以问题为基础学习教学方法在心脏内科学临床教学中的应用

Application of the problem-based learning teaching method in clinical teaching of cardiovascular medicine

目的 探讨以问题为基础学习教学法在心脏内科学临床教学中的应用效果.方法 选取在重庆市中山医院心脏内科进行临床实习的重庆医科大学2007级儿科学专业2个班学生为研究对象,其中一个班48人为为实验组,另一个班47人为对照组,实验组采用以问题为基础学习教学法,对照组采用传统教学法.分析比较2班学生实习结束后的考试成绩和问卷调查结果,探讨2种教学方法的效果.结果 实验组学生的考试成绩优于对照组（x2=7.407,P=0.025）,实验组学生较对照组学生对学习表现出更大的兴趣,更积极、更自信（U＜0.001,P=0.009）.结论 以问题为基础学习教学方法在心脏内科学临床教学中能够取得较好的教学效果.

Objective To evaluate the effects of problem-based learning（PBL） in cardiovascular medicine.Methods We choosed two classes of the 2007 grade paediatric department practicing in Cardiovascular medicine.The one calss was trial group（n =48）,the other was control group（n =47）.PBL method was used in trial group,lecture-based learning（LBL） was used in control group.The examination scores of students in two classes and the questionnaire survey results were compared,the effect of two kinds of teaching methods was discussed.Results The distribution of scores of students in trial group prior to that of control group（x2 =7.407,P =0.025）,The trial group students showed greater interest in learning,more active and more confident than the control group students （U ＜ 0.001,P =0.009）.Conclusions PBL teaching method can obtain better effects than LBL in clinical teaching of cardiovascular medicine.