基于在线PBL的诊断学课程症状学内容整合初探与思考  

Preliminary study and reflection on the integration of symptomatology in diagnostics based on online PBL

作　　者：陈乃洁[1] 苏晓燕[1] 吴建珊[1] 刘丹[1] 陈锦团[1] 魏敏[1] CHEN Nai-jie(School of integrated traditional Chinese and Western medicine,Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian,350122,China)

机构地区：[1]福建中医药大学中西医结合学院,福建福州350122

出　　处：《齐齐哈尔医学院学报》2020年第17期2213-2217,共5页Journal of Qiqihar Medical University

基　　金：福建中医药大学2019年教育教学改革研究一般项目(XJJGY1902)。

摘　　要：目的探讨诊断学课程基于在线PBL的症状学内容整合的可行性。方法选择2019—2020学年第二学期学习诊断学的2017级临床医学专业学生221名作为研究对象,共来自三个班级。不同班级在进行在线PBL教学时症状学部分授课进度不同,甲班在开展PBL前未学习症状学的内容;乙班已学完症状学的全部内容;丙班学习了部分症状诊断的内容。课后通过PBL教师评价及问卷收集反馈信息,并进行统计分析。结果通过PBL教学,大多数学生各方面的能力有了不同程度的提高。其中,乙班在成绩、总体评价、课前讨论、在线课堂表现、教学效果评价和学习兴趣方面均优于甲班,差异具有统计学意义(P<0.05),与丙班无显著差异(P>0.05)。结论基于PBL的症状学内容整合具有可行性,根据学情,可采用理论授课结合混合式PBL的模式。Objective To explore the feasibility of integrating the contents of semeiology in diagnostics courses based on online PBL.Methods 221 clinical medicine students from three classes of grade 2017 who were studying diagnostics in the second semester of 2019-2020 academic year were enrolled into this study.Different classes have different progress in the section of semeiology when conducting online PBL.Class A did not learn the contents of semeiology before starting PBL;Class B has finished all the contents of semeiology;Class C has learned some of the semeiology.After PBL,evaluation of teachers and questionnaires were collected and statistical analyses were conducted.Results Through PBL,most students have improved their abilities in various aspects.Among them,Class B was superior to Class A in terms of score,overall evaluation,pre-class discussion,online class performance,teaching effect evaluation and learning interest,the difference was statistically significant(P<0.05),however,there was no significant difference from Class C(P>0.05).Conclusions The integration of the contents of semeiology based on PBL is feasible.According to the academic situation,the teaching may conducted through the model of traditional teaching combined with blended PBL.

关 键 词：PBL 诊断学 课程整合 教学 

分 类 号：R441[医药卫生—诊断学]