首页|CBL+PBL联合SP教学法在神经外科研究生培养中的探索

CBL+PBL联合SP教学法在神经外科研究生培养中的探索

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目的 探索案例教学法(case-based learning,CBL)及基于问题的教学法(problem-based learning,PBL)联合标准化病人(standardized patient,SP)教学法在神经外科研究生培养中的应用效果.方法 选取2020年 8 月—2022 年 8 月昆明医科大学第一附属医院神经外科专业 3 个年级研究生共 60 名,按入科顺序分为传统教学组、CBL+PBL组及CBL+PBL+SP组,每组 20名.进行 3 个月的入科培训后对学生的综合考核成绩、临床技能、病历质量、SP评价及自我感知能力进行评价.结果 CBL+PBL组、CBL+PBL+SP组课后的基本理论、病例分析成绩均优于传统教学组,差异有统计学意义(P<0.05).CBL+PBL+SP组的查体、腰穿及影像资料判读均优于其他 2 组,差异有统计学意义(P<0.05).CBL+PBL组与CBL+PBL+SP组的病历书写成绩均优于传统教学组,差异有统计学意义(P<0.05).CBL+PBL组与CBL+PBL+SP组的SP综合评价成绩、学生满意度、技能和知识吸收能力、医患沟通技巧、学习动机、理解力、师生互动、课程所花时间、课后考试、临床思维能力、自学能力、团队合作能力及完成课题能力均优于传统教学组,差异有统计学意义(P<0.05).结论 CBL+PBL联合SP教学法在提高研究生临床操作技能、医患沟通技巧、知识理解及吸收能力等方面具有一定优势,是一种更有效的研究生培养方法.
Exploration on CBL+PBL Combined With SP Teaching Method in the Training of Neurosurgery Graduate Sudents
Objective To explore the application effect of case-based learning(CBL)and problem-based learning(PBL)combined with standardized patients(SP)teaching method in the training of neurosurgery graduate students.Methods A total of 60 graduate students from three grades in the department of neurosurgery at the First Affiliated Hospital of Kunming Medical University were selected from August 2020 to August 2022.They were divided into traditional teaching group,CBL+PBL group,and CBL+PBL+SP group in order of enrollment,with 20 students in each group.After 3 months of enrollment training,evaluated the comprehensive assessment,clinical skills,medical record quality,SP evaluation,and self perception ability of students.Results The basic theoretical and case analysis scores of the CBL+PBL group and the CBL+PBL+SP group after class were better than those of the traditional teaching group,and the differences were statistically significant(P<0.05).The physical examination,lumbar puncture,and imaging data interpretation of the CBL+PBL+SP group were superior to those of the other two groups,and the difference was statistically significant(P<0.05).The medical record writing scores of the CBL+PBL group and the CBL+PBL+SP group were both better than those of the traditional teaching group,and the difference were statistically significant(P<0.05).The SP comprehensive evaluation scores,student satisfaction,skills and knowledge absorption ability,doctor-patient communication skills,learning motivation,understanding,teacher-student interaction,course time spent,after-school exams,clinical thinking ability,self-learning ability,teamwork ability,and project completion ability of the CBL+PBL group and the CBL+PBL+SP group were all better than those of the traditional teaching group,and the differences were statistically significant(P<0.05).Conclusion The CBL+PBL combined with SP teaching method has certain advantages in improving the clinical operation skills,doctor-patient communication skills,knowledge understanding,and absorption ability of graduate students.It is a more effective method for graduate education.

CBLPBLSPgraduate studentsneurosurgeryteaching modeclinical skillsselfperception ability

万程、牟临杰、张兴逵、李俊君、李智高、王向鹏、汤志伟

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昆明医科大学第一附属医院介入科,云南 昆明 650032

昆明医科大学第一附属医院神经外科,云南 昆明 650032

CBL PBL SP 研究生 神经外科 教学模式 临床技能 自我感知能力

昆明医科大学教学改革研究项目

2022-JY-Y-072

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(6)
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