CBL结合PBL在留学生急诊医学教学中的应用  

Application of case-based learning （CBL） combined with problem-based learning （PBL） in emergency teaching for foreign students

作　　者：王长远[1] 秦俭[1] 王晶[1] 孙长怡[1] 

机构地区：[1]首都医科大学宣武医院急诊科,100053

出　　处：《中华医学教育探索杂志》2013年第5期484-486,共3页Chinese Journal of Medical Education Research

摘　　要：目的探讨病例导入式教学（case—basedlearning，CBL）与以问题为基础的学习（problem—basedlearning，PBL）相结合在留学生急诊医学实习教学中的应用效果。方法选取首都医科大学宣武医院急诊科实习的留学生33人，随机分为观察组（17人）和对照组（16人）。观察组采用CBL与PBL相结合教学，对照组采用传统教学。实习结束后应用理论考试、体格检查和Sim4000模拟人进行心肺复苏技能考核，比较2组学生理论、技能成绩；对观察组学生发放调查问卷，了解其对CBL结合PBL的认可度。用SPSS17．0软件进行统计学分析，计量资料采用均数±标准差（元±s）表示，组间比较采用独立样本t检验，以P〈0．05为差异有统计学意义。结果观察组学生理论成绩为（83．5±7．9）分，对照组为（76．6±8．7）分（P=0．012）；观察组心肺复苏技能成绩（84．3±10．1）分，对照组为（75．6±11．3）分（P=0．013）。100％的观察组学生认为CBL结合PBL能够提高自主学习能力。结论CBL结合PBL可以激发学生的学习兴趣，提高学习成绩。Objective To study the effect of case-based learning（CBL） combined with prob- lem-based learning （PBL） in emergency teaching for foreign students. Methods Totally 33 foreign students were selected in department of emergency, Xuanwu Hospital of Capital University of Medical Sciences and were randomly divided into the observation group （n = 17 ） and control group（ n = 16 ）. Students in observation group were taught by CBL combined with PBL while those in control group were taught by traditional teaching method. Theory examination, physical examination and Sire4000 simula- ted cardiopulmonary resuscitation skill appraisal were given at the end of the internship and achievement differences were compared between 2 groups. Attitude on the teaching method was studied in observation group by questionnaire. SPSS 17.0 software was used for statistical analysis; measurement data were expressed as mean standard deviation （S＋ s） ; independent sample t - test was applied for comparison between groups; P 〈 0.05 stands for difference having statistical significances. Results Theory re- sult was （ 83.5 ＋ 7.9） in observation group and （76.6 ＋ 8.7 ） in control group （ P = 0. 012 ）. Car- diopulmonary resuscitation skill score was （ 84.3 ＋ 10.1 ） in observation group and （75.6 ＋ 11.3 ） in control group （P = 0. 013 ）. 100.0% students thought that the teaching method could improve the abili- ty of self-learning. Conclusions Teaching method of CBL combined with PBL can stimulate the students＇ interest in learning and improve students＇achievement.

关 键 词：病例导入式教学 以问题为基础的学习 急诊 留学生 

分 类 号：R459.7[医药卫生—急诊医学]