PBL联合CBL教学在骨科实习生临床教学中的应用

目的:探讨以问题为基础的学习(problem-based learning,PBL)和以案例为基础的学习(case-based learning,CBL)相结合在临床医学专业学生骨科临床实习教学中的应用。方法:将2018年7月至2019年12月在骨科临床学习的临床医学专业学生(60人)分为两组,分别采用PBL联合CBL教学(实验组,30人)和常规教学(对照组,30人)。PBL和CBL相结合教学主要基于病例和问题展开。采用理论考试和教学满意度调查比较两种教学方法的效果,应用SPSS 15.0对两组学生考试成绩行 t检验。 结果:理论考试中客观题平均得分,实验组与对照组差异无统计学意义( P>0.05);但病例分析题平均得分,实验组优于对照组,差异有统计学意义( P<0.05)。教学满意度调查中,实验组学生对学习兴趣、自学能力、团队协作能力的提升效果表示认同,对教学总体满意度更高,并更愿意继续开展相应方式的教学。 结论:PBL联合CBL教学有利于提高教学质量和满意度,值得在骨科实习生临床教学中推广应用。

Problem-based learning method combined with the case-based learning in clinical teaching of orthopedic interns

Objective To explore the effect of the problem-based learning method(PBL)combined with the case-based learning(CBL)in clinical practice teaching of orthopedic interns.Methods Totally 60 interns of clinical medicine who studied from July 2018 to December 2019 were randomly divided into two groups:experimental group(n=30)receiving PBL combined with CBL teaching and control group(n=30)receiving traditional teaching.The theory examination and satisfaction survey were conducted to assess the effects two teaching methods,and t-test was performed for data analysis using SPSS 15.0.Results No significant difference was found in the average score of examination(P>0.05),but the examination group showed a higher average score in the clinical case analysis than the control group(P<0.05).The satisfaction survey showed that the students in the experimental group were more satisfied with the improvement in learning interests,self-study ability,and cooperation ability.Conclusions PBL combined with CBL teaching method achieves good teaching effect and it is worth being recommended in clinical teaching.