CBL联合PBL教学模式在住院医师规范化培训中的应用效果评价(1)
摘 要：目的 探讨CBL联合PBL教学模式在肝病科住院医师规范化培训中的实施效果。方法 将2015年7月～2016年12月在肝病科进行第一阶段规范化培训的住院医师分为两组：前20名作为对照组，沿用传统的讲授式教学法(LBL)实施培训，后20名作为实验组，采用CBL联合PBL教学模式进行培训。比较两组规培学员的出科考核情况及临床综合技能，并比较两组学员对学习感兴趣程度的调查问卷。结果 对照组与实验组学员的临床综合技能和对学习的感兴趣程度比较，差异有统计学意义(P<0.05)；对照组与实验组学员的出科理论考核成绩差异无统计学意义(P>0.05)。结论 CBL联合PBL教学模式适用于肝病科住院医师规范化培训。
关键词：CBL；PBL；LBL；住院医师规范化培训
中图分类号：R197.3 文献标识码：B DOI：10.3969/j.issn.1006-1959.2018.06.006
文章编号：1006-1959(2018)06-0016-03
, 百拇医药
Evaluation of the Effect of CBL Combined with PBL Teaching Model in Standardized Training of Resident Doctors
SHI Xiu-jiang1，LIANG Xiao-ping2，YI HE-lasi1，HE Fang-ping1，FAN Xiao-tang1
(1.Department of Hepatology，First Affiliated Hospital of Xinjiang Medical University，Urumqi 830054，Xinjiang，China；
2.Department of Internal Medicine，474th Hospital of the PLA，Urumqi 830054，Xinjiang，China)
, 百拇医药
Abstract：Objective To explore the effect of CBL combined with PBL teaching model in standardized training of liver disease residents.Methods The first stage of standardized training of residents in liver diseases department from July 2015 to December 2016 was divided into two groups：the top 20 as the control group， using the traditional teaching method of( LBL)to carry out the training，the latter 20 students as the experimental group were trained by CBL combined with the PBL teaching model.The two groups of students' examination and clinical comprehensive skills were compared，and compared the two groups of students interested in learning questionnaire.Results The clinical comprehensive skills and the degree of interest in learning were compared between the control group and the experimental group，the difference was statistically significant(P<0.05)，no statistical significance of the theory of assessment results between the experimental group and the control group students(P>0.05).Conclusion CBL combined with PBL teaching model is suitable for standardized training of resident in liver diseases department.
, 百拇医药
Key words：CBL；PBL；LBL；Standardized training for resident physicians
住院醫师规范化培训是医学生成长为真正的临床医师的特殊阶段，其在医生的整个临床职业生涯中起着不可替代的作用。开展住院医师规范化培训能够使刚毕业的医学生有机会去诊疗技术水平较高的医院进行培训，使他们在工作初期学会良好的临床工作方式、掌握扎实的临床操作技能、建立科学的临床诊疗思维逻辑，最终成为临床综合能力过关的医生后再流动到各级医院执业，有利于提高临床医师队伍的整体医疗水平[1]。住院医师规范化培训制度是我国医疗卫生事业体制改革的重要构成部分，2013年12月国家卫计委等七部委联合下发了《关于建立住院医师规范化培训制度的指导意见》，文中指出到2015年各省(区、市)全面启动住院医师规范化培训工作。这标志着符合我国国情的住院医师规范化培训模式已经明确，而如何实现培训目标、如何具体实施培训任务、落实培训内容则成为工作的重点。这就对我们的临床教学提出了挑战，选择合适的教学模式实施培训则成为重中之重。随着“以学生为中心，以教师为主导”教学理念的流行，以案例为基础的学习(case based learning，CBL)和以问题为基础的学习(problem based learning，PBL)相结合的讨论式教学模式在国外已成为临床培训中广泛采用的教学模式[2]。近年来国内也有越来越多的医学院校开始实施并广泛开展这种教学模式。, 百拇医药(石绣江 梁晓萍 伊合拉斯 何方平 范晓棠)
关键词：CBL；PBL；LBL；住院医师规范化培训
中图分类号：R197.3 文献标识码：B DOI：10.3969/j.issn.1006-1959.2018.06.006
文章编号：1006-1959(2018)06-0016-03
, 百拇医药
Evaluation of the Effect of CBL Combined with PBL Teaching Model in Standardized Training of Resident Doctors
SHI Xiu-jiang1，LIANG Xiao-ping2，YI HE-lasi1，HE Fang-ping1，FAN Xiao-tang1
(1.Department of Hepatology，First Affiliated Hospital of Xinjiang Medical University，Urumqi 830054，Xinjiang，China；
2.Department of Internal Medicine，474th Hospital of the PLA，Urumqi 830054，Xinjiang，China)
, 百拇医药
Abstract：Objective To explore the effect of CBL combined with PBL teaching model in standardized training of liver disease residents.Methods The first stage of standardized training of residents in liver diseases department from July 2015 to December 2016 was divided into two groups：the top 20 as the control group， using the traditional teaching method of( LBL)to carry out the training，the latter 20 students as the experimental group were trained by CBL combined with the PBL teaching model.The two groups of students' examination and clinical comprehensive skills were compared，and compared the two groups of students interested in learning questionnaire.Results The clinical comprehensive skills and the degree of interest in learning were compared between the control group and the experimental group，the difference was statistically significant(P<0.05)，no statistical significance of the theory of assessment results between the experimental group and the control group students(P>0.05).Conclusion CBL combined with PBL teaching model is suitable for standardized training of resident in liver diseases department.
, 百拇医药
Key words：CBL；PBL；LBL；Standardized training for resident physicians
住院醫师规范化培训是医学生成长为真正的临床医师的特殊阶段，其在医生的整个临床职业生涯中起着不可替代的作用。开展住院医师规范化培训能够使刚毕业的医学生有机会去诊疗技术水平较高的医院进行培训，使他们在工作初期学会良好的临床工作方式、掌握扎实的临床操作技能、建立科学的临床诊疗思维逻辑，最终成为临床综合能力过关的医生后再流动到各级医院执业，有利于提高临床医师队伍的整体医疗水平[1]。住院医师规范化培训制度是我国医疗卫生事业体制改革的重要构成部分，2013年12月国家卫计委等七部委联合下发了《关于建立住院医师规范化培训制度的指导意见》，文中指出到2015年各省(区、市)全面启动住院医师规范化培训工作。这标志着符合我国国情的住院医师规范化培训模式已经明确，而如何实现培训目标、如何具体实施培训任务、落实培训内容则成为工作的重点。这就对我们的临床教学提出了挑战，选择合适的教学模式实施培训则成为重中之重。随着“以学生为中心，以教师为主导”教学理念的流行，以案例为基础的学习(case based learning，CBL)和以问题为基础的学习(problem based learning，PBL)相结合的讨论式教学模式在国外已成为临床培训中广泛采用的教学模式[2]。近年来国内也有越来越多的医学院校开始实施并广泛开展这种教学模式。, 百拇医药(石绣江 梁晓萍 伊合拉斯 何方平 范晓棠)