摘要
目的探讨案例教学法(CBL)联合以问题为导向的教学法(PBL)的双轨教学法在胸外科临床教学中应用的教学效果。方法选取2016年4月-2018年2月期间在蚌埠医学院第一附属胸外科实习的68名临床医学本科实习生为研究对象,双盲随机分为对照组和观察组,各34人。2组年龄、性别和学历等一般资料比较差异无统计学意义(均P>0.05),具有可比性。对照组采取传统教学方法进行临床教学,采用普通查房、指导外科换药拆线拔除引流管及知识讲座等方式进行常规教学。观察组采取CBL联合PBL的双轨教学法。比较2组出科考核成绩以及实习医生对教学方法的认可与满意程度。结果对照组理论知识成绩(90.36±3.38)分与观察组(91.84±3.54)分相比较差异无统计学意义(P>0.05),而观察组的技能操作成绩(89.31±3.18)分和病例分析成绩(90.57±3.24)分均明显高于对照组(83.14±2.27)分、(84.21±2.38)分,差异有统计学意义(均P<0.05);观察组对教学方法的各项调查内容的认可度均高于对照组(均P<0.05)。结论 CBL联合PBL的双轨教学法在胸外科临床教学中应用,有助于提高实习学生的技能操作和病例分析成绩,且教学效果反馈好。
Objective To explore the application of case teaching method(CBL) combined with problem oriented teaching method(PBL) in clinical teaching of thoracic surgery. Methods A total of 68 clinical medical undergraduate interns who interned in the department of thoracic surgery of the First affiliated hospital of Bengbu medical college from April 2016 to February 2018 were selected as the research objects, and were randomly divided into a double-blind control group and an observation group, with 34 interns in each groups. There was no statistically significant difference in age, gender, education background and other general data between the two groups(P>0.05), which were comparable. Approval was accessed from the ethics committee of Bengbu medical college and informed consent was gained. In the control group, the traditional teaching method was used for clinical teaching, which was conducted by general ward rounds, guiding the removal of drainage tube for surgical dressing change and knowledge lectures. The observation group adopted the dual-track teaching method of CBL and PBL. The two groups were compared for their examination results and the recognition and satisfaction of the teaching methods of the interns. Results There was no significant difference between the theoretical knowledge score of the control group(90.36±3.38) and the observation group(91.84±3.54), P>0.05, while the skill operation score(89.31±3.18) and case analysis score(90.57±3.24) of the observation group were significantly higher than those in the control group(83.14 ±2.27, 84.21±2.38), all P<0.05. The recognition degree of the observation group was higher than that of the control group(all P<0.05). Conclusion The application of CBL combined with PBL in the clinical teaching of thoracic surgery is helpful to improve the performance of skill operation and case analysis of intern students, and the teaching results are well received.
作者
李小军
LI Xiao-jun(Department of thoracic surgery, the First affiliated hospital of Bengbu medical college, Bengbu, Anhui 233004, China)
出处
《中华全科医学》
2019年第8期1396-1398,共3页
Chinese Journal of General Practice
基金
安徽省科技攻关计划项目(1804h08020280)
关键词
案例教学法
以问题为导向的教学法
胸外科
临床教学
考核成绩
调查
Case teaching method
Problem oriented teaching
Thoracic surgery
Clinical teaching
Examination results
Survey
