PBL教学法在肝胆外科实习中的应用

Application of Problem-based Learning in Clinical Clerkship of Hepatobiliary Surgery

目的探讨五年制临床医学专业学生在肝胆外科学见习教学中以问题为基础学习教学方法的应用及其效果分析。方法以新疆医科大学第一附属医院肝胆外科见习的五年制临床医学专业60名学生为研究对象,引入以问题为基础学习教学方法,将学生分成2组,PBL教学组49人,LBL组52人,两组学生在肝胆外科学见习期间,分别采用PBL教学方法和传统教学方法。结果以问题为基础学习教学方法活跃了课堂气氛,充分发挥了学生的主观能动性,学生在教师的引导下学习正确分析病例、作出正确的诊断和治疗计划,提高了见习教学的效果。结论以问题为基础学习教学方法增强了学生学习的动力,提高了学生学习的兴趣和解决实际问题的能力,通过理论知识与实践的结合培养了学生的临床思维,为医学生成为一名合格的医生奠定了基础。

Objective To explore the teaching effect of the problem-based learning method used in clinical clerkship of hepatobiliary surgery. Method 60 students of oral medicine major were divided into 2 group, as the problem-based learning group（group A） and traditional teaching group（group B）. Problem-based learning（PBL） teaching method was used in group A and traditional teaching in group B. Results PBL teaching method stimulated the active climate of class and induced the students to discuss enthusiastically. The students were able to diagnose correctly and give appropriate treatment advice. The teaching effect was improved. Conclusions PBL teaching method can increase the students＇ learning motivation and interest, promote their ability to resolve practical problems, and cultivate their clinical thinking and conduce to the combination of theoretical knowledge with practice. It paves a way for the students to become qualified clinicians.