联合问题及案例学习法在神经外科实习医师临床能力培训中的实践  

PBL combined with CBL in the practice of clinical teaching for the interns in neurosurgery

作　　者：陈杰 王世强 杨海峰 CHEN Jie;WANG Shiqiang;YANG Haifeng(Chongqing University Cancer Hospital,Chongqing 400030,China)

机构地区：[1]重庆大学附属肿瘤医院,重庆400030

出　　处：《现代医院》2025年第3期483-485,共3页Modern Hospitals

基　　金：重庆大学医学院院级教学改革研究课题(CQMU-24-8)。

摘　　要：为了提高对神经外科实习医师的教学质量,在临床教学中引入基于问题的学习法和基于病例的学习法相结合的教学模式,在教师引导下,通过搜集问题、结合案例、查阅资料、小组讨论等归纳知识经验。以问卷调查、理论、技能操作考试的形式评价教学效果,结果显示实习医师对新的教学模式正面肯定达91%,尤其是对临床思维能力提高的认可率达到97.4%,理论考核的优秀率达到96.2%,技能操作考试优秀率达到93.6%。该教学模式让实习医师成为了学习主体,调动了学习兴趣与积极性,培养了发现问题的临床思维和解决问题的实践能力,让他们更能胜任疾病的诊疗。In order to improve the teaching quality for the interns in neurosurgery,PBL combined with CBL was introduced into the clinical teaching,under the teachers’guide,knowledge and experience was summarized through collecting problems,combinig with cases,consulting literature and group discussion,etc.The teaching effect was evaluated in terms of questionnaire survey,theory test and clinical skills examination,the results showed positive rate for the new teaching mode was 91%,improvement of clinical thinking approval rate 97.4%,excellence rate of theory test 96.2%,excellence rate of clinical skill examination 93.6%.This teaching mode turned the interns into main subject of learning,and it had raised their interests and enthusiasm,cultivated their clinical thinking ability to find problem and practical ability to solve problem,making them more qualified for the diagnosis and treatment of diseases.

关 键 词：基于问题的学习法 基于病例的学习法 神经外科 实习医师 临床能力 

分 类 号：R197.323.6[医药卫生—卫生事业管理]