PBL结合TBL在消化肿瘤专业研究生实习带教中实践.docVIP

PBL结合TBL在消化肿瘤专业研究生实习带教中实践 　　【摘要】目的：探讨在研究生临床教学中以问题为基础教学法（PBL）结合以团队为基础教学法（TBL）的优势。方法：以新疆医科大学肿瘤学2014 级三年制硕士研究生为对象，随机分成两组：试验组（PBL+TBL组）和对照组（传统教学组），每组16人，分别进行PBL+TBL和传统教学，综合评价两组的教学效果。结果：试验组综合成绩明显高于对照组。试验组学生在文献检索和阅读、与患 者沟通及拓宽知识面等方面得到了极大的提高，同时更能培养团队协作精神；PBL+TBL教学更能调动学生的积极性，使教师教学相长。结论：PBL+TBL在消化肿瘤科临床教学中的运用和实施更有利于培养团队精神，提高学习效率，诱导创新思维，值得进一步实践推广。 　　【关键词】TBL+PBL教学 研究生教学 消化肿瘤 　　【Abstract】Objective：To investigate the advantage of the team-based teaching（PBL） combined with problem？鄄based pedagogy（TBL） in the clinical？鄄teaching for the postgraduated students. Methods：The postgraduated Students of Oncology for 2014 Xinjiang Medical University as objects. The students were randomly divided into two groups： exeperimental group （PBL+TBL group） and the tradition group， both group have sixteen students， PBL+TBL and traditional teaching methods were used respectively in the two groups， Comprehensive evaluation of teaching effect in both groups. Results The PBL+TBL group had higher scores than that of the tradition group. The PBL+TBL group got significant improvement in literature retrieval，literature reading，cmmunication with the patient and broadening the knowledge， The PBL+TBL group is better in team collaboration than the control group； PBL+TBL teaching can arouse the enthusiasm of students and in the same time teaching can benefits teachers as well as students. Conclusion：Using the team？鄄based teaching（PBL） combined with problem？鄄based pedagogy（TBL） is more helpful in Cultivating the team spirit，improving the learning efficiency，Inducing the innovative thinking， PBL+TBL is worthy of further promotion. 　　【Key words】TBL+PBL teaching； postgraduated teaching； digestive tumors 　　【中图分类号】G64 【文献标识码】A 【文章编号】2095-3089（2016）03-0218-02 　　肿瘤学是一门以理论为基础，以实践为指导的学科。肿瘤学已成为临床医学专业学生必须掌握、应用的重要课程。其中消化肿瘤专业作为肿瘤学的重要分支，近几年的发展迅速，治疗方法推陈出新。传统的教学方法以“讲述”为主要形式，已不能满足消化肿瘤内科发展的教学要求[1]。研究生参与临床实习、轮转时间较短，而教学内容较多，实践应用多，教学难度较大。如何尽快寻找到适应开展消化肿瘤内科发展的教学实践方法，已成为肿瘤内科教师面临的重要教改问题。 　　1969年Barrows首先提出基于问题学习（problem？鄄based le