病例导入法结合PBL在产科大课教学中的应用

目的分析病例导入法结合以问题为基础的学习(problem-based learning,PBL)在产科大课教学中的应用情况。方法将2016年3月-2016年6月临床医学专业学生204名随机分成观察组(101名)和试验组(103名),观察组采用讲授式教学方法(lecture-based learning,LBL),试验组采用病例导入法结合PBL教学方法,四个月的大课教学后,比较两组同学的考试成绩和调查问卷结果。结果试验组同学的操作考试成绩为(88.42±3.85)分,高于对照组同学的操作考试成绩(75.23±3.16)分,差异有统计学意义(P <0.05);试验组同学的病例分析考试成绩为(88.76±3.83)分,高于对照组同学的病例分析考试成绩(76.91±3.93)分,差异有统计学意义(P <0.05);试验组同学的基础理论考试成绩为(90.72±3.06)分,高于对照组同学的基础理论考试成绩(77.14±4.50)分,差异有统计学意义(P <0.05)。调查问卷显示试验组同学对课堂的满意度和自我成长的满意度好于对照组同学。结论病例导入法结合PBL能够提高学生的临床思维能力、语言表达能力、自学能力、独立思考能力和考试成绩,且同学对课堂的满意度较好。

Application of Case Induced Method With PBL in the Teaching of Obstetrics

Objective To study the application of case induced method with PBL in the teaching of obstetrics. Methods Clinical medical students were collected for the study from March 2016 to June 2016, who were randomly divided into the control group(n=101) and the experimental group(n=103), the students in the control group were taught by the LBL, while the students in the experimental group were taught by case induced method with PBL, the test results and questionnaire results of two groups of students were collected. Results The skill test scores(88.42±3.85) of the students in the experimental group were higher than those of the students in the control group(75.23±3.16) with statistical significance(P<0.05);the case analysis test scores(88.76±3.83) of the students in the experimental group were higher than those of the students in the control group(76.91±3.93) with statistical significance(P<0.05);the basic theory test scores(90.72±3.06) of the experimental group were higher than those of the control group(77.14±4.50), the difference was statistically significant(P<0.05). The students in the experimental group were better than those in the control group in their satisfaction with the class and self-development. Conclusion The addition of case induced method with PBL can improve students’ clinical thinking ability, language expression ability, self-study ability, independent thinking ability and examination results, and students in the experimental group are more satisfied with the class.