CBL联合SSE教学法在临床见习带教中的应用研究  

Study on the Application of CBL Combined With SSE Teaching Method in Clinical Probation Teaching

作　　者：刘晟[1] 巴莹 LIU Sheng;BA Ying(Department of Neurosurgery,Binzhou Medical University Hospital,Binzhou Shandong 256603,China;Department of Gastroenterology,Binzhou Medical University Hospital,Binzhou Shandong 256603,China)

机构地区：[1]滨州医学院附属医院神经外科,山东滨州256603 [2]滨州医学院附属医院消化内科,山东滨州256603

出　　处：《中国继续医学教育》2024年第5期89-93,共5页China Continuing Medical Education

摘　　要：目的评价案例教学法(case-based learning,CBL)联合情景模拟教学(situational simulation education,SSE)在临床医学见习中的应用效果,并调查学生对学习过程的满意度。方法 选取2021年9月—2022年9月滨州医学院临床医学专业的四年级见习学生186名为研究对象,随机分为2组,每组93名。2组分别采用CBL联合SSE教学法和传统教学法,参加见习课程后进行测验和问卷调查,统计分析以评估教学效果和学生体验。结果CBL联合SSE教学组的病例分析和技能操作得分高于传统教学组[(33.62±3.72)分vs.(29.16±5.67)分,(25.49±4.19)分vs.(21.14±4.66)分],差异有统计学意义(P <0.001)。CBL联合SSE教学组在自我感知能力和学习满意度优于传统教学组(96.77%vs.87.09%),差异有统计学意义(P <0.05)。但CBL联合SSE教学法比传统教学占用更多的课余时间[(3.46±1.22)分vs.(2.09±0.98)分],差异有统计学意义(P <0.001)。结论CBL联合SSE教学法在临床专业见习教学中能够有效调动学生的学习积极性,并即时提供反馈效果,可能是提高医学生临床技能和临床思维的有效方法。Objective To evaluate the effect of case-based learning(CBL) combined with situational simulation education(SSE) teaching method in clinical medical probation,and investigate students' satisfaction with the learning process.Methods A total of 186 fourth-year interns majoring in clinical medicine in Binzhou Medical University from September 2021 to September 2022were selected as the study objects and randomly divided into 2 groups with 93 students in each group.They were taught with CBL combined with SSE teaching method and traditional teaching respectively.Tests and questionnaires were conducted to evaluate the teaching effect and student experience after attending the internship course.Results The scores of case analysis and skill operation in the CBL combined with SSE teaching group were higher than those in the traditional teaching group [(33.62±3.72) points vs.(29.16±5.67) points,(25.49±4.19) points vs.(21.14±4.66)points],and the differencs were statistically significant(P<0.001).The CBL combined with SSE teaching group had better self-perceived ability and learning satisfaction than the traditional teaching group(96.77% vs.87.09%),and the difference was statistically significant(P<0.05).However,CBL combined with SSE teaching method occupied more spare time than traditional teaching [(3.46±1.22) points vs.(2.09±0.98) points],and the difference was statistically significant(P<0.001).Conclusion CBL combined with SSE teaching method in clinical probation teaching can effectively mobilize students' learning enthusiasm and provide immediate feedback,which may be an effective method to improve the clinical skills and clinical thinking of medical students.

关 键 词：案例教学法 情景模拟教学 临床实践教学 教学改革 应用研究 医学生 

分 类 号：G642[文化科学—高等教育学]