基于问题的学习和翻转课堂相结合教学方法在胃肠外科学临床教学中的应用

Application of combined teaching methods of Flipped classroom and problem-based learning in clinical teaching of gastrointestinal surgery

目的 探讨基于问题的学习（problem-based learning,PBL）和翻转课堂相结合的教学方法在胃肠外科学临床教学中的应用效果.方法 选择重庆医科大学2011级五年制临床医学专业60名见习学生为研究对象.采用实验对照方法,将60名学生随机分为实验组与对照组,实验组采用PBL和翻转课堂相结合的教学方法,对照组采用传统教学方法.见习结束后,通过基础知识和实践技能考核以及自制问卷调查,比较两种教学方法的教学效果.结果 实验组学生理论和实践能力考核总分为（82.27±4.56）分高于对照组学生的（76.43±5.24）分,差异具有统计学意义（t=4.596,P〈0.05）;问卷调查结果显示,实验组学生对PBL和翻转课堂相结合教学方法认可度较高,认为能够更好地激发学习兴趣和培养自身的能力.结论 PBL和翻转课堂相结合教学方法在胃肠外科学临床教学中的应用是有效的,是对改进PBL教学进行的一种有益的探索.

Objective To investigate the application effect of combined teaching methods of Flipped classroom and problem-based learning in clinical teaching of gastrointestinal surgery.Methods 60 five-year clinical medical undergraduates from Chongqing Medical University（grade 2011） were randomly divided into experimental group and control group,experimental group received combined teaching methods of PBL and Flipped classroom,control group received traditional teaching method.The effects of the two methods were compared by self-made questionnaire,examinati on evaluation of clinical performances after the probation.Results The total score including theoretical knowledge and clinical practice of experimental group was （82.27 ± 4.56） higher than （76.43 ± 5.24） of the control group （t =4.596,P 〈 0.05）.The questionnaire results showed that the students of experimental group were satisfied with the combined teaching methods,and thought it can better stimulate interest in learning and develop their own ability.Conclusions The combined teaching methods are effective in clinical teaching of gastrointestinal surgery.It was an effective exploration of improveing PBL teaching.