“纵横整合·循阶环升”医学教学创新实践

doi:10.3761/j.issn.1672-9234.2026.07.001

Chinese Journal of Nursing Education ›› 2026, Vol. 23 ›› Issue (7): 773-777.doi: 10.3761/j.issn.1672-9234.2026.07.001

• Innovation in Teaching Design • Next Articles

Medical teaching innovation and practice predicated on “vertical-horizontal integration and scaffolded cyclical escalation”

ZHANG Cong¹(), LIN Han², SHEN Yue’e³, LIU Jingjing³, SUN Ruohan³, CHEN Huinan³, CUI Ying⁴^,^*()

¹ Department of Circulatory System Diseases Education， the First Affiliated Hospital of Harbin Medical University， Harbin 150010， China
² Department of Digestive System Diseases Education， the First Affiliated Hospital of Harbin Medical University， Harbin 150010， China
³ Department of Nervous System Diseases Education， the First Affiliated Hospital of Harbin Medical University， Harbin 150010， China
⁴ Academic Affairs Department， the First Affiliated Hospital of Harbin Medical University， Harbin 150010， China

Received:2026-03-23 Online:2026-07-15 Published:2026-07-17
Contact: *CUI Ying，E-mail：cuiing@163.com E-mail:hydyyzc0219@163.com;cuiing@163.com
Supported by:
Key Project of Medical Education Research Sponsored by Medical Education Branch of Chinese Medical Association & National Center for Medical Education Development(2025A39)

Abstract

Abstract:

Against the macro-strategic backdrop of building a powerful country through education and cultivating top-notch innovative talents under China’s New Medical Science initiative，medical education reform has shifted from localized pedagogical updates to systemic paradigm reconstruction. This study analyzes a course on circulatory system diseases ——a first-prize winner in the New Medical Science（Intermediate and Below Rank） Group at the 5th National University Faculty Teaching Innovation Competition——to critically dissect its novel “vertical-horizontal integration and scaffolded cyclical escalation” reform pathway. By constructing a new curriculum content architecture，developing an advanced resource platform，and designing an instructional process alongside a comprehensive assessment framework predicated on scaffolded cyclical escalation，the course successfully shifts the educational focus from traditional knowledge transmission to competency cultivation. This approach effectively break down traditional disciplinary barriers，fosters interdisciplinary integration，and provides a strategic blueprint for pedagogical innovation within the New Medical Science framework. Furthermore，from an interdisciplinary perspective，this study explores the profound implications and insights this instructional innovation offers for the future advancement of nursing education.

Key words: New Medical Science, Medical Education Reform, Circulatory System Diseases, Teaching Innovation, Interdisciplinary Integration, Nursing Education

ZHANG Cong, LIN Han, SHEN Yue’e, LIU Jingjing, SUN Ruohan, CHEN Huinan, CUI Ying. Medical teaching innovation and practice predicated on “vertical-horizontal integration and scaffolded cyclical escalation”[J].Chinese Journal of Nursing Education, 2026, 23(7): 773-777.

References 8

[1]	教育部关于深化本科教育教学改革全面提高人才培养质量的意见[EB/OL]. (2019-10-08). http://www.moe.gov.cn/srcsite/A08/s7056/201910/t20191011_402759.html.
	Ministry of Education of the People’s Republic of China. Opinions on deepening the reform of undergraduate education and teaching to comprehensively improve the quality of talent cultivation[EB/OL]. (2019-10-08). http://www.moe.gov.cn/srcsite/A08/s7056/201910/t20191011_402759.html.
[2]	高文, 徐斌艳, 吴刚. 建构主义教育研究[M]. 北京: 教育科学出版社, 2008.
	Gao W, Xu BY, Wu G. Constructivism in education[M]. Beijing: Educational Science Publishing House, 2008.
[3]	教育部学校规划建设发展中心. 新工科下人才培养“OBE”模式[EB/OL]. (2017-07-13). https://www.csdp.edu.cn/article/2767.html.
	Center for School Development and Planning,Ministry of Education. The “OBE” model of talent cultivation under the “New Engineering” context[EB/OL]. (2017-07-13). https://www.csdp.edu.cn/article/2767.html.
[4]	刘献君. 论“以学生为中心”[J]. 高等教育研究, 2012, 33(8):1-6.
	Liu XJ. On the student-centered ideal[J]. J High Educ, 2012, 33(8):1-6.
[5]	国务院办公厅关于加快医学教育创新发展的指导意见[J]. 中华人民共和国国务院公报, 2020(28):27-31.
	Guiding opinions of the General Office of the State Council on accelerating the innovative development of medical educa-tion[J]. Gaz State Counc People’s Repub China, 2020(28):27-31.
[6]	教育部关于印发《教育信息化2.0行动计划》的通知[EB/OL]. (2018-04-18). http://www.moe.gov.cn/srcsite/A16/s3342/201804/t20180425_334188.html.
	Notice of the Ministry of Education on the Educational In-formatization 2.0 Action Plan[EB/OL]. (2018-04-18). http://www.moe.gov.cn/srcsite/A16/s3342/201804/t20180425_334188.html.
[7]	周玉, 徐守坤, 沈希, 等. 科技创新与产业创新深度融合(笔谈)[J]. 中国高教研究, 2026, 42(1):43-57. doi: 10.16298/j.cnki.1004-3667.2026.01.06
	Zhou Y, Xu SK, Shen X, et al. Deep integration of scientific and technological innovation and industrial innovation[J]. China High Educ Res, 2026, 42(1):43-57.
[8]	吴岩. 中国式现代化与高等教育改革创新发展[J]. 中国高教研究, 2022(11):21-29.
	Wu Y. Chinese modernization and the reform,innovation and development of higher education[J]. China High Educ Res, 2022(11):21-29.

