Publicado en: | Gastroenterology Research & Practice Vol. 2026; pp. 1 - 12 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
2/10/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191490181&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191490181 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16876121 32R8 jtl: Gastroenterology Research & Practice issn: 16876121 maglogo: N pubinfo: dt: 2/10/2026 vid: 2026 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 191490181 191490181 191490181 10.1155/grp/8457575 191490181 ppf: 1 ppct: 11 formats: tig: atl: Effect of Integrated Lecture‐, Case‐, and Problem‐Based Learning on Critical Thinking and Clinical Competence in Gastrointestinal Surgery Trainees: A Randomized Controlled Trial. aug: au: Tang, Jin Yang, Jing Yang, Junsong Wei, Shoujiang Lindberg, Greger affil: Department of Gastrointestinal Surgery,, Affiliated Hospital of North Sichuan Medical College,, Nanchong, Sichuan Province,, China, hospital-nsmc.com.cn sug: subj: Education, Graduate Education, Medical Learning Methods Teaching Methods Lecture Critical Thinking Evaluation Models, Educational Evaluation Surgery, Operative Education Student Knowledge Evaluation Learning Evaluation Student Satisfaction Evaluation Clinical Competence Evaluation Funding Source China Human Male Female Adult Randomized Controlled Trials Random Assignment Prospective Studies Clinical Assessment Tools Data Analysis Software Descriptive Statistics Academic Medical Centers One-Way Analysis of Variance Post Hoc Analysis Chi Square Test Fisher's Exact Test Two-Tailed Test Time Factors Educational Measurement Internship and Residency Adult: 19-44 years Male Female ab: Background: Enhancing clinical thinking and competence is central to gastrointestinal surgical training. This study is aimed at evaluating the effectiveness of an integrated instructional model combining lecture‐based learning (LBL), problem‐based learning (PBL), and case‐based learning (CBL) in gastrointestinal surgical training. Methods: This prospective randomized controlled trial was conducted at the Affiliated Hospital of North Sichuan Medical College, China, from September to November 2024. A total of 120 gastrointestinal surgical trainees, including final‐year medical interns and first‐year surgical residents, were randomly assigned (1:1:1) to the LBL, PBL + CBL, or integrated LBL + PBL + CBL groups using a computer‐generated sequence, with allocation concealed by an independent assistant. After completing an 8‐week standardized curriculum delivered by the same teaching team, the following outcomes were assessed: critical thinking ability using the Chinese version of the California critical thinking disposition inventory (CTDI‐CV); theoretical knowledge through written and oral examinations; learning efficiency (study time and task completion rate) and satisfaction; and clinical competence assessed via the miniclinical evaluation exercise (Mini‐CEX). Data were analyzed using IBM SPSS Statistics with one‐way analysis of variance, and statistical significance was set at p < 0.05. Results: The integrated LBL + PBL + CBL groups achieved the highest CTDI‐CV total scores, theoretical knowledge performance, and Mini‐CEX scores compared with the other groups (p < 0.05). Despite reporting the shortest weekly study time, the integrated group attained the highest task completion rate and learner satisfaction score (p < 0.05). Conclusion: The integrated LBL + PBL + CBL approach enhances efficiency and is well‐suited for advancing clinical competence in surgical training. Trial registration: Chinese Clinical Trial Registry (ChiCTR2000041569). pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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