Research on the Application of CBL Combined with OSCE in the Teaching of Anorectal Standardized Training Physician of Traditional Chinese Medicine

Objective ：To explore the application effect of case-based learning ( CBL ) combined with objective structured clinical examination ( OSCE ) in the standardized training of anorectal residents of traditional Chinese medicine. Methods ：From June 2023 to December 2024, 60 residents who received standardized training of residents in the anorectal department of the First Affiliated Hospital of Henan University of Tradit ional Chinese Medicine were randomly divided into experimental group ( CBL + OSCE, n = 30 ) and control group ( traditional teaching, n = 30 ). The teaching effects of different teaching methods were evaluated by comparing the examination results ( theory, skill operation, case analysis ), teaching satisfaction and clinical thinking ability of the two groups. Results ：The scores of theoretical achievement ( 89.5 ± 4.2 vs. 82.1 ± 5.6 ), skill operation ( 91.3 ± 3.8 vs. 85.4 ± 4.5 ), case analysis ( 93.2 ± 2.9 vs. 87.6 ± 3.7 ), teaching satisfaction and clinical thinking ability in the experimental group were significantly higher than those in the control group ( all P < 0.05 ). Conclusion ：With the advantages of combining theory with practice, the CBL combined with OSCE teaching mode realizes the integrated training of Chinese and Western medicine diagnosis and treatment ability for the firs t time in the anorectal training of traditional Chinese medicine, which significantly improves the teaching effect and provides an innovative solution for the training of anorectal professionals of traditional Chinese medicine.