以问题为基础学习结合病案讨论教学法在普通外科学见习教学中的应用  

Application of problem-based learning combined with case-based discussion in clerkship teaching of general surgery

作　　者：魏波[1] 卫洪波[1] 郑宗珩[1] 陈图峰[1] 郭卫平[1] 邓美海[1] 

机构地区：[1]中山大学第三临床学院外科学教研室,广州510630

出　　处：《中华医学教育杂志》2010年第1期85-87,共3页Chinese Journal of Medical Education

摘　　要：目的探讨传统教学法、以问题为基础学习教学法、病案讨论教学法和以问题为基础学习结合病案讨论教学法4种方法在普通外科学见习教学中的应用效果。方法将132名临床医学专业见习学生分成4组，分别采用传统教学法、以问题为基础学习教学法、病案讨论教学法和以问题为基础学习结合病案讨论教学法进行见习带教，并对学生的出科模拟考试成绩进行对比分析，同时对学生进行问卷测查。结果采用以问题为基础学习和病案讨论教学法的学生的成绩及满意度明显优于传统教学组，而采用以问题为基础学习结合病案讨论教学法的学生的成绩及满意度则高于其他3组。结论以问题为基础学习结合病案讨论教学法可以明显提高学生的学习兴趣，并能够更好地培养学生的临床思维、提高学习效率。Objective To investigate the application effect of 4 teaching methods, traditional teaching method, problem-based learning （PBL）, case-based discussion and PBL combined with case- based discussion in clerkship teaching of general surgery. Methods One hundred and thirty-two clinical probationers of grade 2003 and 2004 were divided into 4 groups （33 in each group）. Four teaching methods were applied respectively. Performance records of theoretical test, clinical skill assessments and questionnaires were analyzed statistically at the end of clerkship. Results The results of PBL and case-based discussion teaching were superior to traditional teaching （P 〈 0.05）. And the result of PBL combined with case-based discussion teaching was superior to the others （P 〈0.05）. Conclusions PBL combined with case-based discussion teaching method can stimulate clinical probationers＇ learning interests, promote the training of clinical thinking and elevate their learning efficiency.

关 键 词：以问题为基础学习 病案讨论教学法 见习教学 普通外科学 

分 类 号：R6-4[医药卫生—外科学]