首页|PBL结合CBL教学法在住院医师规范化培训中的系统评价

PBL结合CBL教学法在住院医师规范化培训中的系统评价

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目的 系统评价基于问题的学习模式(Problem-Based Learning,PBL)结合基于病例的学习模式(Case-Based Learning,CBL)在国内住院医师规范化培训(简称规培)中的效果.方法 检索知网、万方、维普全文数据库,纳入PBL结合CBL教学对比单纯传统讲座式教学(Lecture-Based Learning,LBL)的随机对照研究或队列研究,研究对象为住院医师规范化培训医师,结局指标为理论考试成绩与实践操作的总成绩.获得目标文献后,提取数据进行Meta分析,合并指标以标准化均数差(Standardized Mean Difference,SMD)和95%置信区间(Confidence Interval,CI)表示.结果 最终纳入23篇文献,共计1 384名规培医师,其中观察组698名、对照组686名.Meta分析结果显示:与LBL教学法相比,PBL联合CBL教学法能够提高规培医生的考核总成绩(SMD=1.79,95%CI:1.45~2.12,P<0.001).结论 基于现有研究数据,与传统LBL教学模式比较,PBL结合CBL教学能显著提高住院医师规范化培训的效果,但未来仍需要设计良好的高质量随机对照研究证实现有结果.
Systematic Evaluation of PBL Combined with CBL Teaching Method in Standardized Training of Residents
Objective To systematically evaluate the effect of problem-based learning model(PBL)combined with case-based learning model(CBL)in the standardized training of resident physicians in China.Methods The random-ized controlled study or cohort study of PBL combined with CBL teaching compared with lecture-based learning(LBL)teaching alone was searched through CNKI,Wanfang and VIP full-text databases.The subjects of the study were stan-dardized training physicians for resident doctors,and the outcome indexes were theoretical examination scores and to-tal scores of practical operations.After the target literature was obtained,the data were extracted for meta-analysis,and the combined indicators were expressed as standardized mean difference(SMD)and 95%confidence interval(CI).Results Finally,23 literatures were included,with a total of 1 384 trained physicians,including 698 in the observa-tion group and 686 in the control group.The results of meta-analysis showed that compared with LBL teaching method,PBL combined with CBL teaching method could improve the total test scores of trained doctors(SMD=1.79,95%CI:1.45-2.12,P<0.001).Conclusion Based on the existing research data,compared with the traditional LBL teaching mode,PBL combined with CBL teaching can significantly improve the effect of standardized resident train-ing,but in the future,well-designed high-quality randomized controlled studies are still needed to confirm the exist-ing results.

Problem-based learningCase-based learningLecture teachingStandardized training for resident doc-torsMeta-analysisPedagogy

王岩、刘江涛

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解放军总医院第一医学中心放射诊断科,北京 100853

解放军总医院海南医院消化内科,海南三亚 572013

基于问题的学习 基于病例的学习 讲座式教学 住院医师规范化培训 Meta分析 教学法

2024

中国卫生产业
全国卫生产业企业管理协会

中国卫生产业

影响因子:0.692
ISSN:1672-5654
年,卷(期):2024.21(3)