CBL教学法在牙体牙髓病科临床实习中的应用

Application of case-based learning in clinical internship teaching of conservative dentistry and endodontics

目的:探讨CBL(case-based learning)教学法指导牙体牙髓病学临床实习的教学效果。方法:将41名学生随机分为CBL教学指导组和传统带教组,经11周牙体牙髓病学的临床实习,出科前对2组同学进行病历书写、病例分析、专业理论、专业技能操作、争得患者合作能力5方面考核和考试,采用SPSS13.0软件包对成绩差异进行独立样本t检验。结果:2组学生的理论考试和专业技能操作考试成绩无显著差异(P>0.05);在病历书写考核、病例分析测评及争得患者合作能力3方面,CBL教学组显著高于传统带教组(P<0.05)。结论:在牙体牙髓病学的临床实习中恰当引入CBL教学法,有助于提高学生的临床思维能力、综合分析能力和处理病例的应变能力。

PURPOSE： To investigate the education effect of case-based learning （CBL） pattern on clinical internship of conservative dentistry and endodontics. METHODS： Forty-one undergraduates were randomly assigned into CBL group and traditional teaching group. After clinical internship in the department of conservative dentistry and endodonties for 11 weeks, each student in the 2 groups underwent comprehensive examinations including medical record writing, case analysis, academic knowledge, professional skills and the ability of winning the trust of the patients. The scores were compared between the 2 groups using SPSS 13.0 software package. RESULTS： There was no significant difference between the 2 groups with regard to the scores of academic knowledge and profession skills （P〉0.05）. However, the results of medical record writing, case analysis and the ability of winning the trust of the patients showed significant difference between the 2 groups（P〈0.05）. CONCLUSIONS： Proper application of CBL in clinical internship of conservative dentistry and endodontics contributes to improve students＇ ability of clinical thinking, synthetical analysis and adaptability to different patients.