TBL结合PBL教学法在胃肠外科教学查房中的应用  

Application of TBL Combined With PBL Teaching Method in Teaching Ward Rounds of Gastrointestinal Surgery

作　　者：朱跃坤[1] ZHU Yuekun(Department of Gastrointestinal Surgery,the First Affiliated Hospital of Harbin Medical University,Harbin Heilongjiang 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院胃肠外科,黑龙江哈尔滨150001

出　　处：《中国继续医学教育》2024年第4期62-66,共5页China Continuing Medical Education

摘　　要：目的分析以团队为主导的教学法(team-based learning,TBL)结合以问题为主导的教学法(case-based learning,CBL)在胃肠外科教学查房中的应用效果。方法在2021年1月—2023年1月,于哈尔滨医科大学附属第一医院胃肠外科实习生60名,按随机双盲法分为2组。对照组(n=30)采用常规教学,观察组(n=30)采用TBL结合PBL教学法。对比两组实习生的理论成绩、实践技能等。结果实习结束后,观察组的理论成绩、实践能力均高于对照组,差异有统计学意义(P<0.05)。观察组学习意识、学习行为、学习策略、学习评价及人际关系学习能力分别均高于对照组,差异有统计学意义(P<0.05)。观察组实习生的识别危机征象、医疗措施干预、团队分工合作、救治完成时间得分均高于对照组,差异有统计学意义(P<0.05)。观察组对本次教学评价的满意率96.67%高于对照组的73.33%,差异有统计学意义(P<0.05)。结论TBL结合PBL教学法用于胃肠外科教学查房中,能提高实习生的实践技能,取得较好的理论成绩,值得应用。Objective To analyze the application effect of team-led teaching method(TBL)combined with problem-led teaching method(CBL)in gastrointestinal surgery teaching rounds.Methods From January 2021 to January 2023,a total of 60 interns from the department of gastroenterology at the First Affiliated Hospital of Harbin Medical University were randomly divided into two groups using a double-blind method.The control group(n=30)were received routine teaching,while the observation group(n=30)were received TBL combined with PBL teaching method.The theoretical performance and practical skills of two groups of interns were compared.Results After the internship,the theoretical scores and practical abilities of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).The learning awareness,learning behavior,learning strategies,learning evaluation,and interpersonal relationship learning ability of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The interns in the observation group scored higher than those in the control group in identifying crisis symptoms,medical intervention measures,team division of labor and cooperation,and treatment completion time,with statistical significance(P<0.05).The satisfaction rate of the observation group with this teaching evaluation was 96.67%,which was higher than the control group's 73.33%,and the difference was statistically significant(P<0.05).Conclusion TBL combined with PBL teaching method can improve the practical skills of interns and achieve better theoretical results,which is worthy of application.

关 键 词：胃肠外科 教学查房 TBL CBL 理论成绩 实践技能 

分 类 号：G642[文化科学—高等教育学]