患者教学法在眼、耳鼻咽喉科见习中的应用

Application of patients-based Learning method in clinical noviciate of ophthalmology and otolaryngology

目的探讨患者教学法在眼、耳鼻咽喉科见习课程中的应用及效果。方法选取2014年3月-2014年6月昆明医科大学本科阶段眼科及耳鼻咽喉科见习学生120名,每科各60名,分别分为实验组（A组）和对照组（B组）,每组各30名。A组采用患者教学法,B组采用常规教学法。比较A组与B组的教学满意度评分、实践技能考核、理论考核三项得分。结果教学满意度评分、实践技能考核、理论考核三项得分情况在眼科A组分别为（90.24±6.68）、（85.19±7.12）、（93.66±5.10）分,眼科B组分别为（82.83±7.12）、（78.95±8.56）、（90.43±6.78）分;在耳鼻咽喉科A组分别为（89.63±5.35）、（83.44±3.67）、（92.01±5.47）分,耳鼻咽喉科B组分别为（80.68±4.12）、（77.65±3.46）、（88.45±7.64）分。眼科与耳鼻咽喉科教学中A组三项得分均高于B组,差异均有统计学意义（P〈0.01或P〈0.05）。结论患者教学法在眼耳鼻咽喉科见习课程中有较好的教学效果,值得推广。

Objective To explore the feasibility and effect of the patients-based learning method（PTBL） in clinical noviciate of Ophthalmology and Otolaryngology. Methods From March to June 2014, 120 clinical noviciates from Department of Clinical in Kunming Medical University were selected, with 60 students from Ophthalmology and Otolaryngology respectively, and divided into experiment group（group A） and control group（group B）, with 30 students in each group. Group A were given PTBL method, group B were given conventional teaching method. Each teaching method was evaluated by students through the teaching satisfaction survey, practical skills and theoretical exams＇ scores, and the results were compared between group A and B. Results The teaching satisfaction survey, practical skills and theoretical scores of ophthalmology exams group A were（90.24 ±6.68）,（85.19 ±7.12）,（93.66 ±5.10） scores, those of ophthalmology group B were（82.83 ±7.12）,（78.95 ±8.56）,（90.43 ±6.78） scores; the same items results of otolaryngology group A were（89.63±5.35）,（83.44 ±3.67）,（92.01 ±5.47） scores and those of otolaryngology group B were（80.68 ±4.12）,（77.65±3.46）,（88.45±7.64） scores, the resluts of two groups A were higher than those of two gruops B, the differences were statistically significant（P 0.01 or P〈0.05）. Conclusion Application of PTBL method in clinical noviciate of Ophthalmology and Otolaryngology has certain promotion value.