TBL在口腔正畸临床病例分析教学中的应用及效果评估

目的探讨以团队为基础的学习(TBL)教学法在口腔正畸临床教学中的可能性和教学效果。方法将川北医学院口腔医学系2008级48名学生随机分为8个团队,并随机分为团队学习的实验组(TBL组)和传统教学模式的对照组(传统组),正畸课结束后进行问卷调查和理论及临床病例考核。结果 89.8%以上学生对TBL教学满意,成绩显示TBL组期末考试临床病例分析部分得分明显高于传统组。结论团队学习应用于正畸病例分析教学效果优于传统教学方法,有助于培养学生临床思维、增强理论联系实际的能力,促进学生团队协作能力,是适合正畸教学的有效模式,值得推广。     

PBL教学在神经外科临床教学中的应用

目的:比较PBL教学法与传统输入式教学法(LBL)在神经外科临床教学中的效果。方法:随机抽取116人,分别进行PBL教学法(PBL组)与传统输入式教学法(LBL组),对教学结果进行评估。结果:PBL组与LBL组间基础知识部分考试结果无显著性差异(P>0.05),病例分析部分PBL组成绩明显优于LBL组;PBL组在是否有利于提高学习兴趣,自学能力,文献查阅能力,团队协作能力,探索创新能力与综合分析能力方面均优于LBL组(P<0.05)。结论:PBL教学法与传统输入式教学法相比,教学效果更理想,值得进一步推广与完善。     

PBL教学法在妇产科临床教学中的应用

目的 探讨以问题为基础的学习(problem-based learning,PBL)在妇产科临床教学工作中的应用及效果.方法 将来我院妇产科临床实习生随机分为传统的以授课为基础的学习(1ecture-based learning,LBL) 教学组和PBL教学组,通过出科考试评估两组学生的临床实践能力,应用问卷调查评价PBL教学的效果.结果 PBL教学组学生的理论综合考试和临床技能考试成绩显著高于LBL 教学组(P<0.05),学生对教学效果的满意度也显著高于传统LBL教学组.结论 在妇产科临床教学工作中,PBL教学法效果优于LBL教学法,有助于培养学生自主学习、团队协作及发现问题、分析问题和解决问题的能力.     

TBL教学法在实践教学中的探索

目的:研究TBL教学法在实践教学中的应用。方法:选择我院2007年-2010年来自齐齐哈尔医学院临床医疗本科学生,在大学三年级进入临床课间实习的阶段。共120人,平均分为2大组,随机分为TBL教学组和传统教学组。每组60人,再次分为6小组,每组10人。结果:通过TBL教学实践模式后的学生个人测评普遍高于传统模式教学的学生,差异显著,P<0.05,且通过问卷调查后发现:学生对TBL教学法的评估从提高学习积极性、提高学生协作能力、加强教师学习过程三方面均评为优秀。结论:TBL教学法利于学生在实践教学中得到更全面的学习。     

TBL结合智能化医学综合模拟系统在对口高职护生急救技能强化训练中的应用

目的探讨TBL结合智能化医学综合模拟系统在对口高职护生急救护理教学中的应用效果,探索综合急救技能高效强化方法。方法选取2016级对口高职护理1、2班护生设为实验组(96人),采取TBL结合智能化医学综合模拟系统教学法;2015级对口高职护理1、2班护生设为对照组(98人),采用传统技能教学方法。学期结束后对两组护生进行急救综合技能操作考核及教学满意度问卷调查,进行统计学分析。结果实验班技能操作成绩优于对照班(P<0.05),具有统计学意义。结论师生普遍认为TBL结合智能化医学综合模拟系统教学法,调动了护生的学习积极性、提高自主学习能力;提高了护生分析问题和解决问题的能力;培养了团队协作意识和评判性思维能力等。适用于急救护理技能实践的教学。     

CBL教学法在内分泌科教学中的应用评价

目的 探讨以病例为基础的教学法(CBL)在内分泌科教学中的带教效果。 方法 将40名在内分泌科的实习生随机分为观察组(20名)和对照组(20名),观察组接受CBL教学法,对照组接受传统的以授课为基础的教学法(LBL),以自制的调查问卷形式评价教学效果。 结果 观察组在学习主动性、临床思维、对专业知识的理解与记忆、分析与解决问题的能力、增强语言表达能力以及活跃教学气氛6个测评方面均优于对照组,差异均有统计学意义(P<0.05)。观察组教学效果和教学模式均优于对照组,差异有统计学意义(P<0.05)。 结论 CBL教学法在内分泌科教学中有助于提高临床教学效果。     

PACS结合PBL教学在骨科临床教学中的应用研究

目的:分析PACS(Picture Archiving&Communication System、影像存档与传输系统)结合PBL(problem-based learning、以问题为基础)教学方式在骨科临床教学中的应用,优化骨科临床教学质量。方法:从2013年7月～2017年7月,回顾性分析首都医科大学全科医学与继续教育学院60名"3+2"助理医生在我院进行临床实习的情况,随机分为对照组(传统教学组)及实验组(PACS+PBL组),对照组采用传统教学方式,实验组采用PACS+PBL教学方法进行临床教学,老师出题测验助理医生学习成绩及综合能力自我评估分数有无统计学差异。结果:与对照组相比,实验组助理医生学习成绩及综合能力自我评估分数明显高于传统教学法组(P<0.05)。结论:PACS系统结合PBL教学方式应用于骨科临床教学工作中取得了良好的教学成绩,值得临床带教推广。     

