Research Article | | Peer-Reviewed

Case-based Learning Combined with Scenario Simulation in the Operating Room Practice Teaching for Surgical Graduate Students

Received: 13 September 2025     Accepted: 26 September 2025     Published: 29 October 2025
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Abstract

Background: The Case-Based Learning (CBL) combined with scenario simulation represents an innovative approach to medical and surgical education aimed at bridging the gap between theoretical knowledge and practical application in real-world settings. It is increasingly recognized as an effective strategy in surgical training, designed to improve patient safety and outcomes by preparing future surgeons with the necessary skills and confidence for the operating room. Methods: Thirty surgical graduate students were randomly divided into a study group (group CS) and a control group (group T), with 15 students in each group. The group CS received training using CBL combined with scenario simulation, while the group T underwent traditional teaching methods. After training, the outcomes, teaching satisfaction, and learning confidence were compared. Results: No significant differences in baseline data were observed between the two groups (P > 0.05). The group CS scored higher on theoretical exams (94.5±4.9 vs. 89.3±4.3, P < 0.05) and practical skills assessments (94.7±4.3 vs. 86.4±4.2, P < 0.05) after training. Additionally, teaching satisfaction (43.6±3.5 vs. 36.1±4.4, P < 0.001) and learning confidence scores (42.9±2.9 vs. 34.2±4.8, P < 0.001) were higher in the group CS. Conclusion: Incorporating CBL combined with scenario simulation into the practical training of surgical graduate students results in improved training outcomes. It not only enhances clinical thinking skills and overall competence but also increases teaching satisfaction and learning confidence among students.

Published in Higher Education Research (Volume 10, Issue 5)
DOI 10.11648/j.her.20251005.14
Page(s) 205-210
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Case-based Learning, Scenario Simulation, Operating Room, Practice Teaching, Surgical Graduate Students

