基于口腔全科病例库的CBL教学在口腔全科住培中的应用

目的 探讨基于口腔全科病例库的以案例为基础的学习（case-based learning，CBL）在口腔全科住院医师规范化培训中的应用效果。方法 对重庆医科大学口腔全科教研室的52名住院医师实施基于口腔全科病例库的CBL教学。采用调查问卷评估教学效果。在开展CBL教学前后对其进行理论及技能考核，并进行成绩对比分析。应用SPSS 19.0软件进行t检验。结果 调查问卷结果显示，基于口腔全科病例库的CBL教学能有效提高自主学习能力92.31%（48/52）]、提升学习兴趣88.46%（46/52）]、提高病例的诊断能力及研判的准确性94.23%（49/52）]、有助于口腔理论知识的掌握及理解96.15%（50/52）]、提高表达及沟通能力84.62%（44/52）]、提高发现问题和解决问题的能力94.23%（49/52）]、有助于激发科研及教学兴趣82.69%（43/52）]、能活跃课堂氛围82.69%（43/52）]，94.23%（49/52）的住院医师表示喜欢病例教学，88.64%（46/52）的住院医师认为病例库设置合理。应用CBL后，理论成绩从（66.74±4.25）分提高到（81.44±7.16）分，技能成绩从（64.00±3.14）分提高到（81.96±7.50）分，差异有统计学意义。结论 基于口腔全科病例库的CBL教学在口腔全科住院医师规范化培训中的教学效果良好，不仅提升了住院医师的理论及技能考核成绩，还提升了其学习兴趣及临床思维能力。

Application of case-based learning based on the clinical case library of stomatology in standardized residency training for comprehensive stomatology

Objective To investigate the application effect of case-based learning (CBL) based on the clinical case library of stomatology in standardized residency training for comprehensive stomatology.Methods A total of 52 residents in Department of Stomatology, Chongqing Medical University, were given CBL teaching based on the clinical case library of comprehensive stomatology, and a questionnaire survey was performed to evaluate the teaching effect. Theoretical and skill assessments were performed before and after CBL teaching, and a comparative analysis was performed. SPSS 19.0 software was used for the t-test.Results The questionnaire survey showed that CBL teaching based on the clinical case library of stomatology effectively improved the ability of independent learning 92.31% (48/52)], the interest in learning 88.46% (46/52)], and the ability for case diagnosis and the accuracy of investigation and judgment 94.23% (49/52)]. This method helped with the mastery and understanding of the theoretical knowledge in stomatology 96.15% (50/52)] and improved the abilities for expression and communication 84.62% (44/52)] and the ability to find and solve problems 94.23% (49/52)]. It also helped to stimulate the interest in scientific research and teaching 82.69% (43/52)] and create an active classroom atmosphere 82.69% (43/52)]. Among these residents, 94.23% (49/52) liked CBL teaching, and 88.64% (46/52) thought the setting of the case library was reasonable. After the application of CBL teaching, there were significant increases in theoretical score from (66.74±4.25) points to (81.44±7.16) points] and skill examination score from (64.00±3.14) points to (81.96±7.50) points].Conclusions CBL teaching based on the case library of stomatology has a good teaching effect in the standardized residency training for comprehensive stomatology and can not only improve the theoretical and skill assessments of residents, but also improve their learning interest and clinical thinking ability.