PBL及mini-CEX量表运用于八年制医学生血液科见习带教的探索  

Exploration of PBL and mini-CEX in the clinical probation teaching for medical students of eightyear program in hematology department

作　　者：肖洁[1] 马丽萍[1] 聂大年[1] 谢双锋[1] 李益清[1] 王秀菊[1] 吴裕丹[1] 刘红云[1] Xiao Jie;Ma Liping;Nie Danian;Xie Shuangfeng;Li Yiqing;Wang Xiuju;Wu Yudan;Liu Hongyun(Hematology Department,SUN Yat-sen Memorial Hospital,SUN Yat-sen University,Guangzhou 510120,China)

机构地区：[1]中山大学孙逸仙纪念医院血液内科,广州510120

出　　处：《中华医学教育探索杂志》2018年第8期822-825,共4页Chinese Journal of Medical Education Research

摘　　要：目的 为进一步提高八年制医学生血液内科见习教学水平、完善测评与反馈机制，探讨PBI教学及mini-CEX量表测评法在血液内科见习带教中运用的可行性。方法 选取参与血液内科临床见习的54名八年制医学生平均分为两组，将PBL教学法与传统见习带教进行对比，同时采用mini-CEX量表对学生的进行临床能力评估。应用SPSS 20．0统计软件进行数据分析。结果 问诊技巧、临床诊断、治疗计划方面的测试，PBL教学组均优于传统教学组（P〈0．05）：人文关怀的测试，PBL教学组成绩优于传统教学组（P=0.03）。在理论知识，体格检查及操作能力方面，PBL教学组与传统教学组比较无差异。PBL教学组从全神贯注于小组讨论、及时与正面反馈、适时及正确引导、适时纠正学生错误、协助实现学习目标5个方面对教师进行评价，满意度均≥85％。结论 PBL与传统的教学方法相比，在血液内科见习带教中具有一定的优势，mini-CEX量表在见习生中的运用具有可操作性。Objective The study explored the feasibility of PBL teaching approach and mini-CEX scores evaluation method in hematology probation teaching practice. Methods 54 medical students of eight- year program were selected in the study and they were in hematology department of Sun Yat-sen Memorial Hospital for clinical probation. The study compared PBL teaching approach with traditional training method, and used mini-CEX to evaluate the students＇ clinical competence. Results The performance of PBL teaching group is better than traditional teaching group in the aspect of inquiry skill, clinical diagnosis, therapy plan and humanistic care （P〈0.05）. There is no significant difference of basic knowledge, physical examination skill and clinical operational skills between these two groups. More than 85% of the students in PBL group are satisfied with the teacher in the aspect of participation, feedback, guidance, correction and assistance. Conclusion Through this teaching practice, the study provides new methods for improving the teaching of pre-internal clinical practice in hematology department.

关 键 词：以问题为基础的学习 mini-CEX量表 八年制医学教育 血液内科 临床见习 

分 类 号：R-05[医药卫生]