依托微信的CBL联合PBL的整合教学模式在骨科临床带教中的应用  

Application of Integrated Teaching Model Combining CBL and PBL Supported by WeChat in Orthopedic Clinical Preceptorship

作　　者：程思清 王宏平[2] 林伟强[3] 王战[2,4,5,6] 何斌 Cheng Siqing;Wang Hongping;Lin Weiqiang;Wang Zhan;He Bin(Fourth Affiliated Hospital,School of Medicine,Zhejiang University,Yiwu 322000,Zhejiang,China;Second Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310009,Zhejiang,China;International Institute of Health,Zhejiang University,Yiwu 322000,Zhejiang,China;Institute of Orthopedics,Zhejiang University,Hangzhou 310009,Zhejiang,China;Key Laboratory of Diagnosis and Treatment of Movement System Diseases in Zhejiang Province,Hangzhou 310009,Zhejiang,China;Clinical Medical Research Center of Movement System Diseases in Zhejiang Province,Hangzhou 310009,Zhejiang,China)

机构地区：[1]浙江大学医学院附属第四医院,浙江义乌322000 [2]浙江大学医学院附属第二医院,浙江杭州310009 [3]浙江大学国际健康医学研究院,浙江义乌322000 [4]浙江大学骨科研究所,浙江杭州310009 [5]浙江省运动系统疾病研究与精准诊治重点实验室,浙江杭州310009 [6]浙江省运动系统疾病临床医学研究中心,浙江杭州310009

出　　处：《中国高等医学教育》2024年第6期104-105,122,共3页China Higher Medical Education

基　　金：浙江省教育厅一般科研项目(Y202146860);国家自然科学基金项目(82103499);中国博士后科学基金第69批面上项目(2021M692792)。

摘　　要：目的:构建依托微信的CBL联合PBL的整合教学模式,并与传统教学方法进行比较,评估该教学模式的效果。方法:将于2022年1月至2022年3月在浙大四院骨科学临床轮训的60名医师随机分为两组,其中试验组采用整合教学模式,对照组采用传统教学方法。通过对入科前后接诊成绩、笔试成绩和总成绩进行比较,评估整合教学模式在骨科临床带教中的效果,并通过满意度调查来评估学生对各自教学方法的满意度。结果:试验组入科后的笔试成绩、接诊成绩及总成绩较入科前均有显著提升(P<0.05),而对照组仅在笔试成绩和总成绩上有一定的提升(P<0.05)。此外,试验组入科后总成绩较对照组提高得更多(P<0.05)。学生对两种教学方式的满意度有差异(P<0.05)。结论:依托微信的CBL联合PBL的整合教学模式可以充分调动学生的主观能动性,锻炼临床思维能力,激发创新精神,全面提升学生的综合能力。Objective:To construct an integrated teaching model combining CBL and PBL supported by WeChat,and compare its effectiveness with traditional teaching methods in orthopedic clinical preceptorship.Methods:From January 2022 to March 2022,60 physicians undergoing clinical rotations in orthopedics at the Fourth Affiliated Hospital of Zhejiang University were randomly divided into two groups.The experimental group received the integrated teaching model,while the control group received traditional teaching methods.The effectiveness of the integrated teaching model in orthopedic clinical preceptorship was evaluated by comparing pre-and post-rotation scores in patient management,written exams,and overall scores.Additionally,a satisfaction survey assessed students satisfaction with their respective teaching methods.Results:The experimental group showed significant improvements in written exam scores,patient management scores,and overall scores after the rotation(P<0.05),whereas the control group showed modest improvements only in written exam scores and overall scores(P<0.05).Moreover,the experimental group demonstrated greater overall score improvements post-rotation compared to the control group(P<0.05).There was a significant difference in student satisfaction between the two teaching methods(P<0.05).Conclusion:The integrated teaching model combining CBL and PBL supported by WeChat effectively enhances students initiative,clinical reasoning abilities,and innovation spirit,comprehensively improving their overall capabilities in orthopedic clinical preceptorship.

关 键 词：CBL PBL 整合教学模式 骨科临床带教 

分 类 号：G642[文化科学—高等教育学]