Bridging the theory-practice gap in laboratory medicine: development and application of a standardized case library for fostering clinical reasoning in postgraduate training - Summary - MDSpire

Bridging the theory-practice gap in laboratory medicine: development and application of a standardized case library for fostering clinical reasoning in postgraduate training

  • By

  • Qin Wang

  • Jingjing Zhang

  • Hao Zhang

  • Aihua Wang

  • Yuanyuan Wu

  • Zhi Duan

  • Zhidong Chen

  • Tingdong Zhou

  • Yu Wei

  • Wenwen Chu

  • Qiang Zhou

  • June 24, 2026

  • 0 min

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Objective:

To develop a comprehensive teaching case library and evaluate its associations with student outcomes in clinical laboratory diagnostics education.

Approach:
  • Evaluation Methods: Teaching effectiveness was assessed through examination scores, classroom participation rates, and thematic analysis of qualitative student feedback, focusing on key themes identified in student responses.
Key Findings:
  • 66.6% of CBL students achieved 'high engagement' compared to 33.3% in the control group.
  • The CBL group reported a mean composite engagement score of 4.5 ± 0.4 versus 3.2 ± 0.6 in the control group (P < 0.01).
  • The CBL group showed a mean score improvement of 5.8 points on end-of-rotation examinations (95.4 ± 2.9 vs. 89.6 ± 7.5, P = 0.004).
  • Thematic analysis indicated that CBL reduced cognitive load, enhanced self-confidence, and fostered professional identity.
Interpretation:

The findings indicate that a systematically constructed case library integrated with CBL may bridge the theory-practice gap and support clinical competency development.

Limitations:
  • The study is exploratory and conducted at a single center, which may limit the generalizability of the results.
  • Results should be validated in larger-scale, preferably randomized, investigations to confirm findings.
Conclusion:

The study presents a scalable educational model for laboratory medicine training.

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