胸外科实习教学中应用案例教学法结合问题教学法的成效评价  

Evaluation of the effect of applying case-based learning combined with problem-based learning method in the practice teaching of thoracic surgery

作　　者：罗洞波[1] 阿迪力·萨来[1] 吕红博[1] 汪洋[1] 高云飞[1] 初建虎[1] LUO Dongbo;Adili·Salai;LYU Hongbo;WANG Yang;GAO Yunfei;CHU Jianhu(The Second Department of Thoracic Surgery,Affiliated Tumor Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi 830011,China)

机构地区：[1]新疆医科大学附属肿瘤医院胸外二科,新疆乌鲁木齐830011

出　　处：《中国医药导报》2022年第25期76-80,共5页China Medical Herald

基　　金：新疆维吾尔自治区自然科学基金资助项目(2017D01C388);新疆医科大学教育改革项目(YG2019099)。

摘　　要：目的探究与分析胸外科实习教学中应用案例教学法(CBL)结合问题教学法(PBL)的成效。方法选取2018年4月至2021年4月在新疆医科大学附属肿瘤医院胸外二科接受胸外科实习教学的医学生230名作为研究对象,采取随机数字表法将其分为对照组与观察组,每组115名。对照组给予常规教学法,观察组在对照组基础上实施CBL结合PBL教学,两组均连续4个月教学。比较两组在不同教学方式下考核成绩、自我学习表现情况、教学效果、对知识运用情况。结果观察组理论课考试和实习考试成绩均高于对照组,差异有统计学意义(P<0.05)。观察组在查找资料认真、发言积极、个人观点明确、与学生、老师合作良好、个人总体表现好所占比例均高于对照组,差异有统计学意义(P<0.05)。观察组在激发了学习的积极性和主动性,对学生思考、联想、创新的启迪,提高学生综合分析问题的能力,提高临床思维的能力,提高学习兴趣、增加知识面,提高学习的效果和效率,提高对基本概念和理论掌握的准确度方面的满意度高于对照组,差异有统计学意义(P<0.05)。观察组加深印象、理解知识、帮助记忆、知识运用、知识外延、自主思考、思维拓展度等知识运用方面占比高于对照组,差异有统计学意义(P<0.05)。结论胸外科实际教学中实施CBL结合PBL教育可获得更好的效果,考核成绩较好,医学生的自我学习表现好,教学效果优势明显,对知识运用情况好。Objective To explore and analyze the effect of applying case-based learning(CBL)combined with problem-based learning(PBL)in the practice teaching of thoracic surgery.Methods From April 2018 to April 2021,230 medical students who received thoracic surgery practice teaching in the Second Department of Thoracic Surgery,Affiliated Tumor Hospital of Xinjiang Medical University were selected as the research objects,and they were divided into control group and observation group by random number table method,with 115 students in each group.The control group was given the conventional teaching method,and the observation group was given CBL combined with PBL teaching on the basis of the control group,both groups were taught for four consecutive months.The examination results,self-learning performance,teaching effect,and knowledge application of the two groups were compared under different teaching methods.Results The scores of theoretical course examination and practice examination in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The proportion of careful searching for data,active speaking,clear personal views,good cooperation with students and teachers,and good overall personal performance in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction of stimulating learning enthusiasm and initiative,enlightening to students’thinking,association and innovation,improve students’ability to comprehensively analyze problems,improve clinical thinking skills,improve learning interest and increase knowledge,improve the effect and enhance efficiency of learning,and the accuracy of mastering basic concepts and theories in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).The proportion of knowledge application in the observation group was higher than that in the control group in deepening impressi

关 键 词：胸外科 实习教学 案例教学法 问题教学法 教学效果 

分 类 号：R655[医药卫生—外科学]