CBL-PBL-学生主导查房在留学生血液内科实习教学的实践研究

The application of CBL-PBL-student-led ward rounds in hematological practice training of MBBS international students

目的:探讨采取CBL-PBL-学生主导查房应用于临床医学学士(MBBS)留学生血液内科实习教学的效果。方法:选取安徽医科大学2016级MBBS留学生共37人,随机分为研究组和对照组。研究组采取CBL-PBL-学生主导查房教学,对照组采取传统教学法。通过Mini-CEX临床技能评价量表和OSCE考核评价两组学生的实习效果,通过调查问卷比较两组学生对教学的认可度。结果:研究组学生Mini-CEX临床技能评价各项评分均优于对照组,差异具有统计学意义(P<0.05),其客观结构化临床考试(OSCE)考核成绩均优于对照组,差异具有统计学意义(P<0.05)。研究组学生对教学认可度也优于对照组,差异具有统计学意义(P<0.05)。结论:CBL-PBL-学生主导查房可显著提高MBBS留学生的血液内科临床实践和操作成绩,学生对教学认可度也有显著提高,该教学方式值得在血液内科实习中推广。

Objective:To explore the effect of applying CBL-PBL-student-led ward rounds to hematological practice training of MBBS international students.Methods:A total of 37 MBBS students from Anhui Medical University in 2016 were randomly divided into research and control groups.The research group adopted CBLPBL-student-led ward rounds,while the control group adopted traditional teaching methods.The practice effect of the two groups of students was evaluated by Mini-CEX clinical skills assessment scale and OSCE assessment,and the recognition degree of teaching between the two groups was compared by questionnaire.Results:The clinical skill evaluation of Mini-CEX in the research group was better than that of the control group,the difference was statistically significant(P<0.05).The scores of OSCE of the research group were better than those of the control group,and the difference was statistically significant(P<0.05).The teaching recognition of the research group was also better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:CBL-PBL-student-led ward rounds can significantly improve the clinical practice and operation performance of MBBS international students in hematological practice,and students'recognition of teaching is also significantly improved.This teaching method is worth promoting in hematological practice training.