基于卓越医师培养目标的改良式以团队为基础的学习在眼科见习课中的应用

目的 基于培养卓越医师的目标，评价改良式以团队为基础的学习（team-based learning，TBL）教学法在眼科本科生见习课带教中的应用效果。方法 参考随机数字表法将临床专业本科生进行分组，其中对照组（n=50）实施常规眼科见习带教，试验组（n=50）实施改良式TBL教学法进行眼科见习带教。对比两组临床专业学生的理论考核成绩及技能考核成绩，并比较两组学生对教学效果的主观评价。采用SPSS 23.0进行t检验和Wilcoxon’s秩和检验。结果 试验组的理论考核成绩（29.68±4.52）优于对照组理论考核成绩（27.84±4.33），差异有统计学意义（P<0.05）；试验组技能考核成绩（32.88±5.05）优于对照组技能考核成绩（30.88±6.99），差异有统计学意义（P<0.05）。试验组对教学效果的各项主观评价优于对照组（P<0.05）。结论 眼科本科生见习课带教过程中采用改良式TBL教学法可以提升学生的理论知识及实验技能，同时提高了学生的自学和团队合作能力，为实现卓越医师培养目标提供了可行性见习课教育改革方案。

The application of improved team-based learning based on the training goal of excellent doctors in ophthalmology internship class

Objective To evaluate the effect of the improved team-based learning (TBL) teaching method in the undergraduate probation course of ophthalmology based on the goal of cultivating excellent doctors.Methods The undergraduates of clinical medicine were randomly divided into experimental group and control group. The control group (n=50) was given conventional ophthalmology probation teaching, while the experimental group (n=50) was given ophthalmology probation teaching of improved TBL teaching method. The theoretical examination performance and skill assessment results of students in the two groups were compared, and the subjective evaluation of the students on the teaching was also compared. SPSS 23.0 was used to conduct t-test and Wilcoxon''s rank sum test.Results The theoretical examination performance of experimental group (29.68±4.52) was better than that of control group (27.84±4.33), with significant differences (P<0.05); the skill assessment results of experimental group (32.88±5.05) were also better than those of the control group (30.88±6.99), with significant differences (P<0.05); the subjective evaluation of teaching effect in each item of experimental group was better than that of control group (P<0.05).Conclusion The improved TBL teaching method can not only improve students'' theoretical knowledge and experimental skills, but also improve students'' self-study and teamwork ability, which will provide a feasible educational reform plan for achieving the goal of cultivating excellent doctors.