加强医事法律教育，提高医学生依法执业的依从性

目的探索以问题为基础的学习（Problem-based learning，PBL）在临床教学中培养实习医师临床思维能力和解决问题能力方面的效果。方法编写PBL教学案例，以2010年度临床医学专业72名实习医师为实验组，开展PBL教学。以传统临床教学方式带教的2009年度临床医学专业55名实习医师作为对照组。对2组问临床思维型客观题理论考试成绩和病历书写质量评比成绩行t检验。同时，通过专家组对实验组点评与考核、对教师和学生行问卷调查，评价PBL教学效果。结果实验组和对照组理论考试成绩和病历书写成绩差异有统计学意义（P〈0．01）。问卷调查显示，师生均认为PBL在培养学生临床思维能力和解决问题能力等方面效果优于传统教学方式。结论临床实习阶段实施PBL的效果较好，PBL对提高临床实践教学质量和推动临床实践教学改革有着积极的意义。

Application of problem-based learning in clinical practice teaching

Objective To explore the effects of problem-based learning （PBL） on improving intern doctors＇ clinical thinking and problem-solving capacities in clinical practice teaching. Methods PBL teaching courses were designed and used among 72 intern doctors come from 2010 grade clinical medical major （experiment group）and traditional teaching model was applied in 55 intern doctors come from 2009 grade clinical medical major （control group）. The PBL teaching effectiveness was evaluated through expert comment, exam and questionnaire survey. Test was conducted concerning the score of objective theoretical test on clinical thinking and the quality of case report writing. Results There were differences between experiment group and control group in theoretical test score and case report writing quality （ P 〈 0.01 ）. According to the results of questionnaire survey, teachers and students thought that the PBL teaching mode was better than traditional teaching mode in cultivating students＇ clinical thinking ability and problem solving ability. Conclusion The teaching effect of PBL in clinical practice is satisfactory. PBL teaching can effectively develop the students＇ clinical thinking and problem-solving capacities and play an active role in improving education quality and promoting education reform.