PBL在医患沟通理论课教学中的应用研究-中国高等医学教育.docVIP

PBL教学法在医患沟通理论课教学中的应用研究 张勇2 付丽3 李淑娟2、4 韩加刚2 曹志新2 田惠忠2 [摘要] 目的：探讨以问题为中心（PBL, Problem-based learn）教学法用于医患沟通理论课教学的可行性和必要性。方法：分别使用传统讲授式和PBL教学法进行医患沟通理论课教学，利用授课教师自评、非授课教师评估和学生评价的方式比较两种教学方法的教学效果。结果：两组学生的理论考核和积极性评价得分无统计学差异；PBL教学法的学生运用基本理论解决问题的逻辑性、合理性和沟通技巧显著优于传统讲授式教学法的学生（P＜0.05）。结论：PBL用于医患沟通理论课教学可优化教学效果，提高学生沟通能力。 [关键词] 医患沟通、教学方法、以问题为中心、教学效果 The application study of Problem-based learn in the teaching of doctor-patient communication Zhang Yong, Fu Li, Li Shujuan, Han Jiagang, Cao Zhixin, Tian Huizhong. Beijing Chao Yang Hospital affiliated Capital Medical University (Zhang Yong, Li Shujuan, Han Jiagang, Cao Zhixin, Tian Huizhong), Capital Medical University (Fu Li) [Abstract] Objective: To research the feasibility and necessity of Problem-based learn (PBL) in the teaching of doctor-patient communication. Method: The students were divided into two groups in our study. One group students were taught by PBL. Another groups were taught by traditional learn method. The teaching effect of different methods was compared by self-evaluation of instructor, quantitative assessment of other teacher and assessment of students. Results: The basic knowledge inspection result and the positive appraisal of two groups were no statistical difference (P＞0.05). The logicality, rationality and communication skills of solving specific problems in PBL group were remarkably better than those in traditional learn method group (P＜0.05). Conclusion: To use Problem-based learn in the teaching of doctor-patient communication can optimize the teaching effect and improve the communication skill of students. [Key words] doctor-patient communication, teaching method, Problem-based learn, teaching effect 良好的医患沟通能力是医学生必备的职业素质之一，医患沟通课程教学是医学生从基础知识到临床实践的桥梁和纽带，具有重要的意义。如何提高医患沟通的教学水平，优化教学效果，提高学生的沟通能力和人文素质是高等医学教育中迫切需要解决的问题之一。我院受北京市教育科学“十一五”规划课题和首都医科大学校长基金的资助，将PBL教学法应用于医患沟通理论课教学中，取得了良好的效果，总结如下： 一、材料与方法 1、两组学生一般情况等基线值的比较 两组学生分别接受不同的教学方法，即传统讲授式教学法和PBL教学法。两组学生人数、性别构成、平均年龄、学制等一般情况齐同可比（见表1）。 表１：两组学生一般情况的比较： 传统讲授式教学法组 PBL教学