以问题为基础学习的教学方法在耳鼻咽喉头颈外科学见习中的应用与评价

Assessment of the effectiveness of problem-based learning during the probation period of the otolaryngology head and neck surgery didactic course

目的应用并评价以问题为基础学习(PBL)的教学方法在耳鼻咽喉头颈外科学见习中的效果。方法以103名见习学生为研究对象,将其随机分为PBL组和非PBL组。通过调查问卷、操作考核及理论考核进行教学评价。结果 PBL组学生在参与小组讨论、收集资料、分析和解决问题、团队合作能力等方面均较非PBL组学生高,差异有统计学意义(P<0.05);PBL组学生在临床操作、理论知识的掌握亦优于非PBL组学生,差异无统计学意义(P>0.05)。结论 PBL教学方法对培养学生临床思维能力和提高学习积极性有积极作用。精心准备临床病例、提高引导学生自主学习能力、优化PBL评估方案是PBL教学中需要关注的重点。

Objective To assess the effectiveness of problem-based learning（PBL） among students of Otolaryngology Head and Neck Surgery during the probation period of the elective course.Methods One hundred and three students were divided into the PBL group and the non-PBL group.The effects of PBL were assessed by questionnaire,and operative and theoretical examination.Results The ability to participate in group discussion,data collection,problem solving,and team cooperation was superior in the PBL group as compared to the non-PBL group（P〈0.05）.In addition,the PBL group showed better performance in the operative and theoretical examination,as compared to the non-PBL group（P〉0.05）.Conclusion PBL can improve the clinical thinking and motivation of students.Well prepared cases,good guidance,and optimized assessment for students are the focus for developing effective PBL in Otolaryngology Head and Neck Surgery course work.