TBL教学模式在生物技术制药实验教学中的应用实践

TBL教学模式是以团队为基础、学生为主体的一种新型教学模式,在提高学生实验兴趣及培养学生创新思维等方面具有传统实验教学模式不可比拟的优点.将TBL教学方法引入生物技术制药实验教学,不仅有利于培养学生的创新科研思维和团队协作精神,也提高了学生的学习主动性和分析、解决问题能力.本文就TBL教学模式在生物技术制药课程实验教学中的应用及实施等方面做一简要介绍.     

MDT联合CBL-TBL教学法在肿瘤学临床教学中的应用

目的:探究多学科协作(MDT)联合案例教学-团队学习(CBL-TBL)教学法在肿瘤学临床教学中的应用效果。方法:选取蚌埠医学院2018级临床本科生60名为研究对象，随机分为实验组和对照组，每组30名。实验组采用MDT联合CBL-TBL教学模式，对照组采用CBL-TBL教学模式，2组学员均教学12周。教学结束后，比较2组学员理论和临床实践成绩、各维度能力评分及教学满意度。结果:教学结束后，实验组学员理论和临床实践成绩分别为(87.87±3.47)分、(85.90±4.20)分，均高于对照组的(85.67±3.65)分、(82.17±3.95)分，差异有统计学意义(P<0.05)。实验组学员在文献检索分析能力、语言表达能力、学习兴趣激发能力、团队合作能力、理论知识掌握能力、自主学习能力、临床问题解决能力、临床思维能力、师生交流频率及课程总体满意度评分均高于对照组，差异有统计学意义(P<0.05)。结论:在肿瘤学临床教学中应用MDT联合CBL-TBL教学方式有助于提高学员理论和临床实践成绩，可有效提升学员团队协作和解决问题的能力，且教学满意度高，值得在临床教学中推广应用。     

LBL与PBL结合实际病例教学法在临床麻醉教学中的应用

目的 探讨以授课为基础学习（LBL）与以问题为基础学习（PBL）结合实际病例教学法在临床麻醉教学中的应用效果。方法 将2016年1～6月在安徽省立医院麻醉科实习的32名学生随机分为试验组和对照组，每组16例，选择剖宫产麻醉为教学内容，对照组采用常规教学模式，试验组采用LBL与PBL结合实际病例的教学模式，评估两组教学效果。结果 试验组的实践操作成绩及总成绩明显高于对照组（P<0.05），试验组在激发学习兴趣、提高自学能力、解决临床麻醉实际问题的能力、培养临床思维能力方面的满意度明显高于对照组 （P<0.05）。结论 LBL与PBL结合实际病例教学法在临床麻醉教学中应用效果良好。     

以团队为基础学习在预防医学教学中的应用

目的探讨以团队为基础学习（TBL）的教学方法在预防医学教学中的应用。方法采用整群抽样方法选取80名2010级护理专业学生,随机分为TBL教学组和传统教学组,通过调查问卷和课堂测试评价两组的教学效果。结果TBL教学组学生的学习态度、学习效果、学习能力评分有明显的提高,均优于传统教学组（P〈0．05）。TBL教学组和传统教学组的理论考试成绩分别为（87．60±3．10）和（72．90±4．68）分,两组之间差异有统计学意义（P〈0．05）。结论TBL教学方法优于传统教学,能够提高学生的学习兴趣,加深理论知识的理解和记忆．促进团队精神和实践能力的培养．提高了学生的学习成绩。     

针灸治疗学PBL教学效果观察和体会

目的探讨PBL教学在针灸治疗学中的应用效果和心得。方法将45名大t学生随机分为传统教学组（LBL组）、PBL教学组（PBL1组）和PBL结合“复合多媒体病人”教学组（PBL2组）,每组15名,分别进行针灸治疗学教学后,通过问卷调查以及考试成绩评价教学效果。结果3组学生在自我评价和教师评价的调查问卷中显示,PBL1组和PBL2组均优于LBL组,差异有统计学意义（P〈0．05或P〈0．01）;3组理论考核成绩比较显示,PBL2组优于其他两组,差异有统计学意义（P〈0．05或P〈0．01）。结论将“复合多媒体病人”模式应用于针灸治疗学PBL教学当中能显著提高学生学习效果。     

A Randomized Crossover Comparison of Team-based Learning and Lecture Format on Learning Outcomes

Objective. To compare learning outcomes and student confidence between team-based learning (TBL) and lecture.Methods. A crossover study was conducted with 30 students divided into two sections. Each section was taught six therapeutic topics (three TBL and three lecture). There were two assessments of 24 questions each. A survey (Likert scale) assessing student confidence and attitudes was administered at the end.Results. A significantly higher overall examination score was observed for TBL as compared to lecture. Students were more confident in providing therapeutic recommendations following TBL. Higher survey scores favoring TBL were also seen related to critical-thinking skills and therapeutic knowledge.Conclusion. Learning outcomes and student confidence in performing higher-order tasks were significantly higher with TBL. The findings of this novel crossover type design showed that TBL is an effective pedagogy.     

