基于案例中心教学法的临床实习模式在麻醉临床教学中的应用

目的 麻醉临床实习是麻醉系本科生实习任务的最重要组成部分,为适应医学模式转变,将案例中心教学法(case based learning,CBL)引入临床麻醉实习,探索其实践方法. 方法 选择2000级到2004级麻醉系本科生80名,采用CBL临床实习教学模式进行实习教学,实习结束后对实习同学进行书面理论测试和临床操作技能考核,并通过调查问卷形式评估实习效果. 结果 80名实习同学均顺利完成实习任务,并参加了考试和问卷调查,考试平均分达87分;问卷调查显示,80%以上的实习同学均认为CBL教学模式对他们各方面实习能力的提高有很大帮助. 结论 CBL临床实习教学模式在麻醉临床实习中能发挥积极作用,作为传统教学的有效辅助手段,仍需在实践中不断优化、完善.

Employment of the clinical practice model based on CBL in clinical teaching of anesthesiology

Objective Clinical practice is the most important part of practical task for undergraduates majoring in anesthesiology. To adapt to the change of medical model, we introduced CBL teaching model into the clinical anesthesia practice, and explored the practical approach of CBL teaching model. Methods 80 selected undergraduates majoring in anesthesiology of 2000-2004 grade were trained in clinical practice based on CBL teaching model. The examination and questionnaire survey were carried out after the internship. Results 80 students have successfully completed their internship tasks, passed the examination and finished questionnaire survey. The students gained an average high score. The questionnaire survey showed that more than 80% of students believed the clinical practice training based on CBL teaching model had improved their ability. Conclusion The clinical practice model based on CBL has played an active role in clinical practice in anesthesiology department. As an effective adjunct to traditional teaching model, it should be optimized and perfected in future.