PBL教学模式在骨科临床实习课中的应用探讨

目的探讨以问题为基础的学习（PBL）教学模式在骨科临床实习课教学中应用的可行性及现实意义。方法以中国医科大学2002级88期315名学生为研究对象，在骨科临床实习课教学中实施PBL教学模式。采用主观问卷调查和综合能力考核方式对教学效果进行初步评价，比较在不同学习阶段开展PBL对教学资源的需求情况，分析PBL教学模式在实习课阶段应用的可行性及现实意义。结果在PBL教学模式下学生能够处于学习主导地位，学习主动性提高；可提高学生发现问题、分析问题和解决问题等方面的能力，有助于培养和提高学生医学临床思维能力；可初步缓解理论课PBL教学所遇到的一些问题和矛盾。结论在骨科临床实习课阶段开展PBL教学具有一定的优越性和现实意义，适合目前的医学教学资源状况。

Evaluation of Problem-based Learning Used in Orthopedic Internship

Objective To evaluate the feasibility and significance of problem-based learning （PBL） in orthopedic internship. Methods A total of 315 students in grade 2002 were involved in PBL during their internship in the Department of Orthopedics at the First Affiliated Hospital of China Medical University, Shenyang, China. Teaching effectiveness was evaluated with a questionnaire and an ability examination. The results of PBL teaching during different semesters were compared, and the feasibility and significance of PBL were analyzed. Results Students who participated in PBL were in a dominant position and were more active in the learning process. The PBL pattern could improve students＇ ability to identify, analyze and solve problems, and also contribute to fostering and enhancing their clinical thinking. This could help them solve the problems that emerged from the theory curriculum. Condusions The PBL pattern used in the orthopedics internship has advantages and practical significance, which are applicable in modern medical teaching practice.