CBL教学法在牙体牙髓病科临床实习中的应用

目的：探讨CBL(case-based learning)教学法指导牙体牙髓病学临床实习的教学效果。方法：将41名学生随机分为CBL教学指导组和传统带教组，经11周牙体牙髓病学的临床实习，出科前对2组同学进行病历书写、病例分析、专业理论、专业技能操作、争得患者合作能力5方面考核和考试，采用SPSS13.0软件包对成绩差异进行独立样本t检验。结果：2组学生的理论考试和专业技能操作考试成绩无显著差异(P>0.05)；在病历书写考核、病例分析测评及争得患者合作能力3方面，CBL教学组显著高于传统带教组 (P<0.05)。结论：在牙体牙髓病学的临床实习中恰当引入CBL教学法，有助于提高学生的临床思维能力、综合分析能力和处理病例的应变能力。

Application of case-based learning in clinical internship teaching of conservative dentistry and endodontics

PURPOSE: To investigate the education effect of case-based learning (CBL) pattern on clinical internship of conservative dentistry and endodontics. METHODS: Forty-one undergraduates were randomly assigned into CBL group and traditional teaching group. After clinical internship in the department of conservative dentistry and endodontics for 11 weeks, each student in the 2 groups underwent comprehensive examinations including medical record writing, case analysis, academic knowledge, professional skills and the ability of winning the trust of the patients. The scores were compared between the 2 groups using SPSS 13.0 software package. RESULTS: There was no significant difference between the 2 groups with regard to the scores of academic knowledge and profession skills (P>0.05). However, the results of medical record writing, case analysis and the ability of winning the trust of the patients showed significant difference between the 2 groups(P<0.05). CONCLUSIONS: Proper application of CBL in clinical internship of conservative dentistry and endodontics contributes to improve students’ ability of clinical thinking, synthetical analysis and adaptability to different patients.