目的 初步评估中医骨伤科临床带教中采用“5D”思维模式的应用效果。 方法 以2022年北京中医药大学第三附属医院创伤关节科实习的47名实习学生为研究对象，将2022年1—6月实习的学生分为试验组，2022年7—12月实习的学生分为对照组，在临床带教中，试验组带教老师采用“5D”思维模式带教，对照组带教老师采用传统思维模式。带教2个月后对2组学生进行临床知识和技能考核，并对带教方式和学习效果进行问卷调查。采用SPSS 25.0对数据进行统计学分析。 结果 试验组学生的理论知识掌握水平及临床实践能力的成绩均高于对照组学生，差异具有统计学意义（P＜0.05）。 结论 创新“5D”临床带教思维模式，在中医骨伤科教学临床带教中，能显著提升学生的临床知识水平与实践技能掌握程度，同时极大地增强了学习效果及学生对中医骨伤科临床带教工作的满意度。因此，该模式在中医骨伤科实践教学中值得广泛推广。

Objective To evaluate the application effect of “5D” thinking mode in clinical teaching of Orthopedics and Traumatology of Traditional Chinese Medicine. Methods Forty-seven interns in the trauma Joint Department of the Third Affiliated Hospital of Beijing University of Chinese Medicine in 2022 were selected as the research objects. According to the arrangement of the Education Department， the interns from January to June 2022 were divided into the experimental group， and the interns from July to December 2022 were selected as the control group. In clinical teaching， the experimental group adopted the “5D” thinking mode. The control group adopted traditional thinking mode. After 2 months of teaching， the clinical knowledge and skills of the two groups of students were assessed， and the teaching method and learning effect were investigated by questionnaire. SPSS 25.0 was used for statistical analysis of the data. Results The theoretical knowledge mastery level and clinical practice ability scores of the experimental group were higher than those of the control group （P<0.05）， and the differences were statistically significant. Conclusion The innovation of “5D” clinical teaching thinking mode can obviously help students better grasp clinical knowledge and clinical practice skills， and greatly improve the learning effect and students' satisfaction with clinical teaching of TCM orthopedics and traumatology， which is worthy of promotion in the practice teaching of TCM orthopedics and traumatology.