两种教学模式下胸外科实习医生学习结果的比较

目的探讨基于问题式的教学模式（PBL）和传统讲授式教学模式（LBL）在胸部肿瘤外科临床实习学生带教中的效果。方法选择2013级新疆医科大学厚博学院5年制临床医学专业的两个不同班级作为研究对象,其中一个班级有学生46人,按PBL教学模式给予带教,另外一个班级有学生43人,按传统LBL教学模式给予带教,实习结束后进行2个班级学生实习效果的比较。结果 PBL教学模式班级学生发现问题、解决问题、专业知识掌握、临床技能掌握及医患关系和医护关系处理方面的成绩均优于传统LBL教学模式班级。结论 PBL教学模式不仅能够提高学生的学习成绩和能力,同时还能增强学生的临床操作技能,值得在胸部肿瘤外科临床实习带教中推广应用。

Comparison of two different teaching patterns about scores of interns in thoracic surgical department

Objective To investigate the effectiveness of PBL teaching pattern and LBL one on interns in clinical practice of thoracic oncological surgery. Methods Two different classes of clinical medical specialty in Xinjiang Medical University were selected as study target. The class with 46 students accepted PBL teaching pattern （Problem-based learning group） and the other class with 43 students accepted LBL teaching pattern （Lecture-based learning group ）. The effectiveness of these two different teaching group were compared. Results Those average scores of problem-finding, problem-solving, specific knowledge understanding, clinical skills applying, doctor-patient relationship treating and doctor-nurse relationship treating in PBL group are significantly higher than those of LBL group. Conclusions The teaching pattern of PBL can improve the effectiveness of medical student＇s learning in the clinical practice of thoracic oncological surgery, enhance their capability of patients treatment. The PBL teaching method in practice of thoracic oncologieal surgery has certain promotion value.