分层递进PBL教学在神经内科教学查房中的应用  

Application of Hierarchical and Progressive PBL Teaching in Neurology Teaching Rounds

作　　者：宋秋英[1] 卢晓东[1] 陶陈娟[1] 叶小军[1] SONG Qiuying;LU Xiaodong;TAO Chenjuan;YE Xiaojun(The Affiliated Hospital of Hangzhou Normal University,Hangzhou 310015,China)

机构地区：[1]杭州师范大学附属医院,浙江杭州310015

出　　处：《浙江医学教育》2020年第5期19-21,共3页Zhejiang Medical Education

摘　　要：目的:探讨分层递进PBL教学在神经内科教学查房中的应用效果。方法:选取2019年1-10月我院神经内科规培学员作为研究对象,将其分为PBL教学组(对照组70人)与分层递进PBL教学组(观察组71人),比较2组规培学员教学查房效果。结果:观察组与对照组学员满意度评分(92.53±5.26)VS(90.78±4.15)、教师满意度评分(91.50±5.31)VS(89.27±4.38)、综合考核评分(93.20±7.19)VS(90.17±6.58)有差异(P<0.05)。观察组与对照组临床思维与决策考核成绩规培二年级(94.17±5.13)VS(90.58±6.36)、三年级(95.18±5.05)VS(91.51±4.72)有差异(P<0.05)。结论:分层递进PBL教学,不仅保留PBL教学优势,还能因材施教,提高规培学员及教师的总体满意度,激发学员学习兴趣及积极性,培养与锻炼他们分析与处理问题的综合能力。[Objective] To explore the application effect of hierarchical and progressive PBL teaching in neurology teaching rounds.[Method] The students in the Department of Neurology of our hospital from January to October 2019 were selected as the research objects, and they were divided into two groups: general PBL teaching group(70 persons) and hierarchical progressive PBL teaching group(71 persons). The effect of teaching ward rounds for the two groups of training students was compared. [Result] Compared with the general PBL teaching group, the scores of students’ satisfaction(92.53±5.26) vs.(90.78±4.15), teachers’ satisfaction(91.50 ± 5.31) vs.(89.27±4.38), comprehensive assessment(93.20 ± 7.19) vs.(90.17 ± 6.58), clinical thinking and decision in the second grade(94.17 ± 5.13) vs.(90.58 ± 6.36) and the third grade(95.18±5.05) vs.(91.51±4.72) were significantly higher in hierarchical progressive PBL teaching group.The difference was statistically significant(P< 0.05). [Conclusion] The method of hierarchical progressive PBL teaching can not only retain the advantages of PBL, but also teach with individual differences. It can improve the overall satisfaction of the students, stimulate their interest and enthusiasm in learning, and train their comprehensive ability of analyzing and dealing with problems.

关 键 词：神经内科 教学查房 PBL教学 分层递进 临床思维与决策 

分 类 号：G642.44[文化科学—高等教育学]