EBM+PBL教学在泌尿外科住院医师规范化培训的研究  

Research of PBL and EBM Teaching Mode in the Training of Standardized Resident Doctors in Urology

作　　者：农绍军[1] 管杨波[1] 蔡波[1] 马利民[1] 邢钱伟[1] 耿劲松[2] NONG Shaojun;GUAN Yangbo;CAI Bo(The Affiliated Hospital of Nantong University,Nantong 226001,China)

机构地区：[1]南通大学附属医院,江苏南通226001 [2]南通大学医学院

出　　处：《中国医学创新》2019年第4期158-161,共4页Medical Innovation of China

基　　金：江苏省博士后课题(2014M139951);南通大学教学研究课题(Tfj16011);南通市科技计划项目(MS22016043)

摘　　要：目的:研究EBM+PBL教学方法在泌尿外科住院医师规范化培训中的实践效果。方法:将60名泌尿外科住院医师规范化培训学员随机平均分为试验组(PBL+EBM教学组)和对照组(传统教学组),每组各30名。试验组采用PBL+EBM,对照组采用传统的教学方法,教学效果评价主要为调查问卷和出科考试。结果:问卷调查显表明,试验组在临床思维分析能力、语言表达能力、自学能力、激发专业学习兴趣、发现及处理问题能力和团队协助意识方面更有优势;出科考试成绩显示,试验组平均成绩高于对照组(86.2±3.46)分vs(77.2±5.41)分,比较差异均有统计学意义(P<0.05)。结论:PBL+EBM教学模式有助于培养学员临床思维,提高解决泌尿外科临床问题的能力,值得在临床教学中推广应用。Objective:To investigate the application effect of problem-based learning and evidence-based medicine teaching mode in the training of standardized resident doctors in urology.Method:30 resident doctors in experiment group were received PBL and EBM teaching mode while the 30 in control group were received traditional teaching method.In the experiment group,the PBL method was adopted to conduct evidence-based analysis on the clinical cases,while the control group adopted traditional indoctrination teaching mode and the experience of the teachers were used to guide the students to make analysis on the clinical cases.The evaluation of teaching effect included questionnaires survey and examination.Result:The questionnaires survey indicated that resident doctors in experiment group had more advantages in aspects such as clinical thinking,personal expression,selfstudy ability improvement and the cultivation of clinical study interests.The examination showed that the average score of experiment group was better than that of control group,(86.2±3.46)scores vs(77.2±5.41)scores,which had statistical significance(P<0.05).Conclusion:The PBL and EBM teaching mode are well accepted by urology residents and can substantially improve their comprehensive clinical abilities.This approach deserves further generalization and application in standardized training for residents in China.

关 键 词：PBL 循证医学 泌尿外科 住院医师培训 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]