以问题为基础的学习方法在全科医学规范化培训内科教学中的应用

将52名参加全科医学规范化培训的住院医师学员随机分为以问题为基础的学习（PBL）教学组和传统教学组，各26名，分别采用PBL教学方法和传统的课堂授课教学方法，进行全科医学内科学授课。采用调查问卷和理论考核相结合的形式，评价PBL教学组和传统教学组学员的教学效果。结果显示：PBL教学组学员对PBL的整体评价较高，认为此教学方式能提高解决问题的能力、改善学习积极性等；PBL教学组学员在病例分析题考试中成绩平均为（73．7±4．1）分，显著优于传统教学组的（71．1±4．8）（P〈0．05）。提示，PBL教学在全科医学规范化培训的内科教学中较传统教学有更好的教学效果。

Application of problem-based learning in internal medicine teaching for residency training of general medicine

To evaluate the effect of problem-based learning (PBL) in internal medicine teaching for residency training of general medicine.Fifty two residents of general medicine were divided randomly into PBL teaching and traditional teaching groups with 26 in each.The evaluation was conducted in combination of examination scores and questionnaire survey in both groups.In questionnaire survey the residents of PBL group responded positively about the use of PBL in teaching, and rated themselves as having much better competencies in problem solving and self-directed learning.The scores of case analysis examination in PBL group were higher than those in traditional teaching group ( 73.7 ± 4.1 vs.71.1 ± 4.8, P ＜ 0.05 ).The results suggest that the application of PBL has better effect than traditional teaching in residency training of general medicine.