摘要
目的探索以问题为导向的教学方法(PBL)联合循证医学在普外科临床实习教学中的优势与作用。方法将首都医科大学2007级五年制本科基础医学班在首都医科大学附属北京友谊医院临床实习的医师18人分为3个小组,每组6人,利用普外科病房实际病例作为研究资料,采用PBL联合循证医学,以问题为导向,充分利用学习工具分析证据,论证证据的真实性,有目的训练临床思维。采用问卷调查表与理论考试,调查学习积极性、自我评价、对教学满意度、对普通外科的兴趣及获取知识的效果。结果 18名实习医师均参加了答卷,17名实习医师获得了优良的成绩,认为PBL联合循证医学的新教学模式优于传统的教学方式,调动了学习积极性,提高了思维能力和学习能力,有利于培养较系统的临床思维。3位带教老师认为,与以往带教相比PBL联合循证医学的教学方式可以更好地激发实习医师的学习兴趣,有助于循证医学思维建立,实习医师掌握知识更加牢固和全面,答卷的答案书写更加规范有条理。结论利用循证医学以解决临床问题为出发点,针对提出的问题、寻找并评价证据、综合分析并正确应用证据以指导疾病的诊断和治疗,可以使以问题为导向的教学法的优势得到充分发挥。两者结合应用在临床实习中可达到良好的效果。
Objective To explore the superiority and effect of using problem basic learning （PBL） and evidence-based medicine （EBM） in general surgery practice. Methods Eighteen clinical interns at Beijing Friendship Hospital Affiliated to Capital Medical University who are from The 2007 Capital Medical University five years undergraduate basic medical courses were divided into 3 groups, each group of 6 people. Using actual cases in department of general surgery as the research data; Using PBL combined with evidence-based medicine ; Using problem basic learning ; Making full use of the learning tool for the evidence analysis, justifying the authenticity of the evidence, to train clinical thinking on purpose. Applying questionnaire and test of theory to investigate positivity of study, self-evaluation, degree of satisfaction for teaching, interest to department of general surgery and knowledge acquisition. Results Eighteen interns participated in the examination. Seventeen of them got good grades. They believe PBL combined with evidence-based medicine in the new teaching mode is better than the traditional teaching way. It arouses theenthusiasm of learning, improves the ability of thinking and learning. It is conducive to the cultivation of clinical thinking systematically. Three teachers believe, compared with the past teaching, PBL combined with evidence-based medicine teaching methods can better stimulate interns learning interest, help to establish evidence-based medicine thinking. It can make interns to grasp the knowledge more firmly and thoroughly, answers written are more normative and orderly. Conclusions We can utilize EBM to solve the clinical problems in response to the questions, finding and evaluating the evidence, comprehensive analysis and applying the evidence to guide the diagnosis and treatment of diseases, and can make full use of advantages of PBL teaching method. We can get satisfactory results in clinical clerkship through combining together the two teaching modes.
出处
《中华损伤与修复杂志（电子版）》
CAS
2012年第5期39-42,共4页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
关键词
以问题为导向教学法
循证医学
普外科
Problem basic learning
Evidence-based medicine
Department of general surgery
