CBL-PBL-LBL联合教学方法在骨科临床见习教学中的应用  

Application of CBL-PBL-LBL Teaching Method in Orthopedics Teaching

作　　者：王珂杰[1] 徐怡 丁文鸽[1] 刘志伟[1] WANG Kejie;XU Yi;DING Wenge;LIU Zhiwei(Department of Orthopaedics,Changzhou First People's Hospital,Changzhou Jiangsu 213003,China;Standardized Training Base for Residents)

机构地区：[1]常州市第一人民医院骨科,江苏常州213003 [2]住院医师规范化培训基地

出　　处：《中国继续医学教育》2020年第35期27-31,共5页China Continuing Medical Education

基　　金：国家自然科学基金项目(81272017);江苏省常州市卫生计生委指导性科技项目(wz201514)。

摘　　要：目的比较CBL-PBL-LBL与LBL两种不同的教学模式在骨科临床见习带教工作中的教学效果。探索更加行之有效的骨科临床教学方法。方法将参加临床见习的研究对象分为CBL-PBL-LBL组(即实验组,n=30)与LBL组(即对照组,n=30),两组分别采用不同的教学模式,临床见习结束时进行出科考核和问卷调查来对两组教学效果进行评估。结果问卷调查部分实验组在自我学习能力、临床思维分析能力、团队协作能力、解决问题能力、语言表达能力等各个方面均与对照组相比差异有统计学意义(P<0.05)。在出科理论考核中实验组的总成绩为(93.5±2.53)分,明显高于对照组(90.87±3.17)分,差异有统计学意义(P<0.05),主要体现在实验组的病例分析部分成绩为(46.73±1.34)分,明显高于对照组(44.7±2.43)分(P<0.05),而在基础理论考试成绩中两组间差异无统计学意义(P>0.05)。结论CBL-PBL-LBL教学模式在骨科见习生带教中对学生各方面能力的培养优于传统教学模式。Objective To compare the effect of CBL-PBLLBL and LBL teaching method in orthopedics teaching.Methods 60 medical school students who participated in clinical practice were selected and randomly divided into experimental group(CBL-PBL-LBL group)and control group(LBL group),each group composed of 30 students.At the end of the semester,the two group students were evaluated by the self-designed questionnaire and theoretical examination.Results The CBL-PBL-LBL group has significantly higher scores than the control group in self-study ability,clinical analysis ability,team work ability,problem-solving ability,and language expression ability(P<0.05).The total score of the departmental rotation examination of the experimental group was(93.5±2.53),which was significantly higher than that of the control group(90.87±3.17)(P<0.05).The experimental group did better in case analysis(46.73±1.34)than control group(44.7±2.43)(P<0.05).There is no significant difference between the two groups in basic theory knowledge test.Conclusion The teaching effect of CBL-PBL-LBL group was better than that of traditional LBL group in orthopedics teaching.

关 键 词：骨科学 临床见习 教学 CBL PBL LBL 教育 

分 类 号：G642[文化科学—高等教育学]