摘要基于案例学习和床旁教学均是培养医学生临床思维和自主学习能力的重要方法。传统教学模式下，重症医学教学存在着理论知识与临床实际相脱节的问题。天津医科大学总医院重症医学科对2020级五年制麻醉学专业30名学生采用基于案例学习联合床旁教学的模式，建设本科重症医学教学临床案例库，设计7次与核心理论知识相融合的基于案例学习，其中2次通过模拟教学训练实践技能，并安排2次床旁教学。课程考核结果显示，学生平时成绩平均分为88.63分，结课考试平均成绩为77.53分，其中综合病例分析题平均成绩为32.93分。问卷调查结果显示，26名(86.7%)学生认为基于案例学习联合床旁教学模式有助于加深对理论知识的理解和应用，29名(96.7%)学生认为该教学模式有助于培养临床思维和解决临床问题的能力，28名(93.3%)学生认为该教学模式有助于增强自主学习能力和沟通协作能力。基于案例学习联合床旁教学模式有助于重症医学课程的本科教学，获得了学生的认可，值得进一步推广。

abstractsCase-based learning and bedside teaching are both important methods to cultivate clinical thinking and active learning ability of medical students. Under the traditional teaching mode, there is a problem that theoretical knowledge is out of touch with clinical practice in critical care medicine teaching. The Department of Critical Care Medicine of Tianjin Medical University General Hospital adopted the model of case-based learning combined with bedside teaching for 30 undergraduates majoring in anesthesiology in the five-year clinical medicine of grade 2020, built a clinical case library for undergraduate teaching of critical care medicine, designed 7 sessions of case-based learning integrated with core theoretical knowledge, two of which trained students' practical skills through simulated teaching and 2 times of bedside teaching were arranged. The course assessment results showed that the average score of students′ regular performance was 88.63 points, the average score of the final exam was 77.53 points, and among them, the average score of the comprehensive case analysis questions was 32.93 points. The results of the questionnaire survey showed that 26 students (86.7%) believed that the case-based learning combined with bedside teaching model was helpful to deepen the understanding and application of theoretical knowledge; 29 (96.7%) believed that the teaching model was helpful to cultivate clinical thinking and the ability to solve clinical problem; 28 (93.3%) believed that this teaching model was helpful to enhance the ability of independent learning and communication and cooperation. Case-based learning combined with bedside teaching model is helpful to the undergraduate teaching of critical care medicine, which has been recognized by students and is worthy of further promotion.