开展PCMC式病理实验课之CPC教学实践

Teaching practice of CPC in PCMC pathology experiment course

目的探讨应用数码互动系统，开展基于问题的临床医学课程（problem—originatedclini—calmedicalcurriculum，PCMC）形式的病理学临床病理讨论会（clinicalpathologicalconference，CPC）的实施效果。方法以临床医学专业和影像诊断专业本科二年级384名学生为教学对象．随机分为实验组（192人）和对照组（192人），分别进行PCMC式病理实验教学和传统病理实验课教学。课程结束后，以理论考试和实验成绩评定教学效果。使用SPSS13．0对两组学生成绩行Levene方差齐性分析和t检验；并通过问卷，调查学生的自我能力评价情况。结果实验组学生的理论考试平均成绩（86．16±3.28）明显高于对照组（75．63±2．24）（P=0．000），其实验平均成绩（27．10±0．61）也明显高于对照组（19．87±0．25）（P=0．000）。问卷调查表明，实验组学生相较于对照组，综合能力提升更明显。结论PCMC式病理学教学有利于提高学生理论联系实际以及分析解决问题的能力，并明显激发了其学习兴趣，值得推广。

Objective To investigate the teaching effect of the PCMC-type （problem-originated clinical medical curriculum） pathology experiment course and clinical pathological conference （CPC） by using microscope digital system. Methods 384 undergraduates of second grade in clinical medicine major and imaging diagnosis major were chosen for the teaching reform project, all of whom were divided into experi- mental group （192） and control group （192）, randomly, and they were taught by PCMC pathological experi- ment teaching and the traditional pathological experiment teaching separately. After the curriculum, statistic analysis of test score was used to analyze the teaching effect. SPSS 13.0 software diagram method was used to perform Levene variance analysis and t test to the achievement of two groups of students and the students＇ ability of self evaluation was investigated through questionnaire. Results The average score of the students in the experimental group （86.16 ± 3.28） in the theory exam was significantly higher than that of control group （75.63 ± 2.24） （P=0.000）. And the average score of the students in the experimental group in experi- ment （27.10 ± 0.61） was significantly higher than that in control group （19.87 ± 0.25） （P=0.000）. The ques- tionnaire showed that compared with control group, the comprehensive ability of the students in the experi- mental group was obviously enhanced. Conclusion The PCMC pathology teaching is beneficial to improv- ing the students＇ ability of linking theory with practice and enhancing their ability to analyze and solve problems, and obviously stimulate their interest in learning. It is worth promoting.