References
[1] Redjem ID, Huaulmé A, Jannin P, et al. Crisis management in the operating room: A systematic review of simulation training to develop non-technical skills. Nurse Educ Today. 2025 Apr; 147: 106583.
[2] Hepner DL, Arriaga AF, Cooper JB, et al. Operating Room Crisis Checklists and Emergency Manuals. Anesthesiology. 2017 Aug; 127(2): 384-392.
[3] Frey K, Wahedi A, McVeigh J, et al. Simulation-Based Technologies for Teaching Basic Surgical Skills to Medical Students. Surg Innov. 2023 Oct; 30(5): 687-688.
[4] Mao RQ, Lan L, Kay J, et al. Immersive Virtual Reality for Surgical Training: A Systematic Review. J Surg Res. 2021 Dec; 268: 40-58.
[5] McCoy CE, Rahman A, Rendon JC, et al. Randomized Controlled Trial of Simulation vs. Standard Training for Teaching Medical Students High-quality Cardiopulmonary Resuscitation. West J Emerg Med. 2019 Jan; 20(1): 15-22.
[6] Zhang Y, Xu X, Wang F, et al. The use of bedside case-based learning in the clinical practice of midwifery education in China, BMC Med Educ. 2024 Nov 14; 24(1): 1308.
[7] Cen XY, Hua Y, Niu S, et al. Application of case-based learning in medical student education: a meta-analysis. Eur Rev Med Pharmacol Sci. 2021 Apr; 25(8): 3173-3181.
[8] Yao J, Fu R, Zhu M, et al. Case-based learning interventions for undergraduate nursing students in a theoretical course: A review of design, implementation, and outcomes. J Prof Nurs. 2023 May-Jun; 46: 119-133.
[9] Fang X, Jin S, Sun Z. Application of practical training scenario simulation teaching method oriented to strengthen clinical skills in the clinical internship stage of medical students. Med Educ Online. 2025 Dec; 30(1): 2500557.
[10] Ryu WHA, Dharampal N, Mostafa AE, et al. Systematic Review of Patient-Specific Surgical Simulation: Toward Advancing Medical Education. J Surg Educ. 2017 Nov-Dec; 74(6): 1028-1038.
[11] Apfelbaum JL, Hagberg CA, Connis RT, et al. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology. 2022 Jan 1; 136(1): 31-81.
[12] Demirtas A, Guvenc G, Aslan Ö, et al. Effectiveness of simulation-based cardiopulmonary resuscitation training programs on fourth-year nursing students, Australas Emerg Care. 2021 Mar; 24(1): 4-10.
[13] Zhang Wei, Li Zhi, Huang Huaxing, et al. Application research of CBL combined with scenario simulation in the standardized residency training in the department of thoracic and cardiovascular surgery. Chinese Journal of Graduate Medical Education. 2024, 8(8): 612-615.
[14] Xie Dongdong, Zhang Zhiqiang, Wang Daming, et al. Application of the combination of CBL and scenario simulation teaching method in urological clinic practice teaching. Journal of Qiqihar Medical University. 2022, 43(5): 467-471.
[15] Lee A, Finstad A, Gawad N, et al. Nontechnical Skills (NTS) in the Undergraduate Surgical and Anesthesiology Curricula: Are We Adequately Preparing Medical Students? J Surg Educ. 2021 Mar-Apr; 78(2): 502-511.
[16] Krage R, Zwaan L, Tjon Soei Len L, et al. Relationship between non-technical skills and technical performance during cardiopulmonary resuscitation: does stress have an influence? Emerg Med J. 2017 Nov; 34(11): 728-733.
[17] Onan A, Simsek N, Elcin M, et al. A review of simulation-enhanced, team-based cardiopulmonary resuscitation training for undergraduate students. Nurse Educ Pract. 2017 Nov; 27: 134-143.
[18] Aluisio AR, Daniel P, Grock A, et al. Case-based Learning Outperformed Simulation Exercises in Disaster Preparedness Education Among Nursing Trainees in India: A Randomized Controlled Trial. Prehosp Disaster Med. 2016 Oct; 31(5): 516-23.
[19] Lu X, Feng S, Guo SG, et al. Development of an intensive simulating training program in emergency medicine for medical students in China. World J Emerg Med. 2022; 13(1): 24-26.
[20] Yang Y, Guo Z, Guo X, et al. Enhancing postpartum hemorrhage training by integrating case-problem based learning with simulation: a quasi experimental study. J Obstet Gynaecol. 2025 Dec; 45(1): 2443617.
[21] Tartari E, Fankhauser C, Peters A, et al. Scenario-based simulation training for the WHO hand hygiene self-assessment framework. Antimicrob Resist Infect Control. 2019 Mar 28; 8: 58.
[22] Şentürk Erenel A, Yaman Sözbir Ş, Uzun Aksoy M, et al. Effect of Scenario-Based Simulation Training on the Obstetrics and Gynecology Nursing Clinical Practicum. J Nurs Res. 2021 Jan 4; 29(2): e142.
[23] Flin R, Patey R, Glavin R, et al. Anaesthetists' non-technical skills. Br J Anaesth. 2010 Jul; 105(1): 38-44.
[24] Collins JW, Dell'Oglio P, Hung AJ, et al. The Importance of Technical and Non-technical Skills in Robotic Surgery Training. Eur Urol Focus. 2018 Sep; 4(5): 674-676.
[25] Rashid P, Gianduzzo TR. Urology technical and non-technical skills development: the emerging role of simulation. BJU Int. 2016 Apr; 117 Suppl 4: 9-16.
[26] Sartania N, Sneddon S, Boyle JG, et al. Increasing Collaborative Discussion in Case-Based Learning Improves Student Engagement and Knowledge Acquisition. Med Sci Educ. 2022 Sep 5; 32(5): 1055-1064.
[27] Zhang SY, Zheng JW, Yang C, et al. Case-based learning in clinical courses in a Chinese college of stomatology. J Dent Educ. 2012 Oct; 76(10): 1389-92.
[28] Yang G, Liu K, Guo H, et al. Applied Research of Case-based Learning Teaching in Nephrology Medicine for Professional Postgraduate Students in Clinical Medicine. Altern Ther Health Med. 2024 Jan; 30(1): 97-101.
[29] Nielsen RP, Nikolajsen L, Paltved C, et al. Effect of simulation-based team training in airway management: a systematic review. Anaesthesia. 2021 Oct; 76(10): 1404-1415.
[30] Bielka K, Kuchyn I, Fomina H, et al. Difficult airway simulation-based training for anaesthesiologists: efficacy and skills retention within six months. BMC Anesthesiol. 2024 Jan 31; 24(1): 44.
[31] Li Q, Zhang Y, Luo YH, et al. Application of simulation-based curriculum to residents undergoing standardized clinical training program in obstetrics and gynecology. J of Wannan Medical College. 2021, 40(6): 596-598.
Cite This Article
  • APA Style

    Xiao, Y., Ke, Q., Zhang, M., Chen, C., Wang, B., et al. (2025). Case-based Learning Combined with Scenario Simulation in the Operating Room Practice Teaching for Surgical Graduate Students. Higher Education Research, 10(5), 205-210. https://doi.org/10.11648/j.her.20251005.14

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    ACS Style

    Xiao, Y.; Ke, Q.; Zhang, M.; Chen, C.; Wang, B., et al. Case-based Learning Combined with Scenario Simulation in the Operating Room Practice Teaching for Surgical Graduate Students. High. Educ. Res. 2025, 10(5), 205-210. doi: 10.11648/j.her.20251005.14

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    AMA Style

    Xiao Y, Ke Q, Zhang M, Chen C, Wang B, et al. Case-based Learning Combined with Scenario Simulation in the Operating Room Practice Teaching for Surgical Graduate Students. High Educ Res. 2025;10(5):205-210. doi: 10.11648/j.her.20251005.14

