PBL结合案例教学在泌尿外科见习教学中的实践

Problem-based learning combined with case teaching method in urological probationary teaching

目的探讨采用PBL结合案例教学在三年制高职临床专科医学泌尿外科见习教学中的效果。方法选取在石嘴山市第二人民医院见习的宁夏医科大学高职临床专科班2015级1班45名和2016级2班37名学生为研究对象,每班分为4个小组,再从每班抽取2个小组进行分组教学,实验组(42名)采用PBL结合案例教学进行教学,对照组(40名)采用传统临床见习教学方法进行教学,对两组学生在泌尿外科见习成绩和效果进行问卷调查。采用SPSS 16.0进行t检验。结果实验组和对照组学生的理论考试成绩,差异无统计学意义(P>0.05);两组学生的病史采集、体格检查、实践技能成绩及总成绩比较,实验组高于对照组,差异有统计学意义。见习效果问卷调查结果显示,实验组教学可明显调动学习积极性,提高参与教学意识,提高自学能力,提高信息获取能力,培养创新能力,提高分析解决问题能力及提高团队意识,差异有统计学意义(P<0.05)。结论在泌尿外科见习教学中,采用PBL结合案例教学有利于提高学生学习成绩、见习效果与综合实践能力,在临床教学中有推广价值。

Objective To explore the effect of problem-based learning(PBL)combined with case teaching method in the three-year probationary teaching of clinical urology in three-year higher vocational colleges.Methods A total of 45 students from Class 1,Grade 2015,and 37 students from Class 2,Grade 2016 of Ningxia Medical University were selected as study subjects.They were divided into experimental group and control group.Forty-two students in experimental group were taught with PBL combined with case teaching method.40 students in control group were taught with traditional clinical probation teaching method.Besides,a questionnaire survey was conducted among two groups of students in the Department of urology.Results There was no significant difference in the scores of theoretical examination between the experimental group and the control group(P>0.05).The scores of medical history collection,physical examination,practical skills and total scores were much higher in the experimental group than in the control group.The results of the questionnaire survey showed that the teaching of the experimental group could significantly motivate students'enthusiasm and participation,as well as enhance ability of self-study,information acquisition,innovation,analysis and problem-solving and team consciousness(P<0.05).Conclusion The new model of PBL combined with case teaching is helpful in improving students'academic performance,probation effect and comprehensive practical ability in urology internship teaching,which is worth being popularized in clinical teaching.