案例+循证医学结合式教学法在抗高血压药理学教学中的应用

    Application of CBL+EBM in teaching antihypertensive pharmacology

    • 摘要:
      目的 探讨案例教学法(case-basedlearning, CBL)与循证医学(evidence-based medicine, EBM)相结合的教学模式在抗高血压药理学授课中的实践效果。
      方法 以我校2020级五年制临床医学专业学生为研究对象,试验组采用以临床案例为引导、高血压防治指南为基础的CBL+EBM教学模式,对照组接受传统授课方法。通过课后作业、期末考试成绩分析、问卷调查等形式对学习效果和满意度进行评价。
      结果 试验组抗高血压药部分课后作业成绩平均分、期末考试得分率均优于对照组,差异有统计学意义(P<0.05,P<0.01)。90.48%的学生认为CBL+EBM教学模式有助于掌握和理解知识点;97.02%的学生认为以临床诊疗指南为线索的课程设计逻辑性更强,有利于临床思维的培养;91.67%的学生认为该教学模式可在药理学其他章节的授课中进行探索和尝试。
      结论 CBL+EBM教学模式可充分发挥药理学的桥梁学科作用,增强了理论知识的实用性,培养了学生的临床逻辑性,使学生的学习积极性和主动性大幅提高,解决实际问题的能力明显增强。

       

      Abstract:
      AIM To investigate the practical effects ofintegrating case-based learning (CBL) and evidence-based medicine (EBM) in teaching antihypertensive pharmacology.
      METHODS The participants in this study were clinical medicine students (five-year program) from our university enrolled in 2020. The experimental group adopted a CBL+EBM teaching model guided bya clinical case and based on hypertension prevention and treatment guidelines., while the control group received traditional teaching methods. Evaluation of learning outcomes and student satisfaction was conducted through analysis of post-class assignments, final exam scores, and questionnaire surveys.
      RESULTS The experimental group exhibited significantly higher average scores for post-class assignments and better performance in the final exam for the section on antihypertensive medication compared to the control group (P<0.05, P<0.01). 90.48% of students believed that CBL+EBM teaching model facilitated their understandingkey concepts.97.02% of students stated that the course design, which incorporated clinical guidelines, demonstrated stronger logical coherence and contributed to the development of clinical thinking. 91.67% of students expressed their willingness to explore and implement this teaching model in other areas of pharmacology.
      CONCLUSION CBL+EBM teaching model can fully leverage the role of pharmacology as a bridging discipline. It enhances the practicality of theoretical knowledge, cultivates clinical reasoning skills, and significantly improves students' motivation, proactiveness, and problem-solving abilities.

       

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