基于PBL模式的分层教学对培养医学生罕见病识别能力的探讨

Discussion on Cultivating Medical Students'Ability to Recognize Rare Diseases by PBL Based Hierarchical Teaching

目的探析基于PBL模式的分层教学在培养医学生罕见病识别能力中的应用效果。方法本研究以风湿免疫科作为试点,选取2021年9月-2022年8月在风湿免疫科轮转的临床医学专业的实习学生、全科/内科规培医生70例作为研究组,实施基于PBL模式的分层教学模式。另外选取2020年9月-2021年8月在风湿免疫科轮转的临床医学专业的实习学生、全科/内科规培医生70例作为对照组,采用传统的教师PPT授课模式。比较两组理论考试成绩、技能操作水平、教师满意度及教学模式满意度评价。结果教学完成后,研究组实习学生和规培医生的理论考试成绩、技能操作水平、教师满意度及教学模式满意度评分均高于对照组(P<0.05)。结论将基于PBL模式的分层教学模式应用于教学实践中,不仅能够有效增强医学生的操作技能,提升学习成绩,还可以进一步提升教学质量,教学效果良好,值得推广。

Objective To explore the application effect of PBL based hierarchical teaching in cultivating medical students'ability to recognize rare diseases.Methods This study take the Department of Rheumatology and Immunology as a pilot,and selected 70 clinical medicine interns and general practice/internal medicine training doctors who rotated in the department of Rheumatology and Immunology from September 2021 to August 2022 as the research group to implement the hierarchical teaching model based on the PBL model.In addition,70 cases of internship students of clinical medicine and general practice/internal medicine training doctors rotating in the rheumatology and immunology department from September 2020 to August 2021 were selected as the control group,using the traditional PPT teaching mode of teachers.The results of theoretical examination,skill operation level,teacher satisfaction and teaching model satisfaction were compared between the two groups.Results After the completion of teaching,the scores of theoretical examination,skill operation level,teacher satisfaction and teaching mode satisfaction of the practice students and Doctor Guipei in the study group were higher than those in the control group(P<0.05).Conclusion The application of PBL based hierarchical teaching model in teaching practice can not only effectively enhance the operational skills of medical students,improve their academic performance,but also further improve the teaching quality.The teaching effect is good,and it is worth promoting.