MDT模式下P BL教学法在骨肿瘤疾病临床教学中的应用

目的：探讨在骨肿瘤疾病临床教学中应用多学科综合诊疗（ multidiciplinary treatment， MDT）模式下PBL教学法的教学效果。方法选取新疆医科大学五年制医学影像专业在新疆医科大学附属肿瘤医院进行骨肿瘤疾病临床示教学生共75名，按班级分为实验组（ MDT模式下PBL组）和对照组（传统教学LBL组），分别按照各组教学方式进行临床示教，比较2组教学效果和学生满意度的差别。结果（1） MDT模式下PBL组理论成绩与对照组相比，差异无统计学意义（43?13±4?12 vs 42?76±3?05， P＞0?05），但临床思维成绩实验组高于对照组，差异有统计学意义（40?28±3?52 vs 36?13±2?88， P＜0?05）；（2）在活跃课堂气氛、提高自主学习能力、提高语言表达能力、提高沟通交往能力、提升自信心方面，实验组的满意度高于对照组，差异有统计学意义（ P＜0?05）。结论 MDT模式下PBL教学法在骨肿瘤疾病临床教学中效果良好，学生满意度较高，符合现代医学教育理念，可以在骨肿瘤临床教学中推广。

Application of PBL combined with MDT in clinical teaching of bone tumor

Objective To explore the teaching effects of application of PBL combined with MDT( multidiciplinary treatment,MDT) pattern in clinical teaching of bone tumor. Methods 75 Medical imaging specialty students who were in Affiliated Tumor Hospital of Xinjiang Medical University performing bone tumor clinical practice were selected.Then they were divided into control group( the traditional teaching group,LBL group) and experimental group(PBL+MDT group)according to their classes.Each group received training of clinical bone tumor respective?ly according to the corresponding teaching method.The teaching effects and students? satisfaction about teaching in the two groups were compared. Results (1)The theoretical test results in PBL+MDT group did not significantly differ from those in the control group(43.13±4.12 vs 42.76±3.05,P>0.05).However,the experimental group sig?nificantly outperformed the control group in score of comprehensive case analysis (40.28±3.52 vs 36.13±2.88, P<0.05).(2) Investigation and analysis showed that the students in the experimental group had significantly greater satisfaction than those in the control group in terms of classroom atmosphere, self?learning ability, lan?guage competence,oral communication skill and self?confidence (P<0.05). Conclusion PBL combined with MDT pattern applied in clinical teaching of bone tumor has good effects,and it suits the modern concept of medi?cal education.Therefore,it is worth popularizing in clinical teaching of bone tumor.