Team-based Learning to Promote the Development of Metacognitive Awareness and Monitoring in Pharmacy Students

Objective. To evaluate the metacognitive abilities of pharmacy students and determine whether introducing the concept along with team-based learning (TBL) enhances metacognition.Methods. Pharmacy students completed a Metacognitive Awareness Inventory (MAI) and a low-stakes pretest during the first class that evaluated students’ knowledge about the therapeutic concepts that would be taught through TBL. The same questions were administered on the comprehensive final examination for the course. For each of the course assessments, students were asked to indicate their understanding of the topic and predict their performance. Actual performance was measured as a result of each assessment.Results. The pre-MAI composite score was 77.3%. Scores significantly improved by the end of the course to 84.6%. There were significant differences in both declarative knowledge and conditional knowledge when evaluating performance groups. Students in the middle performance group demonstrated the greatest ability to predict their performance on the final examination. Though these were not significant, students in the low group overestimated their performance, while students in the high group underestimated their performance. Baseline grade point average was the only factor predictive of the final examination score and the final course grade.Conclusion. Pedagogies such as TBL may support development of metacognitive skills in pharmacy students. However, intentional guidance provided by an instructor is required to improve pharmacy students’ regulation of cognition skills.     

循证医学在妇产科临床教学中的应用研究

目的：探讨在妇产科临床教学中运用循证医学的教学模式提高教学质量。方法：应用循证医学理念指导我校2004级临床医学专业本科生的临床见习教学,通过理论考试、临床技能考核及问卷调查进行教学效果评价。结果：EBM组学生理论考试和临床技能考核成绩均明显高于对照组（P〈0.05）,EBM组中93.5%的学生赞成此种教学方法。结论：通过引入循证医学的理念和方法,提高了学生分析、解决临床问题的能力。     

Team-Based Learning to Improve Learning Outcomes in a Therapeutics Course Sequence

Objective. To compare the effectiveness of team-based learning (TBL) to that of traditional lectures on learning outcomes in a therapeutics course sequence.Design. A revised TBL curriculum was implemented in a therapeutic course sequence. Multiple choice and essay questions identical to those used to test third-year students (P3) taught using a traditional lecture format were administered to the second-year pharmacy students (P2) taught using the new TBL format.Assessment. One hundred thirty-one multiple-choice questions were evaluated; 79 tested recall of knowledge and 52 tested higher level, application of knowledge. For the recall questions, students taught through traditional lectures scored significantly higher compared to the TBL students (88%±12% vs 82%±16%, p=0.01). For the questions assessing application of knowledge, no differences were seen between teaching pedagogies (81%±16% vs 77%±20%, p=0.24). Scores on essay questions and the number of students who achieved 100% were also similar between groups.Conclusion. Transition to a TBL format from a traditional lecture-based pedagogy allowed P2 students to perform at a similar level as students with an additional year of pharmacy education on application of knowledge type questions. However, P3 students outperformed P2 students regarding recall type questions and overall. Further assessment of long-term learning outcomes is needed to determine if TBL produces more persistent learning and improved application in clinical settings.     

Best Practices for Implementing Team-Based Learning in Pharmacy Education

Colleges and schools of pharmacy are incorporating more team-based learning (TBL) into their curriculum. Published resources are available to assist instructors with implementing TBL and describing it in the health professions literature. The 7 core elements include: team formation, readiness assurance, immediate feedback, sequencing of in-class problem solving, the 4 “S” structure for developing team application exercises (significant problem, same problem, specific answer choice, simultaneous reporting), incentive structure, and peer evaluation. This paper summarizes best practices related to implementation of TBL in pharmacy education, including courses taught using teaching teams.     

LBL+TBL教学法在组胚双语教学中的初步探索

目的探索LBL结合TBL教学法在组胚双语教学中的应用效果。方法在组胚双语教学中进行LBL与TBL相结合教学法,通过问卷调查对教学效果进行初步分析。结果 LBL+TBL教学法在学生的学习态度、能力与素质及专业知识学习等方面,与传统的LBL教学法比较均有非常显著差异。结论 LBL+TBL教学法优于单纯LBL教学法。     

自理理论在临床护理教学中的应用效果研究

目的:研究自理理论在临床护理教学中的应用效果.方法:将我校2006级高职护理班的学生随机分成两组,实验班在临床教学的过程中强调自理理论的应用,对照班采用传统教学,进行教学效果比较.结果:两组学生的基础理论知识考核成绩无明显差异,但两组学生在整体护理应用方面有明显差异,在临床教学中应用自理理论对培养学生灵活应用基础理论知识来解决实际问题的能力上有一定的优势.强调自理理论的应用对激发学习兴趣、培养评判性思维能力有帮助.结论:在临床教学中应用自理理论有助于学生思考护理的培养,调动学习的主动性和积极性,提高学生评判性思维的能力.