CBL结合“三步教学法”在耳鼻咽喉科进修医师听力学教学中的应用

Application of CBL combined with“three-step teaching method”in audiology teaching for advanced training physicians in otolaryngology department

目的研究和探讨以案例为基础的教学法(case-basedlearning,CBL)结合"三步教学法"在耳鼻咽喉科进修医师听力学教学实践中的作用。方法以2018年和2019年在中山大学附属第一医院耳鼻咽喉科进行培训学习的50名学员为研究对象,依据培训学习时间分为A组和B组。2018年26名学员为A组,采用讲授式教学法(lecture-based learning,LBL);2019年24名学员为B组,采用CBL结合"三步教学法"。耳科培训前后对两组学员进行听力学考核及问卷调查。结果两组学员在年龄、性别、培训前听力学考试成绩等方面无差异(均P>0.05)。耳科培训结束时两组学员听力学考试成绩均有提高,但B组学员提高优于对照组,差异具有统计学意义(P<0.05)。问卷调查显示,B组学员对CBL结合"三步教学法"满意度为91.67%,两组学员在学习兴趣、听力检查阅读效率、听力学检查评估自信心、听力学检查综合分析能力等方面,B组学员满意度评价均优于A组,两组差异有统计学意义(均P<0.05)。结论 CBL结合"三步教学法"可以有效帮助耳鼻咽喉科进修医师提升听力学检查综合分析能力。

Objective To study the role of case-based learning(CBL)combined with“three-step teaching method”in audiology teaching for advanced training physicians in otolaryngology.Methods A total of 50 trainees from Department of Otolaryngology of the First Affiliated Hospital of Sun Yat-sen University in 2018(26 trainees)and 2019(24 trainees)were selected and divided into group A and group Baccording to the training time.The lecture-based learning(LBL)and CBL combined with“three-step teaching method”were applied in group A and B respectively.Audiological assessment and questionnaire survey were conducted before and after otology training.Results There was no significant difference in age,gender and audiology test scores between the two groups(P>0.05).At the end of otology training,the scores of both groups were improved,but the improvement of group B was better than that of group A,with significant difference(P<0.05).The questionnaire survey showed that the satisfaction of group B was 91.67%,better than that of A group in terms of learning interest,reading efficiency of listening examination,self-confidence of audiological examination and comprehensive analysis ability of audiology examination,and the difference was statistically significant between the two groups(P<0.05).Conclusion CBL combined with“three-step teaching method”can effectively help otolaryngologists to improve the comprehensive analysis ability of audiology examination for advanced training physicians in otolaryngology.