TBL教学在住院医师规范化培训典型病例讨论中的应用  

Using TBL in case study in standardized training of residents

作　　者：俞腾[1] 蒋华蔚 金雪立 张旭照[1] 李娴[1] 袁相贵[1] 肖希斌[1] Yu Teng;Jiang Huawei;Jin Xueli(The 2nd affiliated hospital of Zhejiang University,Hangzhou 310009,Zhejiang,China)

机构地区：[1]浙江大学医学院附属第二医院,浙江杭州310009

出　　处：《中国高等医学教育》2020年第10期8-9,共2页China Higher Medical Education

摘　　要：目的:探讨住院医师规范化培训中基于团队的学习(TBL)应用于典型病例讨论的带教方式。方法:选择浙大二院内科基地39名学员作为研究对象。对照组采用常规病例讨论形式;实验组采用TBL形式。分析两组出科考成绩,评价对TBL方式的满意度。结果:两组学员出科考核总成绩、临床思维与决策能力成绩,实验组显著高于对照组(P<0.05)。TBL在提高课堂学习专注度、提高临床思维与决策能力上评价较高。结论:TBL用于典型病例讨论更有助于提高临床带教效果。Objective:To explore the application of team-based learning(TBL)in the standardized training of resident doctors in the teaching mode of typical case study.Methods:39 residents were randomly divided into two groups.The control group adopts the teaching mode of regular case discussion;the experimental group adopts the TBL.The scores of the two groups were analyzed,and the satisfaction of the students with TBL teaching mode was evaluated by questionnaire.Results:The experimental group was significantly higher than the control group in terms of the total scores of the clinical assessment and the scores of clinical thinking and decision-making ability of the two groups.(P<0.05).Conclusion:TBL is more helpful to improve the effect of clinical teaching of resident standardized training students.

关 键 词：住院医师规范化培训 病例讨论 带教方式 临床思维 

分 类 号：G72[文化科学—成人教育学]