摘要
目的评价以问题为基础的学习（problem-based learning，PBL）与以授课为基础的教学（1ecture—based learning，LBL）在我国皮肤科临床教学中的应用效果。方法在CNKI、维普、万方等数据库中，检索1990至2015年间发表的关于PBL与LBL在皮肤科临床教学中应用效果的随机对照研究（randomized controlled trials，RCT），采用RevMan5.3进行Meta分析。结果共纳入7项随机对照研究，包括710例医学生，其中PBL组354例，LBL组356例。结果显示：与LBL相比，PBL能够提高医学生皮肤病学的理论成绩[WMD=3．75，95％CI=2．58～4．92），P〈0．05]、临床技能成绩[WMD=5．27，95％CI=4．60-5．94，P〈0．05]和综合成绩[WMD=7．93，95％CI=6．49～9．37，P〈0．05]，差异具有统计学意义。结论在皮肤病学课程教学中使用PBL有助于提高医学生的理论成绩和临床技能。
Objective To evaluate the effects of problem-based learning （PBL） teaching mode and lecture-based learning （LBL） teaching mode applied in clinical teaching of dermatology in China. Methods All studies on PBL teaching mode and LBL teaching mode applied in clinical teaching of dermatology in China published from 1990 to 2015 were identified by searching in CNKI, VIP database, Wanfang data and so on. Meta-analysis was performed by RevMan 5.3 software. Results Six random controlled trials on 710 clinical students qualified for the meta-analysis according to our criteria. The students in PBL group got significant higher scores than those of the students in LBL group in theoretical scores [WMD=3.75, 95%CI= 2.58-4.92, P〈0.05], clinical skills tests [WMD=5.27, 95%CI=4.60-5.94, P〈0.05] and total scores [WMD= 7.93, 95%CI=6.49-9.37, P〈0.05]. Conclusion PBL teaching mode is an effective mode on teaching of dermatology in China, particularly for theoretical scores and clinical skills, compared with LBL mode.
出处
《中华医学教育探索杂志》
2016年第8期831-836,共6页
Chinese Journal of Medical Education Research
