PBL结合循证医学理念在发热待查疾病教学中的应用  

Application of PBL combined with evidence-based medicine teaching mode in fever of unknown origin

作　　者：许东[1] 肖淼淼[1] 马科[1] 宋建新[1] 宁琴[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院感染科,武汉430000

出　　处：《中华医学教育探索杂志》2014年第9期916-919,共4页Chinese Journal of Medical Education Research

摘　　要：目的：探讨以问题为基础的学习（problem-based learning， PBL）结合循证医学（evi-dence-based medicine， EBM）理念在发热待查教学中的应用效果。方法以华中科技大学临床医学（八年制）2009级同济班的所有学生30人为实验组，针对发热待查教学内容，实施PBL与EBM理念相结合的教学方式。以华中科技大学临床医学（八年制）2008级同济班的所有学生共30人为对照组。教学结束后，组织两组学生进行基础知识和病例分析类的理论考试，同时对2009级30名学生进行问卷调查，以评估教学效果。采用SPSS 18.0统计软件对两组学生的理论考试成绩进行t检验，检验水准为α=0.05。结果实验组学生理论考试成绩（93.5±3.2）分明显高于对照组学生成绩（84.7±2.8）分，2组学生成绩比较差异有统计学意义（P=0.00）。问卷调查结果表明，19名（63.33%）学生认为开展PBL联合EBM教学有其必要性，16名（53.33%）学生认为该教学方式提高了临床思维逻辑推理能力。结论 PBL结合EBM理念在发热待查教学中取得明显的效果，在具备一定师资力量的医学教学院系有其开展的必要性。Objective To investigate the effect of PBL combined with EBM applied in the teaching of fever of unknown origin. Methods PBL combined with EBM teaching was applied in fever of unknown origin course for 30 clinical medicine specialty（eight years） students of Tongji class of grade 2009（experiment group）, while PBL teaching was applied in fever of unknown origin course for 30 clinical medicine specialty （eight years） students of Tongji class of grade 2008 （control group）. After teaching, the theory examination for both basic knowledge and case analysis was organized for all students of both groups. At the same time the questionnaire survey was conducted to 30 students of grade 2009 to evaluate the teaching effect. The results were assessed by using SPSS 18.0 statistical software for the T-test of the experimental group and the control group.Inspection level was α=0.05. Results The theory test score of students in the experimental group was （93.5±3.2） point, signifi-cantly higher than that of the students in the control group（84.7±2.8）. There was statistically signifi-cant difference between the scores of the two groups of students （P=0.00）. Survey results showed 19 students （ 63 . 33%） thought that the development of PBL teaching combined with evidence-based medicine teaching had its necessity, and 16 students（53.33%） thought that the teaching method im-proved their clinical thinking ability of logical reasoning. Conclusion The concept of PBL combined with EBM has achieved significant resultsinthe teaching offever of unknown origin, and it is necessary to carry out this teaching mode in medical colleges with certain teaching strength.

关 键 词：以问题为基础的学习 循证医学 发热待查 教学改革 

分 类 号：R51[医药卫生—内科学]