PBL联合CBL教学法在肾内科本科生临床见习中的应用

Application of PBL combined with CBL Teaching Method in Clinical Pro⁃bation of Nephrology Undergraduates

目的探讨以问题为基础教学法(Problem-based Learning,PBL)联合案例式教学法(Case Based Learning,CBL)在肾内科本科生临床见习中的应用价值。方法选取2021年9月—2023年9月在内蒙古科技大学包头医学院第一附属医院肾内科进行临床实习的89名实习生为研究对象。根据不同教学方法分组,对照组44名实习生接受常规教学法,研究组45名实习生接受PBL联合CBL教学法,实习结束后评价两组教学效果。结果研究组实习生总考核成绩较对照组高,差异有统计学意义(P<0.05);研究组实习生自主学习能力评分较对照组高,差异有统计学意义(P均<0.05);入科时两组实习生评判性思维能力量表(Critical Thinking Disposition Inventory-Chinese Version,CTDI-CV)比较,差异无统计学意义(P均>0.05),出科时研究组实习生CDTI-CV总分提高较对照组更加明显,差异有统计学意义(P<0.05);研究组实习生对教学指标的认可度较对照组高,差异有统计学意义(P均<0.05)。结论在肾内科本科生临床见习中运用PBL联合CBL教学法有助于提高实习生自主学习能力及评判性思维能力,提高教学效果。

Objective To explore the application value of problem-based teaching method(PBL)combined with case-based teaching method(CBL)in clinical probation of nephrology undergraduates.Methods Eighty-nine interns who performed clinical practice in the Department of Nephrology of the First Affiliated Hospital of Baotou Medical College of Inner Mongolia University of Science and Technology from September 2021 to September 2023 were selected as the study objects.They were grouped according to different teaching methods.Forty-four interns in the control group received the conventional teaching method,and forty-five interns in the study group received PBL combined with CBL teaching method.The teaching effect of the two groups was evaluated after the practice.Results The total assessment scores of interns in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).The scores of interns'autonomous learning ability in the study group were higher than those in the control group,and the differences were statistically significant(all P<0.05).There was no statistically significant difference in Critical Thinking Disposition Inventory-Chinese Version(CTDI-CV)between the two groups(all P>0.05).The total score of CDTI-CV in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The recognition degree of interns in the study group was higher than that in the control group,and the differences were statistically significant(all P<0.05).Conclusion The application of PBL and CBL teaching method in the clinical internship of nephrology undergraduates is helpful to improve the interns'ability of in-dependent learning and critical thinking,and improve the teaching effect.