多模式融合教学在心血管内科临床教学实践中的应用

常虎林; 邓纪钊; 贾敏; 吴有盛; 张海锋; 王亚云; 李积彬

doi:10.12125/j.chj.201908053

多模式融合教学在心血管内科临床教学实践中的应用

An exploration of PBL combined with CBL and CP methods in clinical teaching of cardiovascular medicine

摘要

摘要:
目的探讨将以问题为导向的教学方法（problem based learning，PBL）、基于病例的教学方法（case based learning，CBL）和临床路径（clinical pathway，CP）教学方法多模式融合应用于心血管内科临床教学实践中的效果。
方法以2018年6月至2019年6月在西安交通大学第三附属医院心血管内科轮转的60名实习医师为研究对象，随机分为实验组和对照组，对照组采用PBL+CBL教学模式，实验组采用PBL+CBL+CP教学模式，对比两组学员出科考核成绩及教学模式效果评分。
结果实验组理论知识、病例分析、临床操作考核成绩(93.86 ± 3.65)、(91.80 ±2.04)、(92.32 ± 2.46)，均高于对照组(87.03 ± 2.40)、(83.72 ± 2.65)、(85.66 ± 3.02)，差异有统计学意义（P<0.05）。问卷结果显示，实验组学员对带教方法的满意度高于对照组，差异有统计学意义（P<0.05）。
结论 PBL+CBL+CP多模式融合教学法增强了教学培训的科学性和系统性，有利于实习医师形成系统的知识结构，教学质量更高，值得在其它专业的规范化培训中推广。

Abstract:
AIM To analyze the effect of the teaching method of problem based learning (PBL) combined with case based learning (CBL) and clinical pathway (CP) in clinical teaching of cardiovascular medicine.
METHODS A total of 60 cardiovascular interns at the Third Affiliated Hospital of Xi’an Jiaotong University from June 2018 to June 2019 were selected and randomly divided into control group using the PBL+CBL teaching method and research group using the PBL+CBL+CP teaching method. The examination scores and teaching quality were compared between the two groups.
RESULTS The scores of theory test、case analysis test and practical technique test of students in experimental group (93.86±3.65)、(91.80±2.04)、(92.32±2.46) were better than those in the control group(87.03±2.40)、(83.72±2.65)、(85.66±3.02), the differences were statistically significant(P<0.05).In addition, Satisfaction rate of trainees in experimental group were also better than those in the control group, the differences were statistically significant (P<0.05).
CONCLUSION The PBL+CBL+CP teaching method is a more scientific and systematic approach for more effective teaching (P<0.05), which holds the promise for application in the clinical teaching of other subjects.

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