TBL结合情境教学在预选卫生士官常见疾病教学中的应用  

Application of TBL model in common diseases teaching for pre-selected medical non-commis-sioned officer trainees

作　　者：邱慧颖[1] 张必利[1] 高磊[1] 陈洁[1] 徐茂锦[1] 

机构地区：[1]第二军医大学第一附属医院内科学与野战内科学教研室,上海200433

出　　处：《中华医学教育探索杂志》2015年第5期505-508,共4页Chinese Journal of Medical Education Research

基　　金：第二军医大学教学研究与改革项目（CMC2014019）;第二军医大学任职教育教学研究项目（RZJYA201304）

摘　　要：目的：研究以团队为基础的学习（team-based learning, TBL）结合情境教学在预选卫生士官常见疾病教学中的应用成效。方法将200名学员随机等分为两组（每组100名学员），教学内容均为高原病和高血压两个章节，对照组（LBL组）学员按照传统方法教学；实验组（TBL组）学员则采用小组学习讨论结合情境教学，由教师提前拟定预习提纲及思考题，学员在课堂上以小组为单位开展讨论，并应用典型病例进行情境模拟。教学完成后，两组学员均采用成绩考核和问卷调查两种方式评估教学效果。结果 TBL组与LBL组相比，学员理论考核分数明显提高（88.90±5.28 vs.76.10±5.12，P＜0.05），教师对学员的满意度评分也较高（8.63±0.85 vs.7.18±0.72，P＜0.05）。结论 TBL成效好，有助于提高学生学习兴趣和自学能力，培养其分析解决问题的能力，加强其沟通能力和团队协作精神。Objective To explore the comparative advantage of Team based learning （TBL） in common diseases teaching among pre-selected trainees for medical non-commissioned officer. Methods 200 trainees were randomly divided into two groups of equal size （each having 100 trainees）, one TBL group and another lecture based learning （LBL） group as the control group. The teaching content was both Chapters of High Altitude Illness and Hypertension. In the LBL control group, the traditional lecture based teaching and learning manner was followed. In contrast, the trainees in the TBL group were assigned pre-lecture self-learning outline and questions to discuss in advance, team-based group discussion was conducted, and scene simulation with typical disease case analysis were adopted in class. In both groups, the teaching effectiveness were evaluated by both exam test and questionnaire manner. Results It turned out the team based learning model resulted in significantly improved overall trainee assessment scores （88.90 ± 5.28 vs. 76.10 ± 5.12, P〈0.05） and higher overall teacher satisfaction scores （8.63 ± 0.85 vs 7.18 ± 0.72, P〈0.05）, compared to the LBL group. Conclusion TBL model is more effective in improving trainees＇ capabilities of cultivating team work spirit, self-confidence, learn-ing enthusiasm, problem analysis and knowledge application. TBL model significantly brings more advantage in teaching preselected trainees for medical non-commissioned officer.

关 键 词：以团队为基础的学习 预选卫生士官 情境教学 

分 类 号：R-05[医药卫生]