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  • @article{10.11648/j.her.20251005.14,
      author = {Yang Xiao and Qibin Ke and Ming Zhang and Chun Chen and Bing Wang and Wansheng Gong and Jianfeng Wang and Bo Zhang and Changchang You},
      title = {Case-based Learning Combined with Scenario Simulation in the Operating Room Practice Teaching for Surgical Graduate Students
    },
      journal = {Higher Education Research},
      volume = {10},
      number = {5},
      pages = {205-210},
      doi = {10.11648/j.her.20251005.14},
      url = {https://doi.org/10.11648/j.her.20251005.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.her.20251005.14},
      abstract = {Background: The Case-Based Learning (CBL) combined with scenario simulation represents an innovative approach to medical and surgical education aimed at bridging the gap between theoretical knowledge and practical application in real-world settings. It is increasingly recognized as an effective strategy in surgical training, designed to improve patient safety and outcomes by preparing future surgeons with the necessary skills and confidence for the operating room. Methods: Thirty surgical graduate students were randomly divided into a study group (group CS) and a control group (group T), with 15 students in each group. The group CS received training using CBL combined with scenario simulation, while the group T underwent traditional teaching methods. After training, the outcomes, teaching satisfaction, and learning confidence were compared. Results: No significant differences in baseline data were observed between the two groups (P > 0.05). The group CS scored higher on theoretical exams (94.5±4.9 vs. 89.3±4.3, P Conclusion: Incorporating CBL combined with scenario simulation into the practical training of surgical graduate students results in improved training outcomes. It not only enhances clinical thinking skills and overall competence but also increases teaching satisfaction and learning confidence among students.
    },
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Case-based Learning Combined with Scenario Simulation in the Operating Room Practice Teaching for Surgical Graduate Students
    
    AU  - Yang Xiao
    AU  - Qibin Ke
    AU  - Ming Zhang
    AU  - Chun Chen
    AU  - Bing Wang
    AU  - Wansheng Gong
    AU  - Jianfeng Wang
    AU  - Bo Zhang
    AU  - Changchang You
    Y1  - 2025/10/29
    PY  - 2025
    N1  - https://doi.org/10.11648/j.her.20251005.14
    DO  - 10.11648/j.her.20251005.14
    T2  - Higher Education Research
    JF  - Higher Education Research
    JO  - Higher Education Research
    SP  - 205
    EP  - 210
    PB  - Science Publishing Group
    SN  - 2578-935X
    UR  - https://doi.org/10.11648/j.her.20251005.14
    AB  - Background: The Case-Based Learning (CBL) combined with scenario simulation represents an innovative approach to medical and surgical education aimed at bridging the gap between theoretical knowledge and practical application in real-world settings. It is increasingly recognized as an effective strategy in surgical training, designed to improve patient safety and outcomes by preparing future surgeons with the necessary skills and confidence for the operating room. Methods: Thirty surgical graduate students were randomly divided into a study group (group CS) and a control group (group T), with 15 students in each group. The group CS received training using CBL combined with scenario simulation, while the group T underwent traditional teaching methods. After training, the outcomes, teaching satisfaction, and learning confidence were compared. Results: No significant differences in baseline data were observed between the two groups (P > 0.05). The group CS scored higher on theoretical exams (94.5±4.9 vs. 89.3±4.3, P Conclusion: Incorporating CBL combined with scenario simulation into the practical training of surgical graduate students results in improved training outcomes. It not only enhances clinical thinking skills and overall competence but also increases teaching satisfaction and learning confidence among students.
    
    VL  - 10
    IS  - 5
    ER  - 

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Author Information
  • Department of Anesthesiology, Yichang Central People's Hospital & The First College of Clinical Medical Science of Three Gorges University, Yichang, China

  • Department of Anesthesiology, Yichang Central People's Hospital & The First College of Clinical Medical Science of Three Gorges University, Yichang, China

  • Department of Anesthesiology, Yichang Central People's Hospital & The First College of Clinical Medical Science of Three Gorges University, Yichang, China

  • Department of Anesthesiology, Yichang Central People's Hospital & The First College of Clinical Medical Science of Three Gorges University, Yichang, China

  • Department of Anesthesiology, The People's Hospital of Zigui, Yichang, China

  • Department of Anesthesiology, The People's Hospital of Zigui, Yichang, China

  • Department of Anesthesiology, Yichang Central People's Hospital & The First College of Clinical Medical Science of Three Gorges University, Yichang, China

  • Department of Anesthesiology, Yichang Central People's Hospital & The First College of Clinical Medical Science of Three Gorges University, Yichang, China

  • Department of Anesthesiology, Yichang Central People's Hospital & The First College of Clinical Medical Science of Three Gorges University, Yichang, China

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