摘要以病例/问题为中心教学(Case based learning/problem-based learning,CBL/PBL)是在传统医学教学模式基础上发展而来的新兴教学方式。从2006年起，重庆医科大学附属第二医院血管外科将CBL/PBL全面导入临床教学中，为量化教学效果对比评价了讲授式教学法(Lecture based learning，LBL)与CBL/PBL。教学结果显示，CBL/PBL对提高学生自主学习能力和临床实习质量有积极作用，但在现有考核体系下，其优势难以完全发挥。

abstractsCase based learning/problem-based learning ( CBL/PBL ) is a new teaching method based on traditional medical education methods. In order to conquer the deficiency of traditional education methods in autonomous study motivation and ability of knowledge integration, CBL/PBL has been introduced into vascular surgery teaching procedure since 2006. The quality and effort of CBL/PBL compared with lecture-based learning ( LBL ) were evaluated and scored. The outcome of this teaching innovation shows CBL can arouse students' desire in autonomous study and enhance their ability in clinical analysis.But, its superiority is difficult to develop in the current medical education system.