以问题为基础学习与疾病诊治指南学习相结合教学方法的研究与实践

The effects of the teaching methods of problem-based learning and the guidelines learning together on the practice outcomes of the clinical clerkship

目的 研究以问题为基础学习（problem-based learning,PBL）与疾病诊治指南学习相结合教学方法对学生临床实习效果的影响.方法 选择在广州医科大学附属第一医院呼吸内科实习的广州医科大学2008级五年制临床医学专业39名学生为研究对象,将其随机分为实验组20人、对照组19人.实验组采用PBL与疾病诊治指南相结合教学方法,对照组采用常规教学方法.呼吸内科实习结束后,比较两组学生的平时总成绩、理论知识及实践技能考核成绩.结果 实验组学生的平时总成绩、理论考试成绩及实践技能考核成绩均高于对照组学生,P＜0.05.结论 PBL与疾病诊治指南相结合教学方法能够提高学生的实习效果.

Objective To observe the effects of the combinative educational methods on the intem doctors＆#39; clinical practice outcomes,which were consisted of the problem-based learning （PBL） and the guidelines for disease diagnosis and treatment learning.Methods The study recruited 39 clinical students who took up their clerkship in the department of the respiratory medicine,First Affiliated Hospital of Guangzhou Medical University.The students were randomly divided into two groups：the experimental group （PBL and guidelines,n =20） and the control one （n =19） ; the former was given the combinative teaching methods consisted of PBL and learning of guidelines for disease diagnosis and treatment,and the latter was given the traditionally teaching methods.The outcome of the clinical practice was evaluated for each student at the end of their clerkship,which covered each student＆#39; s usual-time mark and overall mark,and the overall mark was made up of the theory examination and practice skills assessment.Results The experimental group presented a better performance in the clerkship,with the overall mark significantly higher in the experimental group than that in control one （P〈0.05）; the usual-time mark,final theory exam and practice mark were all significantly higher in the experimental group relative to the control one,with each P〈 0.05.Conclusions The study results conclude that the combinative teaching methods consisted of PBL and learning of guidelines can improve the effects of the clerkship outcomes substantially.