网络支持下的PBL在妇产科临床实习中的应用  

作　　者：谷晔红[1] 侯萌[1] 蔡昱[1] 

机构地区：[1]首都医科大学附属北京同仁医院妇产科,100730

出　　处：《中华医学教育探索杂志》2013年第9期956-959,共4页Chinese Journal of Medical Education Research

基　　金：2011年首都医科大学校长基金（11JYY86）

摘　　要：目的探讨网络支持下的以问题为基础的学习（problem．basedlearning，PBL）在妇产科临床实习中的应用及效果。方法将在首都医科大学附属北京同仁医院实习的2007级临床实习学生随机分为对照组（七年制18人，五年制11人）和实验组（七年制17人，五年制10人）。对照组实施传统教学即实习生与带教教师一起管理病人并根据教学要求完成几次教学查房。实验组采用网络支持下的PBL教学，按教师提出问题——分组搜集资料——组织学习讨论——阐述、论证观点——讨论、总结等步骤教学。通过临床技能成绩和理论考试成绩评定效果。数据采用SSPS13．0统计软件分析处理，计量资料用均数±标准差（x±s）表示，组间比较行t检验。结果七年制、五年制实验组临床技能成绩优于对照组卜匕年制（90．47±2．36）VS．（87．42±2．93）；五年制（92．95±2．20）vs．（90．09±2．70）1；2组理论成绩差异无统计学意义。在临床技能成绩中，综合能力及病例分析成绩实验组优于对照组。结论网络支持下的PBL教学明显提高了学生沟通能力、知识理解和运用能力，可以改进妇产科临床实习质量。[Objective To evaluate the teaching effects and advantages of problem-based learning (PBL) teaching mode based on network in the clinical practice of obstetrics and gynecology. Methods 2007 grade intern students in department of obstetrics and gynecology in Beijing Tongren Hospital of Capital Medical University were divided into 2 groups:control group (18 seven-year program and 11 five-year program)and experiment group (17 seven-year program and 10 five-year program). Traditional teaching was conducted in control group:interns and teacher completed teaching ward round several times according to the teaching requirement. PBL based on network was conducted in experiment group:tea-chers asking questions-data collection-learning and discussing-demonstrating and arguing-discussing and summarizing teaching process. Then the effects of different teaching methods were evaluated by clinical practice skill and theoretical test. SSPS13.0 statistical software was used for data analysis and measurement data were expressed as x±s. T test was conducted among groups. Results As for clinical practice skills, scores in PBL group (seven-year program and five-year program )were higher than those of traditional group [seven-year program:(190.47±2.30)vs (87.42±2.93);five-year program:(92.95±2.20)vs (90 . 09 ± 2 . 70 )] . There was no difference between the two groups in scores of theoretical test . In clinical practice skills,scores of general skill and clinic case analysis showed significant differences be-tween PBL group and traditional group. Conclusions PBL tea-ching mode based on network can improve the quality and effectiveness of the clinical practice of obstetrics and gynecology, especially in the social, technical,and knowledge dimension.

关 键 词：网络 以问题为基础的学习 妇产科 临床实习 

分 类 号：R71[医药卫生—妇产科学]