CBL教学法结合PBL教学法在肝胆外科教学中的应用  

Application of CBL Teaching Method Combined with PBL Teaching Method in Hepatobiliary Surgery Teaching

作　　者：王平[1] 孙北望[1] 黄娴娴[1] 李锟[1] 朱灿华[1] 刘衍民[1] 

机构地区：[1]广州医科大学附属第一医院肝胆外科,广东广州510120

出　　处：《现代生物医学进展》2016年第18期3578-3580,共3页Progress in Modern Biomedicine

基　　金：2013年度广东省医学科研基金项目(A2013254)

摘　　要：目的:研究以案例为基础的学习(CBL)教学法结合以问题为基础的学习(PBL)教学法在肝胆外科教学中的应用,为临床教学提供依据。方法:选取2014年1月到2015年6月我院肝胆外科实习生270例为研究对象,按照随机数字表法将实习生分为I组、II组和III组,每组90例,I组给予PBL联合CBL教学法,II组给予PBL教学法,III组给予传统学习(LBL)教学法,比较三组教学效果。结果:I组和II组学习兴趣、自主学习能力以及课堂氛围评分显著高于III组,I组知识理解评分显著高于II组和III组,II组显著高于III组,比较差异具有统计学意义(P<0.05);I组基础知识分显著高于II组和III组,I组和II组临床技能评分显著高于III组,比较差异具有统计学意义(P<0.05);I组和II组调查满意度显著高于III组,且I组显著高于II组,比较差异具有统计学意义(P<0.05)。结论:PBL联合CBL教学法用于肝胆外科教学中能显著提高实习生的知识理解能力和满意度。Objective： To study the application of case based learning（CBL） teaching method combined with problem based learning（PBL） teaching method in hepatobiliary surgery teaching, and to provide the basis for clinical teaching. Methods： A total of 270 surgical interns, who practised in the department of hepatobiliary surgery of the First Affiliated Hospital of Guangzhou Medical University from January 2014 to June 2015, were selected and randomly divided into group I（n=90）, group Ⅱ（n=90） and group Ⅲ（n=90）.Group Ⅰ was given PBL combined with CBL teaching method; group Ⅱ, PBL teaching method; group Ⅲ, the lecture-based learning（LBL） teaching method. The teaching effects of the three groups were compared. Results： Learning interest, self learning ability and classroom atmosphere scores of group I and Ⅱ were significantly higher than those of group Ⅲ.The score of knowledge in group I was significantly higher than those in group Ⅱ and Ⅲ; the score of knowledge in group Ⅱ was significantly higher than that in group Ⅲ, the differences were statistically significant（P〈0.05）. The basic knowledge score of group I was significantly higher than group Ⅱ and Ⅲ; the scores of clinical skills in group I and Ⅱ were significantly higher than that in group Ⅲ,the differences were statistically significant（P〈0.05）. The satisfaction degrees of group I and Ⅱ were significantly higher than that of group Ⅲ,and the satisfaction degree of group I was significantly higher than that of group Ⅱ, the differences were statistically significant（P〈0.05）. Conclusion： PBL combined with CBL teaching method can increase the ability of understanding and satisfaction degree of students in the department of hepatobiliary surgery teaching.

关 键 词：CBL PBL 肝胆外科 实习生 

分 类 号：G642[文化科学—高等教育学]