[1]	ZHOU Li, SUN Shengbo, ZHANG Songling, PIAO Meihua, LUN Wangyang, ZHOU Yueyang. Innovation and practice in Obstetrics and Gynecology teaching in the context of New Medical Science [J]. Chinese Journal of Nursing Education, 2026, 23(7): 784-789.
[2]	CHEN Shaolin, ZENG Fenlian, CHEN Shuozhen, SHAO Xing, MIAO Xiaoju, LI Jin, YANG Li, SONG Lingxia, DENG Renli. Construction and practice of a tri-chain synergistic teaching model of “cognitive-decision-value chain” in Surgical Nursing education [J]. Chinese Journal of Nursing Education, 2026, 23(7): 790-796.
[3]	XU Lijie, LI Zhaoyu, AN Ying, YUE Peng. Innovative teaching design and practice of the social practice course “Life Care and Death Education” [J]. Chinese Journal of Nursing Education, 2026, 23(7): 797-801.
[4]	MU Shuyue, WANG Rongrong, WANG Xiangnan, ZHUANG Yaqi, QIU Wenling, QU Guiyu. Research and practice on the development of a geriatric nursing micro-specialization in the context of New Medical Sciences [J]. Chinese Journal of Nursing Education, 2026, 23(7): 807-813.
[5]	LU Haixia, LI Huiling, YAO Yi, CHEN Hua, YUE Peng, WU Yanming, SUN Hongyu, CHEN Yongyi. Current status，problems and strategies of palliative care education in the nursing field in China [J]. Chinese Journal of Nursing Education, 2026, 23(6): 645-650.
[6]	ZHANG Yuhong, DONG Wei, WAN Yonghui, ZHANG Qing, ZHOU Wei, QIU Yanru. A qualitative study on the authentic experiences of trainees participating in a hospice care train-the-trainer program [J]. Chinese Journal of Nursing Education, 2026, 23(6): 670-675.
[7]	WANG Yanni. Teaching innovation and practice of Nursing Pedagogy course under the guidance of industry demand [J]. Chinese Journal of Nursing Education, 2026, 23(5): 554-559.
[8]	XU Zhaozhao, HAN Yu, LI Xueying, LI Yingju, YIN Zuojuan. A scoping review of the role transformation of nursing faculty in the AI collaboration mode [J]. Chinese Journal of Nursing Education, 2026, 23(5): 627-633.
[9]	ZHAO Ling, ZENG Ying, LIAO Li, LIU Zheng, XIAO Qiao, SU Yinhua, FANG Xiaofen. Design and practice of Integrating Ideological and Political Education into the Nurse Humanistic Cultivation course [J]. Chinese Journal of Nursing Education, 2026, 23(4): 397-402.
[10]	LI Zhongyu, HU Li, LI Jianzhi, WANG Rong, ZENG Guqing. Exploring and practice of an interdisciplinary innovative talent cultivation pathway for nursing specialty in local universities under the background of New Medical Science [J]. Chinese Journal of Nursing Education, 2026, 23(2): 171-175.
[11]	XU Dan, LI Huiling, TIAN Li, MENG Hongyan, WEN Xi, LU Haixia. A study on nursing faculty and students’ perceptions and experiences of the “Five-Education Integration” program for cultivating humanistic qualities [J]. Chinese Journal of Nursing Education, 2026, 23(1): 16-22.
[12]	YAN Shuxia, XU Guihua, BAI Yamei, HUANG Li’na, WANG Qiuqin, TU Wenjing, JIANG Rongrong, YANG Min, HUANG Fang. Innovation and practice of a labor education system for Traditional Chinese Medicine nursing from the perspective of “Five-Education Integration” [J]. Chinese Journal of Nursing Education, 2026, 23(1): 23-28.
[13]	CUI Jinyan, GUO Hongtao. Exploring optimal pathways for clinical practice instruction in master of nursing specialist programs [J]. Chinese Journal of Nursing Education, 2026, 23(1): 67-71.
[14]	WU Fangqin, WU Ying, WANG Yanling, WANG Qiushi, WANG Huiying, MIAO Yiqun, DENG Ying, SHI Lisha. Construction and application of a virtual teaching system with generative scenarios for clinical thinking training [J]. Chinese Journal of Nursing Education, 2025, 22(9): 1029-1035.
[15]	GE Hui, ZHANG Xingchen, HU Huiling, LI Jiashuai, WU Xue. Design and application evaluation of the nursing informatics intelligent question-answering system based on generative artificial intelligence [J]. Chinese Journal of Nursing Education, 2025, 22(9): 1043-1048.

Medical teaching innovation and practice predicated on “vertical-horizontal integration and scaffolded cyclical escalation”

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

References 8

Related Articles 15

Metrics

Comments

Recommended 0