以问题为基础的教学模式联合以团队为基础的教学模式在骨肿瘤临床见习中的应用
West China Medical Journal（2020）
四川大学华西医院
Abstract
目的 比较以问题为基础的教学模式(problem-based learning,PBL)联合以团队为基础的教学模式(team-based learning,TBL)与传统教学法在骨肿瘤临床见习中的作用,探索较为适合骨肿瘤临床见习的带教方法.方法 将2017年4月在四川大学华西医院骨科骨肿瘤亚专业进行临床见习的四川大学华西临床医学院2013级临床医学五年制专业60例学生随机分为2组,试验组采用PBL联合TBL模式教学法,对照组采用传统教学法,比较两组学生的一般情况,并于见习结束后比较两组学生的知识掌握情况、综合能力和满意度.结果 两组学生的性别构成和上一学期“诊断学”课程考核成绩差异无统计学意义(P＞0.05).见习结束后,对于知识掌握情况,试验组的理论考试成绩[(89.13±3.47) vs.(87.03±2.99)分;t=2.511,P=0.015]、教师评价[(88.33±4.48)vs.(85.90±3.96)分;t=2.231,P=0.030]和学生评价[(89.83±2.97)vs.(87.47±2.91)分;t=3.117,P=0.003]均优于对照组;综合能力方面,试验组的推理归纳、信息管理、目标完成、沟通交流能力[(17.90±1.09)、(18.00±0.91)、(18.00±1.02)、(17.90±1.13)分]均优于对照组[(17.20±1.13)、(17.13±1.20)、(17.10±1.24)、(16.83±1.29)分],差异有统计学意义(P＜0.05);两组学生的满意度差异无统计学意义(P＞0.05).结论 PBL联合TBL模式可以增强学生在骨肿瘤临床见习中的效果,加深学生对专业知识的掌握,提高学生的综合能力,进而提高教学质量.
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