CBL-PBL-EBM整合教学法在肾脏内科住院医师规范化培训中的应用  

The application of the CBL-PBL-EBM integrated teaching method in the standardized training of nephrology resident physicians

作　　者：金李[1] 吕晶[1] 李慧贤 王晓培 路万虹[1] JIN Li;LYU Jing;LI Huixian;WANG Xiaopei;LU Wanhong(The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China)

机构地区：[1]西安交通大学第一附属医院,陕西西安710061

出　　处：《现代医院》2025年第4期653-656,共4页Modern Hospitals

摘　　要：目的探讨案例学习(case-based learning,CBL)-问题学习(problem-based learning,PBL)-循证医学(evidence-based medicine,EBM)整合教学法在肾脏内科住院医师规范化培训中的应用效果。方法选取2023年2月1日—8月31日期间于肾脏内科轮转时间为2个月的60名内科规培医师,按照1∶1比例随机分为试验组(CBL-PBL-EBM组)和对照组(CBL组)。对比分析两组规培医师轮转结束时的理论考试、病案分析、综合能力评分。结果试验组与对照组理论考核成绩差异无统计学意义(45.21±3.67 vs 44.02±4.90,P>0.05)。试验组病案分析考核成绩高于对照组(42.48±2.35 vs 38.45±3.24,P<0.05),综合评分高于对照组(92.24±1.69 vs 89.21±1.56,P<0.05),同时试验组在自主学习、文献查询能力、批判性思维、归纳总结能力方面的评分也明显优于对照组,差异有统计学意义(P<0.05)。结论CBL-PBL-EBM整合教学法在教学效果上总体优于CBL教学法,能够有效实现规培目标,并促进肾脏内科规培医师综合素质的提升。Objective To evaluate the efficacy of case-based learning(CBL)-problem-based learning(PBL)-evidence-based medicine(EBM)integrated teaching method in the standardized training of nephrology resident physicians.Methods Sixty internal medicine trainees who were on a 2-month rotation in the Department of Nephrology between February 1st,2023 and August 31st,2023,were recruited and randomized 1∶1 into the CBL-PBL-EBM group and the CBL group.The scores of the two groups in the theoretical assessment,case analysis,and general skills were compared at the end of the rotation.Results There was no significant difference between experimental group and control group(45.21±3.67 vs 44.02±4.90,P>0.05).The test scores of test groups were higher than those of control group(42.48±2.35 vs 38.45±3.24,P<0.05),and the comprehensive scores were higher than those of control group(92.24±1.69 vs 89.21±1.56,P<0.05).At the same time,the scores of the experimental group in independent learning,literature query ability,critical thinking,and induction and summary ability were also significantly better than those of the control group,with statistical significance(P<0.05).Conclusion The CBL-PBL-EBM teaching method is better than the CBL teaching method,which can effectively achieve the training goals and enhance the overall competence of nephrology trainees.

关 键 词：CBL-PBL-EBM整合教学法 CBL教学法 住院医师规范化培训 肾脏内科 

分 类 号：R197.323.6[医药卫生—卫生事业管理] G642[医药卫生—公共卫生与预防医学]