PBL结合医学模拟在长学制医学生儿科实践教学中的应用研究  

Application of PBL combined with medical simulation training in pediatrics practice teaching for long-schooling program

作　　者：傅晓燕[1] 谢晓恬[1] 乔晓红[1] 唐晋清[1] 李福兴[1] 

机构地区：[1]同济大学附属同济医院儿科,上海200065

出　　处：《中华医学教育探索杂志》2013年第3期276-279,共4页Chinese Journal of Medical Education Research

基　　金：同济大学教学改革研究与建设项目（同教[2008]117号）

摘　　要：目的探讨以问题为基础的学习结合医学模拟教学在长学制医学生儿科临床实践中的应用。方法以同济大学医学院2006级临床医学七年制儿科实习学生为研究组（n=41），2005级临床医学七年制儿科实习学生为对照组（n=40）。在儿科实习阶段，研究组采用PBL结合医学模拟教学，对照组采用传统的实习教学方式。应用成绩分析、对学生的PBL学习表现评分、学生问卷来评估教学效果。采用t检验及描述性统计方法对结果进行分析。结果两组实习生的儿科出科理论考试和临床技能考试成绩的差异有统计学意义（P〈0．01），研究组成绩优于对照组。教师对学生PBL学习表现评分的结果和学生问卷调查结果显示，学生的综合能力明显提高。结论在长学制医学生儿科实习中应用PBL结合医学模拟教学，有利于提高学生分析归纳能力、自我解决问题能力、实践操作能力；同时也能有效培养学生的协作能力和医患沟通能力，提高教学质量。Objective To explore the application value of PBL combined with medical simula- tion training in pediatric clinical practice for long - schooling program medical students. Methods To- tally 41 long-schooling program medical students in pediatric department were taken as study group while 40 medical students as control group. PBL combined with medical simulation training was used in study group while traditional method was used in control group. Teaching effect was evaluated using score analysis, PBL learning performance rating scale and student questionnaire. Results Scores of theory test and clinical skill exam after course completion in study group were significantly higher than those of control group （ P 〈 0.01 ）. PBL learning performance rating scale and student questionnaire showed that the student＇s comprehensive ability has significantly improved. Conclusions Application of PBL and medical simulation training in the pediatric clinical practice for long-schooling program medical students can enhance students＇ problem analyzing and summarizing abilities, problem -solving ability and practical operation ability. It can effectively cultivate team collaboration and doctor-patient communication skills as well as improve the quality of teaching.

关 键 词：以问题为基础的学习 医学模拟 儿科实践教学 长学制医学生 

分 类 号：R72[医药卫生—儿科]