BL和PBL双轨式教学在胃肠外科住院医师规范化培训中的应用.docVIP

CBL和PBL双轨式教学在胃肠外科住院医师规范化培训中的应用 买尔旦middot;赛力木1阿里旦middot;艾尔肯2杨颖3 (1新疆医科大学第一附属医院VIP外一科新疆乌鲁木齐830054) (2新疆医科大学第一附属医院全科医学科新疆乌鲁木齐830054) (3新疆医科大学第一附属医院肿瘤屮心新疆乌鲁木齐830054) 】目的：探讨以案例为基础的教学(Case-Based Learning，CBL)与以问 题为基础的教学(Problem-Based Learning, PBL)双轨式结合，在u肠外科住院医 师规范化培训屮的应用效果。方法：选取在胃肠外科轮转的37名规范化培训学 员，对其进行CBL+PBL双轨教学模式培训，通过出科考核及问卷调查两种方式， 采用自身前、后对照方法，评价学员的教学效果。结果:学员出科考试成绩CBL+PBL 双轨教学模式明显高于传统教学模式(Plt;0.05)o调查问卷结果提示CBL+PBL 双轨教学模式明显提高学员的学能力、临床思维能力、查阅资料能力及语言表 达能力(Plt;0.05),差异有统计学意义。结论：CBL+PBL双轨教学模式有利于提 高胃肠外科轮转的住院医师综合能力，但还需要不断探索和实践。 关键词】CBL; PBL;住院医师规范化培训；H肠外科学 】R197.3 】A 】2095-1752 (2015) 18-0331-02 Abstract】 Objective To explore the application effect on the combination of Case Based Learning(CBL) and Problem Based Learning(PBL) in resident standardization training of gastrointestinal surgery. Methods 37 residents of standardization training in gastrointestinal surgery were selected, and they were trained with CBL + PBL dual-track teaching mode. We evaluated the teaching effects before and after the CBL + PBL teaching mode by given examinations and questionnaire surveys. Results Students in CBL + PBL dual-track teaching mode shown better performance compared with traditional teaching mode (P lt;0.05). Survey results indicated that students self-study ability and clinical thinking ability, informative ability and language expression ability (Plt;0.05). were obviously increased by CBL + PBL teaching mode. Conclusion CBL + PBL dual-track teaching model can help improve the comprehensive abilities of residents of standardization training in gastrointestinal surgery, but it also needs to explore and practice continuously. Key words】 CBL; PBL; Resident standardization training; Gastrointestinal surgery 胃肠外科学是一门专业技术性、实践操作性强的学科，冋时理论知识、模拟 操作与临床病例又有很大的差异。因此住院医师规范化培训就成为胃肠外科专业 的重要组成部分，是实现理论与实践相结合的一个关键时期，是实现教育0标的 关键性环节。由于胃肠器官构造复杂，专科性较强，轮转吋间短等问题的存在， 对住院医师临床教学来说是个严峻的挑战，如何根据住院医师规范化培训的要求 来提高胃肠外科教学呢？自2012年起，我院胃肠外科采用案例为基础的教学 (Case-Based Learning，CBL)与以问题为基础的学(Problem-Based Learning, P