以团队为基础学习结合循证医学导入病例教学在2型糖尿病临床教学中的应用及探讨

以2型糖尿病为代表的内分泌代谢性疾病是一门专业性强、知识体系繁多复杂，临床指南证据多的学科。由于其发病机制复杂且涉及较多环节，在实际教学过程中传统教学模式难以达到满意教学效果。我们将以团队为基础学习结合循证医学导入病例的教学应用于2型糖尿病的临床教学，将班级分为若干团队，通过指导教师导向下的组内讨论和共同学习，并结合循证医学导入病例教学，发现有助于培养学员的团队协作及自主学习能力，全面加强学员的循证医学思维，有效提高了解决临床实际问题的能力。

Application and discussion of teaching model of Team-based learning Teaching integrated with Evidence-based Medicine introduced clinical case in Type 2 diabetes mellitus clinical training

Endocrine and metabolic disease including representative disease such as type 2 diabetes mellitus is a professional discipline with complex knowledge system and clinical guidelines. Satisfactory teaching results are often difficult to be achieved using traditional teaching methods owing to the complicated pathogenesis of endocrine and metabolic disease. In this context, team based learning teaching combined with case teaching based on evidence-based medicine was applied in the actual class teaching. The class was divided into several groups and the students were encouraged to discuss and study from each other with the guidance of teachers. Consequently, students'' learning interests and spirit of teamwork were greatly enhanced, the way of thinking using evidence-based medicine and their ability to solve the practical clinical problems were also improved.