PBL联合TBL教学法在胃肠外科实习临床教学中的应用价值  

The Application Value of PBL and TBL Teaching Method in the Clinical Teaching of Gastrointestinal Surgery Practice

作　　者：梁林虎 张峥嵘 程正武 李浩然 左学良 季学磊 LIANG Linhu;ZHANG Zhengrong;CHENG Zhengwu;LI Haoran;ZUO Xueliang;JI Xuelei(Department of Gastrointestinal Surgery,the First Affiliated Hospital of Wannan Medical College/Yijishan Hospital,Wuhu Anhui 241001,China;Department of Teaching and Research,Wuhu Hospital Affiliated to East China Normal University,Wuhu Anhui 241000,China)

机构地区：[1]皖南医学院第一附属医院/弋矶山医院胃肠外科,安徽芜湖241001 [2]华东师范大学附属芜湖医院教学科研处,安徽芜湖241000

出　　处：《中国继续医学教育》2024年第15期63-67,共5页China Continuing Medical Education

基　　金：2019年度皖南医学院教学质量与教学改革工程项目(2019jyxm88)。

摘　　要：目的研究在胃肠外科实习临床教学中应用以团队为基础的教学法(team-based learning,TBL)联合以问题为基础的教学法(problem-based learning,PBL)的教学效果。方法选取2019年9月—2020年8月在皖南医学院第一附属医院胃肠外科实习的46名实习生为对照组,2020年9月—2021年8月的实习的46名实习生为观察组。对照组与观察组分别采用传统带教方法和采用PBL联合TBL教学法,课程结束后对比2组的教学效果、理论测评成绩优良率、开放性试题与实践操作技能得分、综合测评及满意率。结果观察组教学效果内容各项达标率均高于对照组,差异有统计学意义(P<0.05);观察组理论测评成绩优良率(95.65%)高于对照组(78.26%),差异有统计学意义(P<0.05);观察组开放性试题[(36.54±4.66)分vs.(24.75±6.57)分]与实践操作技能得分[(88.63±5.35)分vs.(75.44±5.27)分]均高于对照组,差异有统计学意义(P<0.001);观察组综合测评各部分分数均高于对照组,差异有统计学意义(P<0.05);观察组满意率(95.65%)高于对照组(78.26%),差异有统计学意义(P<0.05)。结论在胃肠外科的临床带教中采用PBL联合TBL教学法有助于提升教学效果,帮助实习生提高理论测评成绩优良率、开放性试题与实践操作技能得分、综合测评,并提高实习生满意率。Objective To study the effectiveness of team-based teaching(TBL)and problem-based teaching(PBL)in the clinical teaching of gastrointestinal surgery.Methods A total of 46 interns practicing in the gastrointestinal surgery department of the First Affiliated Hospital of South Anhui Medical College from September 2019 to August 2020 were selected as the control group,and 46 interns practicing from September 2020 to August 2021 were selected as the observation group.The control group and the observation group adopted the traditional teaching method and PBL combined TBL teaching method respectively.After the course,the teaching effect,the excellent rate of theoretical evaluation scores,the scores of open questions and practical operation skills,the comprehensive evaluation and satisfaction rate were compared.Results The compliance rates of various items of teaching effects in the observation group were all higher than those in the control group.The scores of open-ended questions[(36.54±4.66)points vs.(24.75±6.57)points]and practical skills[(88.63±5.35)points vs.(75.44±5.27)points]in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.001).The scores of all parts of the comprehensive assessment in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The satisfaction rate of the observation group(95.65%)was higher than that of the control group(78.26%),and the difference was statistical significance(P<0.05).Conclusion Using the method of PBL and TBL teaching in the clinical teaching of gastrointestinal surgery can help to improve the teaching effect,improve the excellent rate of theoretical evaluation,the score of open test questions and practical operation skills,the comprehensive evaluation,and improve the satisfaction rate of interns.

关 键 词：以问题为基础的教学法 以团队为基础的教学法 胃肠外科 理论知识 实践技能 综合成绩 

分 类 号：G642[文化科学—高等教育学]