案例教学在临床实习教学中的实践与思考

Practice and thought of the case-based learning in the teaching of clinical practice

针对传统临床实习教学方式和资源的不足，本科室围绕诊断、诊断依据、实验室检查、治疗4个临床核心问题进行案例设计，运用PPT课件，按照案例导入、引导讨论、小结和讲授、反思和拓展以及布置课后作业的流程开展引导式案例教学，并进行对照试验。结果提示，案例教学可能对临床实习教学质量的提高有积极作用。主要体现在：有助于教学大纲的落实完成；有助于建立较传统临床教学更完整、规范的教学模式及考核体系；有助于学生将理论知识的系统性结构转化为应用性结构；有助于提高学生学习兴趣和积极性；有助于提高教学效率，使学生有更多时间参与临床技能的应用和训练。

In view of the deficiency of traditional teaching methods and teaching resources in clinical practice, our department has designed cases according to diagnosis, diagnosis basis, laboratory examination and treatment, and deploys the case based learning with PPT files according to such teaching process as case introduction, guiding discussion, summary and teaching, introspection and expansion as well as homework. Meanwhile contrast experiment was carried out. The results have showed the case based learning probably has the positive impact on improving teaching quality of clinical practice , mainly reflected in： ①contributing to the completion of the teaching outline;②contributing to the transform of theoretical knowledge from systemic structure to applied structure;③contributing to establishing the teaching model and assessment system which are more complete and standard than the traditional teaching methods; ④contributing to improving students＆#39; interest and mo-tivation;⑤contributing to improving the teaching efficiency, which makes students have more time to participate in the application and training of clinical skills.