基于PBL的个体化带教在妇科实习带教中的应用研究  

Application research of individualized teaching based on PBL in gynecology practice teaching

作　　者：裴美丽[1] 王丽[1] 赵敏伊 杨婷[1] 赵娟[1] 全诗敏 郭艳平 李洁 江玉 杨筱凤[1] Pei Meili;Wang Li;Zhao Minyi;Yang Ting;Zhao Juan;Quart Shimin;Guo Yanping;Li Jie;Jiang Yu;Yang Xiaofeng(Department of Gynecology and Obstetrics,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院妇产科,西安710061

出　　处：《中华医学教育探索杂志》2021年第12期1444-1447,共4页Chinese Journal of Medical Education Research

基　　金：西安交通大学第一附属医院2018年度院级教学研究改革项目(JG20180310)。

摘　　要：目的探讨在医学本科生考研与实习相冲突的背景下,基于以问题为基础的学习(problem-based learning,PBL)的个体化带教模式应用于妇科实习带教的教学效果。方法以2018年进入妇科实习同时需备战考研的5年制学生共157人为研究对象,将其分为两组,一组采用传统带教(对照组),一组采用基于PBL的个体化模式带教(观察组)。教学结束后,分别对两组学生进行理论和临床技能考核,并通过问卷调查了解学生对教学效果的评价。采用SPSS 22.0进行卡方检验。结果观察组学生理论与技能操作考核得分均高于对照组,差异有统计学意义(P<0.001);观察组学生对提高实习积极性、提高自学能力、有助于以后学习方法的改进、提高操作技能、提高临床思维能力等方面的评价均高于对照组(P<0.05)。结论基于PBL的个体化带教模式可有效提高实习与考研冲突形式下的妇科实习效果。Objective:To explore the teaching effect of individualized teaching based on problem-based learning(PBL)that applied in gynecology practice teaching under the background of conflicts between postgraduate examination preparation and clinical internship for medical undergraduates.Methods:A total of 157 medical students of the five-year program who started gynecology internship and meanwhile prepared for the postgraduate entrance examination in 2018 were enrolled in the study and divided into two groups randomly.One group received traditional teaching(control group),and the other group received individualized teaching mode based on PBL(observation group).After the internship,the two groups of students were assessed for their theoretical and clinical skills,and the students'evaluation of the teaching effect was acquired through a questionnaire survey.SPSS 22.0 was used to perform chi-square test.Results:The students in observation group had statistically significant higher scores in theory and skill tests than those in the control group(P<0.001).The evaluation of boosting their enthusiasm for internship,advancing self-learning ability,conducing to improving learning methods in the future,and enhancing clinical skills and thinking ability in the observation group was significantly better than that in the control group(P<0.05).Conclusion:The individualized teaching model based on PBL could efficiently alleviate the conflicts between internship and postgraduate entrance examination preparation and improve the effect of gynecology practice teaching.

关 键 词：以问题为基础的学习 个体化带教 临床教学 

分 类 号：R-05[医药卫生]