基础医学与临床 ›› 2008, Vol. 28 ›› Issue (1): 91-93.

• 医学教育 • 上一篇    下一篇

"基于问题的学习"教学方法在临床见习教学中的实践

陈嘉林 黄晓明 沙悦 王玉黄 程锦 方卫纲 曾学军   

  1. 北京协和医院普通内科 北京协和医院普通内科 北京协和医院普通内科 北京协和医院普通内科 北京协和医院普通内科 北京协和医院普通内科 中国协和医科大学内科
  • 收稿日期:2007-09-05 修回日期:2007-09-21 出版日期:2008-01-25 发布日期:2008-01-25
  • 通讯作者: 陈嘉林

Practice of problem-based-learning in clinical clerkship

Jia-lin CHEN Xiao-ming HUANG Yue SHA Yu-huang WANG Jin CHENG Wei-gang FANG Xue-jun ZENG   

  1. Division of General Internal Medicine,Peking Union Medical College Hospital,CAMS & PUMC
  • Received:2007-09-05 Revised:2007-09-21 Online:2008-01-25 Published:2008-01-25
  • Contact: Jia-lin CHEN

摘要: 目的 进一步探索"基于问题的学习"在医学教育中的作用。方法 我们选取协和医科大学35名进行PBL教学的见习学生,进行问卷调查并进行分析。结果 共回收32份有效问卷,所有的学生(100%)都认为此种教学改革非常必要,分别有30(94%)和23(72%)个学生认为PBL具有很高的吸引力和有效性。在PBL教学内容与理论课的关系方面,有20人(63%)认为是互为补充,26人(81%)认为PBL扩展了知识面,23人(72%)认为PBL可以巩固理论课知识。只有3人(9%)认为与理论课无关。没有人认为可以取代理论课。在临床思维建立,培养实际病例分析能力、巩固和扩充基础理论知识这3个方面,分别有24人(75%),22人(69%),26人(81%)认为收益很大,有5人(16%),8人(25%),3   人(9%)认为收益一般,只有3人(9%),2人(6%),3人(9%) 的学生认为收益不大。结论 PBL是医学教育的有效方式,它与传统理论课互为补充,有助于扩展知识面和临床思维的建立。目前对于教学方式的评价还需要更有效的方式,而且PBL教学对教师的数量以及素质都有较高的要求。

Abstract: Objective To investigate the role of problem-based learning (PBL) in medical education. Methods We analyzed the responses of 35 medical students from PUMC to a questionnaire survey. Results We reclaimed 32 effective questionnaires. All students (100%) consider PBL to be very necessary. The affinity and effectiveness are affirmed by 30(94%) and 23(72%) students respectively. Twenty students think the relationship between PBL and traditional teaching methods is complementary; twenty-six students think PBL broadening the scope of medical knowledge; However, none of them think PBL can replace the traditional teaching method. Most students consider PBL facilitating to development of clinical thoughts and clinical problem-solving,consolidation and expansion of basic knowledge. Conclusion From our present results,PBL is shown to be an effective approach of medical education. More methods and technology are needed for the evaluation of medical education.