PBL联合CBL教学模式在住院医师规范化培训中的应用

Teaching Method Combining PBL with CBL in Standardized Training of Residents

目的分析PBL联合CBL模式在住院医师规范化培训中的应用价值。方法选取2013年-2015年在某院肾病内科和普通外科参加住院医师规范化培训学生共81人,随机分组,分别采用PBL联合CBL教学模式及传统LBL教学模式进行授课,规范化培训结束统一进行理论考试和实践操作技能考核,并进行问卷调查了解学生对于教学方式的评价,应用SPSS19.0软件将两组数据进行统计学分析。结果 PBL联合CBL教学模式与传统LBL教学模式相比,学生理论考试客观题及实践操作成绩差异无统计学意义(P>0.05),主观题和病例分析成绩差异有统计学意义(P<0.05),学生对于PBL联合CBL教学模式的评价和传统LBL教学模式相比差异有统计学意义(P<0.05)。结论 PBL联合CBL教学模式有利于提高住院医师规范化培训教学效果,学生普遍更倾向于该教学模式,该模式激发了学习的兴趣和主动性,有利于培养学生团队协作精神。

Objective To analyze the application value of the teaching method combining PBL with CBL in standardized training of residents. Methods 81 residents from 2013 to 2015 from the department of nephrology, and the department of general surgery are selected to randomly allocate using PBL and CBL teaching modes and traditional LBL teaching mode. Carry out the theory and practical skills exams at the end of the training and questionnaire survey to understand the residents for teaching evaluation, Two groups of data analyzed by SPSS 19.0.Results There is no significant difference between the mode combining PBL with CBL and the LBL mode about the objective questions and the practical operation skills（P〈0.05）, while there is a significant difference between the two groups about the subjective questions and the case analysis（P〈0.05）. There is a significant difference between the two groups about the evaluation on the two modes（P〈0.05）. Conclusion The mode combining PBL with CBL can improve the teaching effectiveness in training of residents. Residents generally prefer the teaching mode, which stimulates interest in learning and cultivates the spirit of teamwork.