PBL教学法应用于麻醉医学生临床实习的效果分析

目的 观察应用PBL (problem-based learning)教学方法在麻醉学专业本科医学生临床实习中的教学效果。 方法 总结分析2014年度来蚌埠医学院第一附属医院麻醉科实习的麻醉学专业本科生24人,按数字表法随机分为2组,即PBL教学模式组与传统LBL (lecture-based learning)教学模式组,每组12人。在完成相对集中带教1个月后,于每周四下午,连续8周,按实习大纲要求的同一教学内容进行教学,主要内容包括临床操作技能教学和病例讨论与病例分析,教学完成后随即予以效果评定,即行试卷考核和学生问卷调查,评估学生教学内容掌握情况和学生对教学方法的满意度。 结果 试卷考核成绩和问卷调查表的结果显示,PBL教学组、LBL教学组学生综合考评优秀率(≥ 90分)分别为91.7%、50.0%,对2种教学的满意度调查,分别为83.3%、41.7%,2组差异有统计学意义(P<0.05)。特别是学生学习中延伸出许多教学内容相关的其他知识,感受到学生临床麻醉理念拓宽,思路清晰,发言积极,甚至有些问题较为前沿;带教老师也同样得到一定的知识更新。 结论 PBL教学法是一种以问题为基础,在老师指导下学生自主分析、自主讨论和自主学习的教学方法。这些措施对进一步培养麻醉学专业学生的临床实践能力和提高临床实习教学质量具有较好效果,且达到教学相长目的。 

Effect of PBL teaching method on clinical practice of medical anesthetic students

Objective To evaluate the teaching effect of applying problem-based learning (PBL) method to anesthesia specialty medical students in clinical practice. Methods A total of 24 anesthesia students were divided into two groups, namely the PBL teaching mode group and traditional LBL teaching model group, with 12 students in each group. After one month of relatively concentrated teaching every Thursday afternoon eight weeks in a row, according to the requirements of practice outline of teaching the same teaching content, the main contents include clinical skills teaching and case discussion and case analysis, and we evaluate students by teaching content and student satisfaction of teaching method. Results The examination paper evaluation result and the questionnaire results showed that PBL teaching group for examination and assessment of students' comprehensive proficiency (90 points) or higher 91.7%, 50.0% respectively, the students' satisfaction survey in two kinds of teaching, accounted for 83.3% and 41.7% respectively, with significant difference (P<0.05). In particular, students learn other knowledge related to the teaching content in the study, and feel that the students' clinical anesthesia philosophy is broadened, the thinking is clear, the speech is positive, and even some problems are more advanced. Teaching teachers also achieve certain knowledge updates. Conclusion PBL teaching method is a kind of teaching method which is based on the problem, and under the guidance of the teacher, students' independent analysis, independent discussion and autonomous learning. These measures have a good effect on the clinical practice ability of further training students of anesthesiology and improve the teaching quality of clinical practice, and achieve the goal of teaching.