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

Published on Jul. 25, 2025Total Views: 570 timesTotal Downloads: 136 timesDownloadMobile

Author: LIAO Bo ZHANG Xiaoping ZHAO Hai'en YAN Kang ZHAO Jian DONG Xin

Affiliation: Department of Orthopedics, Second Hospital of the Air Force Medical University, Xi'an 710038, China

Keywords: BOPPPS teaching method Case-based learning Department of orthopedics Standardized training of residents Practical ability

DOI: 10.12173/j.issn.1004-5511.202504160

Reference: Liao B, Zhang XP, Zhao HE, Yan K, Zhao J, Dong X. Application of the case-based learning combined with the BOPPPS teaching method in standardized training of orthopedic resident physicians[J]. Yixue Xinzhi Zazhi, 2025, 35(7): 855-860. DOI: 10.12173/j.issn.1004-5511.202504160. [Article in Chinese]

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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, case analysis and clinical skills and total score of theoretical knowledge of orthopedics, scores of items and total score of clinical case analysis ability (diagnosis and basis, differential diagnosis and analysis, examination item and principle, treatment principle and scheme, prognosis judgment and analysis), scores of items 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 effectively enhance the mastery degree of basic knowledge, clinical thinking ability, practical ability and residents’ satisfaction with teaching.

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References

1.Enson J, Malik-Tabassum K, Faria A, et al. The impact of mentoring in trauma and orthopaedic training: a systematic review[J]. Ann R Coll Surg Engl, 2022, 104(6): 400-408. DOI: 10.1308/rcsann.2021.0330.

2.Thevendran G, Khanduja V. SICOT PIONEER (Programme of Innovative Orthopaedic Networking Education and Research): re-inventing global orthopaedic education, training and research[J]. Int Orthop, 2022, 46(4): 669-676. DOI: 10.1007/s00264-022-05354-9.

3.Li S, Wei W, Li X, et al. Impacts of blended learning with BOPPPS model on Chinese medical undergraduate students: a comprehensive systematic review and Meta-analysis of 44 studies[J]. BMC Med Educ, 2024, 24(1): 914. DOI: 10.1186/s12909-024-05917-x.

4.Wen H, Xu W, Chen F, et al. Application of the BOPPPS-CBL model in electrocardiogram teaching for nursing students: a randomized comparison[J]. BMC Med Educ, 2023, 23(1): 987. DOI: 10.1186/s12909-023-04983-x.

5.Morscheid YP, Pouessel F. Simulators and other tools in orthopedic-trauma surgery training[J]. Orthopadie (Heidelb), 2023, 52(7): 539-546. DOI: 10.1007/s00132-023-04394-2.

6.Massalou D, Bronsard N, Hekayem L, et al. Modern and synchronized clinical anatomy teaching based on the BDIE method (board-digital dissection-imaging-evaluation)[J]. Surg Radiol Anat, 2022, 44(5): 803-808. DOI: 10.1007/s00276-022-02943-6.

7.Morsch R, Landgraeber S, Strauss DJ. New perspectives in orthopedics: developments through neurotechnology and metaverse[J]. Orthopadie (Heidelb), 2023, 52(7): 547-551. DOI: 10.1007/s00132-023-04400-7.

8.Li Y, Li X, Liu Y, et al. Application effect of BOPPPS teaching model on fundamentals of nursing education: a Meta-analysis of randomized controlled studies[J]. Front Med (Lausanne), 2024, 11: 1319711. DOI: 10.3389/fmed.2024.1319711.

9.Li Z, Cai X, Zhou K, et al. Effects of BOPPPS combined with TBL in surgical nursing for nursing undergraduates: a mixed-method study[J]. BMC Nurs, 2023, 22(1): 133. DOI: 10.1186/s12912-023-01281-1.

10.Donkin R, Yule H, Fyfe T. Online case-based learning in medical education: a scoping review[J]. BMC Med Educ, 2023, 23(1): 564. DOI: 10.1186/s12909-023-04520-w.

11.Kirton CA. Making the case for case-based learning[J]. Am J Nurs, 2023, 123(3): 7. DOI: 10.1097/01.NAJ.0000921732.18207.f2.

12.Ma X, Zeng D, Wang J, et al. Effectiveness of bridge-in, objective, pre-assessment, participatory learning, post-assessment, and summary teaching strategy in Chinese medical education: a systematic review and Meta-analysis[J]. Front Med (Lausanne), 2022, 9: 975229. DOI: 10.3389/fmed.2022.975229.

13.Fromke EJ, Jordan SG, Awan OA. Case-based learning: its importance in medical student education[J]. Acad Radiol, 2022, 29(8): 1284-1286. DOI: 10.1016/j.acra.2021.09.028.

14.郭风,娄吉成,陆敏,等. 研讨会-案例学习教学法在康复医学神经电生理教学中的应用[J]. 中华物理医学与康复杂志, 2025, 47(2): 161-165. [Guo F, Lou JC, Lu M, et al. Applying seminars and case-based learning in teaching neurophysiology in rehabilitation medicine[J]. Chinese Journal of Physical Medicine and Rehabilitation, 2025, 47(2): 161-165.] DOI: 10.3760/cma.j.cn421666-20240125-00087.

15.Cai L, Li YL, Hu XY, 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.

16.Bopp S, Özdemir HB, Aktaş Z, et al. Clinical characteristics of patients with intraocular lens calcification after pars plana vitrectomy[J]. Diagnostics (Basel), 2023, 13(11): 1943. DOI: 10.3390/diagnostics13111943.

17.Arab F, Saeedi M. The effect of the case-based learning approach on the level of satisfactions and learning of nursing students in Iran: a randomized controlled trial[J]. Heliyon, 2024, 10(15): e35149. DOI: 10.1016/j.heliyon.2024.e35149.

18.Gao N, Fu K, Li N, et al. Research on the application of CBL combined with BOPPPS teaching mode in oral and maxillofacial surgery teaching: a randomized controlled study[J]. Sci Rep, 2024, 14(1): 26510. DOI: 10.1038/s41598-024-77432-4.

19.Buxton T, Wang SY. Comparative study between associate degree nursing and bachelor of science students for adopting case-based learning in medical-surgical nursing[J]. SAGE Open Nurs, 2023, 9: 23779608231178586. DOI: 10.1177/23779608231178586.