首页|PBL与LBL教学法在骨外科临床教学中的应用

PBL与LBL教学法在骨外科临床教学中的应用

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目的 探究以问题为中心的教学模式(Problem-based Learning,PBL)与讲座式教学(Lecture-based Learning,LBL)在骨外科临床教学中的应用效果.方法 选取2022年2月—2024年2月皖南医学院第二附属医院实习的骨外科临床实习生60名为研究对象,按不同教学方法分为联合教学组(30名)与传统教学组(30名),传统教学组实施传统教学,联合教学组实施PBL联合LBL教学法.比较两组考核成绩、迷你临床演练评估(Mini-clinical Evaluation Exercise,Mini-CEX)评分、教学效果、教学满意度.结果 相较于教学前,两组教学后理论考试成绩、操作考试成绩均升高,且联合教学组均高于传统教学组,差异有统计学意义(P均<0.05).相较于传统教学组,联合教学组体格检查技能、人文关怀、沟通技能、整体临床胜任力、医疗面谈技能、临床判断、组织效能评分均更高,差异有统计学意义(P均<0.05).相较于传统教学组,联合教学组课堂交流能力、学习兴趣、学习主动性、解决问题能力、所学内容理解能力评分均更高,差异有统计学意义(P均<0.05).联合教学组教学满意度为100.00%(30/30),高于传统教学组的83.33%(25/30),差异有统计学意义(P<0.05).结论 PBL与LBL教学法联合应用于骨外科临床教学具有较好的效果,可有效提高考核成绩,提高Mini-CEX评分,提升教学满意度.
Application of PBL and LBL Pedagogy in Clinical Teaching of Orthopedic Surgery
Objective To investigate the effectiveness of problem-based learning(PBL)and lecture-based learning(LBL)in the clinical teaching of orthopedic surgery.Methods Sixty clinical interns of bone surgery in the Second Af-filiated Hospital of Wannan Medical College from February 2022 to February 2024 were selected as the study objects.They were divided into joint teaching group(30 students)and traditional teaching group(30 students)according to dif-ferent teaching methods.The traditional teaching group implemented traditional teaching,while the joint teaching group implemented PBL combined with LBL teaching.The assessment results,Mini-clinical Evaluation Exercise(Mini-CEX)score,teaching effect and teaching satisfaction of the two groups were compared.Results Compared with before teaching,both the theoretical and operational test scores of the two groups increased after teaching,and the combined teaching group was higher than the traditional teaching group,and the differences were statistically signifi-cant(both P<0.05).Compared with the traditional teaching group,the scores of physical examination skills,humanis-tic care,communication skills,overall clinical competence,medical interview skills,clinical judgment and organiza-tional effectiveness in the combined teaching group were higher,and the differences were statistically significant(all P<0.05).Compared with the traditional teaching group,the scores of classroom communication ability,learning interest,learning initiative,problem-solving ability and understanding ability of the combined teaching group were higher,and the differences were statistically significant(all P<0.05).The teaching satisfaction of the combined teaching group was 100.00%(30/30),higher than that of the traditional teaching group 83.33%(25/30),and the difference was statisti-cally significant(P<0.05).Conclusion The joint application of PBL teaching method and LBL teaching method in clinical teaching of orthopedic surgery has a good effect,which can effectively improve the assessment scores,improve the assessment results of Mini-CEX,and enhance the satisfaction of teaching.

Orthopedic surgeryClinical teachingProblem-based learningApplication effect

黄昌佳、裴付来

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皖南医学院第二附属医院脊柱骨科,安徽 芜湖 241000

骨外科 临床教学 以问题为中心的教学模式 应用效果

2020年度芜湖市科技计划项目

2020ms3-10

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(9)