以问题为基础的教学方式结合临床路径教学模式在肿瘤教学中的应用效果  

Application effect of problem-based teaching method combined with clinical path teaching mode in tumor teaching

作　　者：胡松柳[1] 徐建宇[2] 李剑[2] 马健力 刘珊珊[2] HU Songliu;XU Jianyu;LI Jian;MA Jianli;LIU Shanshan(Department of Radiotherapy,Harbin Medical University Cancer Hospital,Heilongjiang Province,Harbin150081,China;the First Department of Chest Radiotherapy,Harbin Medical University Cancer Hospital,Heilongjiang Province,Harbin150081,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院放疗科,黑龙江哈尔滨150081 [2]哈尔滨医科大学附属肿瘤医院胸部放疗一,黑龙江哈尔滨150081

出　　处：《中国医药导报》2023年第1期77-80,共4页China Medical Herald

基　　金：黑龙江省教育科学规划专项课题(GJE1320129)。

摘　　要：目的 探讨以问题为基础(PBL)的教学方式结合临床路径(CP)教学模式对肿瘤教学中实习生考核成绩的影响。方法 采用随机数字表法将100名于2019年2月至2021年4月在哈尔滨医科大学大附属肿瘤医院实习的临床本科实习生分为A组和B组,各50名。A组给予CP教学模式,B组给予PBL教学方式结合CP教学模式,两组均教学3周。比较两组招录情况,教学3周后各项考核成绩、对各项问题认可度的调查结果及对教学方式的满意度情况,教学前、教学3周后的批判性思维及沟通能力评分。结果 教学3周后,B组理论成绩、操作能力、病例分析得分及总分均高于A组(P<0.05)。教学3周后,B组对问题(1)~(7)认可度占比均高于A组(P<0.05)。B组教学方式满意度优于A组(P<0.05)。与教学前比较,教学3周后,两组中文版批判性思维能力量表评分、沟通能力评分均升高,且B组高于A组(P<0.05)。结论 以PBL教学方式结合CP教学模式有助于提高实习生考核成绩、批判性思维能力、沟通能力,进而提高实习生对教学方式的满意度及对各项问题的认可度,且实习生对该教学方式满意度较高,教学效果显著。Objective To investigate the influence of problem based learning(PBL) teaching mode combined with clinical pathway(CP) teaching mode on the assessment results of interns in cancer teaching.Methods A total of 100 clinical undergraduate interns who practiced in Harbin Medical University Cancer Hospital from February 2019 to April 2021 were divided into group A and group B by random number table method,with 50 cases in each group.The group A was given the CP teaching mode,and the group B was given the PBL teaching method combined with the CP teaching mode.Both groups were taught for three weeks.The recruitment situation of the two groups,the results of various assessments,the survey results of the recognition of various questions,and the satisfaction of teaching methods after three weeks of teaching,the scores of critical thinking and communication skills before and after three weeks of teaching were compared.Results After three weeks of teaching,the theoretical scores,operational ability,case analysis scores,and total scores of group B were higher than those of group A(P<0.05).After three weeks of teaching,the proportion of recognition of(1)-(7) in group B was higher than that in group A(P<0.05),the satisfaction of teaching method in group B was better than that in group A(P<0.05).Compared with before teaching,after three weeks of teaching,Chinese version of critical thinking disposition inventory score and communication ability score of both groups were increased,and group B was higher than group A(P <0.05).Conclusion The PBL teaching method combined with the CP teaching mode helped to improve the appraisal performance of interns,critical thinking ability,communication ability,and further improve their recognition of various problems,moreover,interns were highly satisfied with this teaching mode,and the teaching effect is significant.

关 键 词：肿瘤教学 问题 临床路径 教学方式 认可度 满意度 

分 类 号：G642[文化科学—高等教育学]