基于问题学习教学方法在胸外科住院医师规范化培训中的应用  

The applying of problem-based learning in standardized training of residents of thoracic surgery

作　　者：张进[1] 杨鲲鹏[1] 侯向生[1] 葛晓晴[1] 乔孟晗 侯露[1] 

机构地区：[1]郑州大学第二附属医院胸外科,450002

出　　处：《中华医学教育杂志》2017年第5期779-782,796,共5页Chinese Journal of Medical Education

摘　　要：目的 探讨基于问题学习教学方法在胸外科住院医师规范化培训中的应用.方法 选择在郑州大学第二附属医院胸外科进行规范化培训的92名学员作为研究对象,将其随机平均分为实验组和对照组,实验组采用基于问题学习教学方法,对照组采用传统教学方法.通过考核成绩和问卷调查结果比较两组学员的教学效果.结果 实验组学员的案例分析题和操作技能成绩高于对照组学员,两者差异均具有统计学意义（均P〈0.05）,而在单项选择题、简答题成绩上,两组学员差异均无统计学意义（均P 〉0.05）.所用教学方法在激发学习兴趣、提高临床思维能力和临床技能掌握上,实验组学员的评价高于对照组学员,两者差异均具有统计学意义（均P 〈0.05）,而在提高学习效率、赞成所用教学方法方面,两组学员的评价差异均无统计学意义（均P〉0.05）.结论 基于问题学习教学方法在胸外科住院医师规范化培训中取得了良好的效果,该种教学方法能够促进教学互动、提高教学质量.Objective To investigate the applying effects of problem-based learning （PBL） in standardized training of residents of thoracic surgery.Methods A total of 92 students,who were trained by standardized training of residents of thoracic surgery in the Second Affiliated Hospital of Zhengzhou University,were selected as subjects.The students were randomly divided into experimental group and control group.The experimental group was treated with PBL and the traditional teaching method was adopted in the control group.The results of the two groups were compared by the results of the examination and the questionnaire.Results The scores of the students in the experimental group were higher than those in the control group,and the differences were all statistically significant （all P 〈 0.05）.But in the single choice question examination and simple question examination,the differences in the two groups of student were not statistically significant（all P 〉 0.05）.In terms of stimulating interest in learning,improving clinical thinking ability and mastering of clinical skills,the evaluation of the experimental group was higher than that of the control group,the differences were all statistically significant （all P 〈 0.05）.But there was no statistically significant difference between the two groups in terms of improving learning efficiency and the satisfaction of the teaching method （all P 〉 0.05）.Conclusions PBL in the standardized training of residents of thoracic surgery has achieved good results,this method can promote teaching interaction,improve teaching quality.

关 键 词：以问题为基础学习 教学方法 住院医师规范化培训 胸外科 

分 类 号：G726[文化科学—成人教育学] R-4[文化科学—教育学]