以团队为基础教学模式在肿瘤放射治疗选修课中的应用

Application of team-based learning teaching method in optional coures of radiation oncology

目的探讨以团队为基础的教学法(TBL)在肿瘤放射治疗选修课教学中的应用及其可行性。方法选择中国医科大学96期五年制临床医学学生56人参与教学实践。分为课堂教学组(LBL)(28人)和TBL教学组(28人),分别采用两种教学法进行教学。课程中、课程结束后通过试卷测试、问卷调查及临床实践比较两组学生的成绩、自主学习能力、教学效果等评价。结果课前自学成绩测试显示,TBL组各次成绩均高于LBL组,差异有统计学意义(P<0.05,P<0.01)。虽然在出科理论考试成绩方面TBL组与LBL组差异无统计学意义(37.10±2.69 vs.37.05±2.78,P=0.764),但临床操作成绩(33.85±2.23 vs.26.20±2.93,P=0.01)及学生总成绩(71.28±4.32 vs.64.25±5.16,P=0.01)差异有统计学意义。问卷调查显示:TBL组在自主学习时间、学习兴趣、扩大知识面、课堂气氛、团队协作及教学满意度方面均优于LBL组,差异有统计学意义(P<0.01)。结论 TBL教学模式可提高学生的自主学习能力,活跃课堂气氛并增强团队合作,学生对TBL教学满意度高,顺应性好,在放射治疗选修课教学中具有可行性。

Objective To explore the feasibility of team-based learning(TBL) teaching method in the optional course of radiation oncology. Methods A total of 56 undergraduates of China Medical University were chosen for TBL teaching practice and divided into two groups: lecture-based learning(LBL) group(n=28) and TBL group(n=28). Examination results, self-study ability and teaching results of students were compared by test-paper questionnaire survey and clinical skills between two groups during and after the course. Results Self-study tests of TBL group were better than that of LBL group, the differences were statistically significant(P<0.05, P<0.01). Although the examination results between two groups had no statistical significance(37.10±2.69 vs. 37.05±2.78, P=0.764), but there were significant differences in the clinical skills(33.85±2.23 vs. 26.20±2.93, P=0.01) and the total scores(71.28±4.32 vs. 64.25±5.16, P=0.01). Questionnaire survey showed that autonomous learning time, learning interest, the expanded aspect of knowledge, the classroom atmosphere, team working and teaching satisfaction in TBL group were better than those in LBL group, the differences were statistically significant(P<0.01). Conclusion TBL model teaching can improve the self-study ability, make classroom atmosphere active and enhance team work in learning. Students are highly satisfied with TBL and also adapt of it well. TBL teaching in optional coures of radiation oncology is feasible.