摘要
目的 研究针对具体临床病例的以问题为基础的学习(problem-based learning,PBL)和关节镜模拟训练相结合的骨关节科关节镜临床教学效果。方法 选取重庆医科大学附属第一医院骨科轮转实习学生40名,分为实验组(n=20)和对照组(n=20)。对照组采用传统的临床教学,实验组则在传统教学的基础上,采用针对具体临床病例的PBL和关节镜模拟训练相结合的教学,通过专科业务能力考核及匿名教学质量问卷调查进行效果评价。应用SAS 9.2 软件进行统计分析。结果实验组综合业务能力考核(43.00±6.15)分,高于对照组的(35.90±4.94)分。除患者对学生的评价外,实验组学生的其他单项业务能力考核评分均优于对照组,且差异有统计学意义(P<0.05)。在教学质量方面,除协调合作能力增强这一项外,实验组其他单项评估赞同人数均多于对照组。结论 应用针对具体临床病例的PBL和关节镜模拟训练相结合的临床教学方法,可以提高临床学生的学习积极性和学习能力,提升学生的临床操作技能熟练度。
Objective To investigate the teaching effect of problem-based learning (PBL) for specific cases combined with arthroscopic simulated training in the clinical teaching of arthroscopy for orthopedics. Methods A total of 40 clinical interns in Department of Orthopaedics, the First Affiliated Hospital of Chongqing Medical Hospital were selected and divided into experimental group and control group. The interns in the control group received traditional clinical training, and those in the experimental group received the clinical teaching of PBL for specific case combined with arthroscopic simulated training. SAS 9.2 software was used for a statistical analysis of teaching outcomes. Results The experimental group had a significantly higher score of comprehensive professional ability than the control group [(43.00±6.15) vs.(35.90±4.94), P<0.05]. Compared with the control group, the experimental group had significantly better scores of all items of professional ability assessment except patients' evaluation of interns (all P<0.05). As for the quality of teaching, compared with the control group, the experimental group had significantly higher numbers of interns who agreed to each assessment item except the item of improvement in coordination and cooperation ability. Conclusion The clinical teaching method of PBL for specific case combined with arthroscopic simulated training can improve learning enthusiasm and ability and proficiency of clinical operational skills among clinical interns, and therefore, it holds promise for application in clinical teaching.
作者
张华
周爱国
Zhang Hua;Zhou Aiguo(Department of Orthopaedics, the First Affiliated Hospital of Chongqing Medical Hospital, Chongqing 400016, China)
出处
《中华医学教育探索杂志》
2019年第5期449-453,共5页
Chinese Journal of Medical Education Research
