Exploration and Practice of a “SPOC + SSP Simulation Exercise + Multi-dimensional Evaluation” Based on the Concept of “Integrating Virtue with Medical Education” in TCM Pediatrics Internship

Corresponding author: Yang Xiaokun, shengjy9264@163.com

DOI: 10.12201/bmr.202604.00148

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  Abstract: Objective：To explore the application effect of the “SPOC + SSP Simulation Drill + Multi-dimensional Evaluation System” teaching model based on the concept of “integrating medical ethics with medical practice” in the clinical internship of Traditional Chinese Medicine (TCM) Pediatrics. Methods：Forty students from the 9-year TCM program at Tianjin University of TCM were enrolled, including the 2020 cohort (control group, n=20) and the 2021 cohort (experimental group, n=20). The control group received conventional clinical internship teaching, while the experimental group adopted the “SPOC + SSP Simulation Drill + Multi-dimensional Evaluation System” teaching model. The improvements in Mini-Clinical Evaluation Exercise (Mini-CEX) scores between the two groups, the Mini-CEX scores of the experimental group at different time points, the improvements in department entrance-exit exam scores, and the scores of the self-directed learning scale were compared between the two groups. Results：After the 9-week internship, the total score of Mini-CEX teacher evaluation in the experimental group increased by 21.65±3.51 points, which was significantly higher than that in the control group (P<0.001). Among them, the improvements in “Communication Skills”, “Humanistic Care”, and “Overall Performance” dimensions showed statistically significant differences between the two groups (all P<0.05). At the 9th week, the total score of Mini-CEX from four perspectives (student self-evaluation, peer evaluation, SSP comment, teacher evaluation) in the experimental group was 45.48±2.34 points, which was significantly higher than that at the 3rd and 6th weeks (all P<0.001). The improvements in “SSP comment” and “teacher evaluation” perspectives at the 9th week were significantly higher than those at the 6th week (both P<0.001). The improvement in department exam scores of the experimental group was 12.95±6.79 points, which was significantly higher than that of the control group (P<0.05). After 9 weeks of internship, the total score of the self-directed learning scale in the experimental group was 51.05±5.29 points, which was significantly higher than that in the control group (P<0.001). Conclusion：The “SPOC + SSP Simulation Drill + Multi-dimensional Evaluation System” teaching model may effectively improve the medical ethics literacy and comprehensive clinical ability of TCM pediatric students during clinical internship.

  Key words: Clinical internship; TCM Pediatrics; Small Private Online Course (SPOC); Student Standardized Patient (SSP); Blended Teaching Model; Multi-dimensional Evaluation; Medical Ethics Literacy

  Submit time: 22 April 2026

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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  1	2026-03-28	10.12201/bmr.202604.00148V1	Download

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