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目的:探索以案例为基础的学习（case-based learning，CBL）结合角色扮演在留学生皮肤科实习教学中的应用价值。方法:选取四川大学华西临床医学院2013级、2014级内外全科医学士项目留学生为研究对象。研究组采取CBL结合角色扮演教学法+传统小讲课教学，对照组采取传统小讲课教学。比较研究组组内学生对2种教学方式的收获度评分、兴趣激发及分析能力、沟通胜任力锻炼帮助度，同时对比研究组和对照组组间出科考核成绩差异。采用SPSS 17.0软件进行n t检验；对比采用配对设计的符号秩和检验。n 结果:研究组组内学生对CBL结合角色扮演教学法的收获度评分[95（91，100）]高于传统小讲课[84（78，100）]，前者更能帮助激发学习兴趣及锻炼自学分析能力、医患沟通能力，且研究组的出科考核成绩[（90.23±4.78）分]高于对照组[（82.51±7.57）分]，差异有统计学意义（n P<0.05）。n 结论:在传统小讲课的基础上加入CBL结合角色扮演教学，可提高留学生实习教学效果，值得进一步推广。“,”Objective:To explore the application value of case-based learning (CBL) combined with role-playing mode in clinical practice teaching for international students in department of dermatology.Methods:International students from Batch 2013 and Batch 2014 of MBBS (Bachelor of Medicine and Bachelor of Surgery, MBBS) Program of Sichuan University were recruited and divided into study and control group respectively. CBL combined with role-playing mode and traditional lecture-based learning (LBL) was adopted in the study group. The control group adopted the traditional LBL only. The points of knowledge gain, degree of interest inspiration, analytical ability and communication skill were assessed within the study group by questionnaire, meanwhile the final-test scores were compared between the study and control groups. SPSS 17.0 was used for n t test, and signed rank-sum test of paired design was used for comparison.n Results:Within the study group, the points of knowledge gain, degree of interest inspiration, analytical ability and communication skill for CBL combined with role-playing mode[95 (91,100)] were significantly higher than those of LBL [84 (78, 100)], and the final-test scores were significantly higher in study group [(90.23±4.78) points] than those in control group [(82.51±7.57) points] (n P<0.05).n Conclusion:Clinical practice teaching for international medical students can be improved with the CBL combined with role-playing mode based on traditional LBL, which is worthy of widely application in future clinical education.