PBL教学与医学生职业选择的关系-Meta分析  

Meta-analysis About the Correlation of PBL-based Medical Curriculum and Specific Career Choice of Medical Students

作　　者：付红艺[1] 曹治东 晁瑞 彭磊 丁虹[2] 邓志龙 FU Hongyi;CAO Zhidong;CHAO Rui;PENG Lei;DING Hong;DENG Zhilong(Department of Dermatology,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;National Orthopedic Training Base,The Central Affiliated Hospital of Chongqing University,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属第一医院皮肤科,重庆400016 [2]重庆大学附属中心医院骨科国家规培基地,重庆400014

出　　处：《中国继续医学教育》2021年第20期43-47,共5页China Continuing Medical Education

摘　　要：目的通过文献回顾分析PBL教学方法与医学生毕业后职业方向之间的关系。方法进行系统性文献回顾,对包括PubMed,Medline,Cochrane和ERIC数据库以及合适的参考书目进行分析。职业发展轨迹通过官方匹配方案、问卷调查和正式定义的职业发展里程碑来确定。结果有11篇研究符合入选条件。大部分研究均显示PBL教学方法并不能使学员更易于从事某种特定专业(7/11,64%),但有三篇研究报道相对于无PBL教学的学员,PBL教学的毕业生更倾向于从事社区医疗。结论文献显示PBL教学方法并不能使医学生更易于从事社区医疗或其他专业,未来还需要大量的相似研究继续探讨。Objective To analyze and collect available evidence to determine the correlation between undertaking a PBL-based medical curriculum with specific career paths of medical students after graduation by systematic literature review.Methods A systematic literature review was performed.PubMed,Medline,Cochrane and ERIC databases were used to retrieve and analyze literatures,in addition to reference lists for appropriate inclusion.The career path trajectory was determined as measured by official Matching Programs,self-reported questionnaires and surveys,and formally defined career development milestones.Results Eleven studies fitting the inclusion criteria were identified analyzed.The majority of the studies showed that PBL did not predispose a student to a career in a specific specialty(7/11,64%).However,three studies reported a significantly increased number of PBL graduates working in primary care compared to those from a non-PBL curriculum.Conclusion PBL has been shown not to predispose medical students to a career in General Practice or any other specialty.Furthermore,a greater number of similar studies are required before a definitive conclusion can be made in the future.

关 键 词：PBL 职业选择 问题导向教学 医学教育 住院医师 社区医疗 

分 类 号：G642[文化科学—高等教育学]