PBL教学提高医学生团队合作和核心竞争力

Improving students'collaboration and competence through problem-based learning

目的:基于问题的学习(PBL)已被认为是改善医学教育的一个重要的教育方法,在妇产科临床带教中使用PBL教学与传统教学,试图寻找更适合的医学教学模式。方法:将分配到妇产科实习的临床七年制学生61人,随机分成两组,实验组采用PBL教学法(n=31),对照组采用传统的讲授法(n=30)。实验组使用PBL评价量表和课堂教学质量评价表,对照组采用课堂教学质量评价表。结果:实验组的PBL评价量表中"培养临床思维"和"促进团队合作意识"得分较高,"构建专业知识"和"帮助学习其他课程"得分最低。实验组在教学内容、教学方法和手段、教学效果这三方面得分较对照组高,差异有统计学意义(P<0.05)。结论:PBL教学方法与传统教学方法相比,有利于培养学生的团队合作和解决问题的能力,可提高医学生临床思维能力和核心竞争力,值得密切关注。

Objective：Problem-based Learning （PBL）has been suggested as a key educational method of knowledge acquisition to improve medical education. We used PBL and conventional teaching method in obstetrics and gynecology clinical teaching to clarify which curricula fit medical education better. Methods ：Sixtyone interns in obstetrics and gynecology department of the First Affiliated Hospital of Nanjing Medical University were randomly divided into two groups：experimental group using PBL teaching method（n = 31 ）and control group using conventional teaching method （n = 30）. The experimental group used PBL rating scale and the evaluation form of teaching quality,and the control group used the evaluation form of teaching quality. Results：Tow parts of ＂build clinical thinking＂ and ＂promote a sense of teamwork＂ got the professional knowledge＂ and ＂help to learn other courses＂ had highest score in PBL rating scale and ＂build the lowest score. Experimental group had statistically higher score in three aspects than the control group（P 〈 0.05）,which were teaching content,teaching methods and teaching effectiveness. Conclusion：Comparing to conventional teaching methods,PBL is conducive to develop students＇ teamwork and problem-solving skills, improve medical students＇ clinical thinking ability and core competitiveness. Researches deserve closer attention in the future PBL teaching method.