引用本文:郑伟华,彭 娟,宋晓丹,李俊鹏,李 斌.基于问题学习与案例学习相结合教学模式在毛细支气管炎临床诊疗教学中的应用[J].中国临床新医学,2018,11(10):1005-1009.
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基于问题学习与案例学习相结合教学模式在毛细支气管炎临床诊疗教学中的应用
郑伟华,彭 娟,宋晓丹,李俊鹏,李 斌
541001 广西,桂林医学院附属医院儿科
摘要:
[摘要] 目的 探讨基于问题学习(PBL)与基于案例学习(CBL)相结合教学模式在儿科毛细支气管炎临床诊治在儿科见习医师教学的作用。方法 在桂林医学院2013级临床医学系全科医学专业五年制的见习生中随机抽取60名学生,随机分为观察组和对照组各30例。对照组采取传统教学模式。观察组采取PBL与CBL相结合教学模式。比较两组见习医师在教学前后学习效果的差异。结果 对照组理论考核成绩为优秀10人,良好15人,差5人。观察组理论考核成绩为优秀22人,良好8人,差0人。观察组在毛细支气管炎临床诊断和治疗方面显著优于对照组(P<0.05)。观察组对毛细支气管炎基础知识掌握程度,以及在临床诊断、治疗方面、对疾病的高危因素、预防等知识点的掌握程度明著优于对照组(P<0.05)。结论 在临床教学中实施PBL与CBL相结合的模式有助于全科医学专业见习生全面掌握毛细支气管炎临床诊断和治疗。
关键词:  儿科  基于问题学习教学  基于案例学习教学  毛细支气管炎  临床诊疗
DOI:10.3969/j.issn.1674-3806.2018.10.13
分类号:R 725.6
基金项目:
The teaching model of combining problem-based learning with case-based learning in the teaching of clinical management of bronchiolitis
ZHENG Wei-hua, PENG Juan, SONG Xiao-dan, et al.
Department of Pediatrics, the Affiliated Hospital of Guilin Medical College, Guangxi 541001, China
Abstract:
[Abstract] Objective To explore the effects of the teaching model of combining problem-based learning(PBL) with case-based learning(CBL) on the teaching of clinical management of bronchiolitis for pediatric interns. Methods Sixty intern students were randomly selected from the 2013 grade 5-year General Medicine Major at the School of Clinical Medicine of Guilin Medical University and randomly divided into observation group(n=30) and control group(n=30). The traditional teaching model was adopted in the control group. The observation group was adopted the teaching model combining PBL with CBL. The difference of learning effects were compared between the groups of interns before and after teaching. Results The results of theoretical examination before the teaching reform were excellent in 10, good in 15 and poor in 5. After teaching reform, the results of the theoretical assessment were excellent in 22, good in 8 and poor in 0, and the test group was significantly better than the control group in the diagnosis and treatment of bronchiolitis(P<0.05). After the reform, the interns understood better the basic knowledge of bronchiolitis, clinical diagnosis and treatment, as well as the risk factors of the disease, prevention and other knowledge points than they did before the teaching reform(P<0.05). Conclusion The teaching model combining PBL with CBL is favorable for general medicine interns to thoroughly grasp the diagnosis and treatment of bronchiolitis.
Key words:  Pediatrics  Problem-based learning(PBL)  Case-based learning(CBL)  Bronchiolitis  Clinical diagnosis and treatment