首页|MDT联合PBL+CBL模式在临床肝癌教学中的应用

MDT联合PBL+CBL模式在临床肝癌教学中的应用

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目的 探讨多学科会诊(multiple disciplinary team,MDT)联合问题导向教学法(problem based learning,PBL)+案例教学法(case based learning,CBL)教学模式在肝癌临床教学中的应用效果.方法 选择 2019 年 10月—2022 年 6 月入院实习的 128 名临床医学专业学生为研究对象,采用抽签法将其分为对照组 64 名和观察组64 名,对照组采取传统教学模式,观察组采取MDT联合PBL+CBL教学模式.对比两组学生考核成绩、对教学效果的认同度、教学满意度.结果 观察组考核成绩得分[理论知识(89.01±6.39)分、病例分析(84.16±5.04)分、技能操作(85.19±6.08)分]均高于对照组[理论知识(80.14±5.63)分、病例分析(76.69±5.60)分、技能操作(75.93±5.47)分],差异有统计学意义(P<0.05).观察组对MDT联合PBL+CBL教学模式能激发学习兴趣(95.31%)、加深对理论知识的理解(100.00%)、提升临床思维能力(93.75%)和临床分析能力(96.88%)、提高理论联系实践的能力(100%)、提升自学能力(96.88%)和团队协作能力(95.31%)的认同度均高于对照组(56.25%、60.94%、39.06%、62.50%、43.75%、35.94%、35.94%),差异有统计学意义(P<0.05).观察组对教学的满意度(92.19%)高于对照组(51.56%),差异有统计学意义(P<0.05).结论 MDT联合PBL+CBL的肝癌临床教学模式能提高教学质量,提升学生的综合素质.
Application of MDT Combined With PBL+CBL Model in Clinical Teaching of Liver Cancer
Objective To explore the application effect of MDT combined with PBL+CBL teaching model in clinical teaching of liver cancer.Methods A total of 128 clinical medicine students who admitted to hospital for internship from October 2019 to June 2022 were selected as the research subjects.They were randomly divided into a control group of 64 students and an observation group of 64 students using a lottery method.The control group was taught with the traditional teaching model,while the observation group was taught with the MDT combined with PBL+CBL teaching model.The two groups of students were compared in terms of assessment scores,recognition of teaching effect and teaching satisfaction.Results The scores of the observation group[theoretical knowledge(89.01±6.39)points,case analysis(84.16±5.04)points,skill operation(85.19±6.08)points]were higher than those of the control group[theoretical knowledge(80.14±5.63)points,case analysis(76.69±5.60)points,skill operation(75.93±5.47)points],the difference was statistically significant(P<0.05).In the observation group,MDT combined with PBL+CBL teaching model could stimulate learning interest(95.31%),deepen understanding of theoretical knowledge(100%),improve clinical thinking ability(93.75%)and clinical analysis ability(96.88%),improve the ability of linking theory with practice(100.00%),and improve self-study ability(96.88%)and team cooperation ability(95.31%)were higher than those of the control group(56.25%,60.94%,39.06%,62.50%,43.75%,35.94%,35.94%),the difference was statistically significant(P<0.05).The satisfaction of teaching in the observation group(92.19%)was higher than that in the control group(51.56%),the difference was statistically significant(P<0.05).Conclusion MDT combined with PBL+CBL clinical teaching model of liver cancer can improve the quality of teaching,improve the comprehensive quality of students.

liver cancerclinical teachingmultidisciplinary consultationbasic teachingcase teachingapplication effect

李顺乐、徐蒙、吴涛、陈熹、李玉婷

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西安交通大学第二附属医院普外科,陕西 西安 710004

肝癌 临床教学 多学科会诊 基础教学 案例教学 应用效果

2021年陕西省重点研发计划项目2020年西安市科协青年人才托举计划项目西安交通大学基本科研业务费专项科研项目

2021SF-229095920201314xzy012020042

2024

中国继续医学教育

中国继续医学教育

影响因子:2.564
ISSN:1674-9308
年,卷(期):2024.16(2)
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