Abstract: In response to the problems of passive learning, insufficient cultivation of clinical thinking, and a single evaluation system in traditional pathology experimental teaching, this article constructs a formative evaluation system based on the “pathology black box” teaching model under the background of the new medical education reform. The system is designed with the concept of “hierarchical release of information” and achieves visualization of ability development through a dual track architecture of “stepped gauge scoring+three-dimensional comprehensive evaluation” Innovatively designing low-cost tools such as paper case card progressive assessment and Excel path simulation scoring, changing the fixed process of “medical history first, diagnosis later” in traditional teaching, strengthening morphological analysis ability and dynamic decision-making thinking training, providing an operable innovative framework for the reform of medical experimental teaching evaluation, and effectively promoting the deep integration of basic medicine and clinical medicine.

Key words: “Pathological black box”, Pathology experimental teaching, Formative evaluation, Reform in education, Clinical thinking, Periodic information release