电子病历模式下以问题为基础学习与床边学习在神经科实习教学中的效果比较

doi:10.3760/cma.j.issn.1673-677X.2017.04.020

中华医学教育杂志 ›› 2017, Vol. 37 ›› Issue (4): 566-570.DOI: 10.3760/cma.j.issn.1673-677X.2017.04.020

电子病历模式下以问题为基础学习与床边学习在神经科实习教学中的效果比较

马己才, 刘秦, 陈俐, 吴卓华, 吴宜娟, 奉俊敏, 李少明, 徐评议, 刘宇平, 田作军

510120 广州医科大学附属第一医院神经内科(马己才、刘秦、陈俐、吴卓华、吴宜娟、奉俊敏、李少明、徐评议、田作军),医院办公室(刘宇平)

出版日期:2017-04-01 发布日期:2020-12-09
通讯作者: 田作军, Email:tianzuojun9@163.com
基金资助:
2013年度广东省广州市教育科学“十二五”规划科研项目(12A065);广东省广州市高等学校第七批教育教学改革项目(穗教育教[2015]28号)

Comparison between the problem-based learning and the bedside-based learning in the teaching of neurologic interns under the model of electronic medical record

Ma Jicai, Liu Qin, Chen Li ,Wu Zhuohua, Wu Yijuan, Feng Junmin, Li Shaoming, Xu Pingyi, Liu Yuping, Tian Zuojun

Department of Neurology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China(Ma JC, L Q, Chen L ,Wu ZH, Wu YJ, Feng JM, Li SM, Xu PY, Tian ZJ);
Hospital Office, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China (Liu YP)

Online:2017-04-01 Published:2020-12-09
Contact: Tian Zuojun,Email:tianzuojun9@163.com

摘要/Abstract

摘要： 目的比较电子病历(electronic medical record,EMR)模式下以问题为基础学习(PBL)和床边学习(BBL)教学方法在神经科实习教学中的效果。方法选择2014年1月至2014年12月在广州医科大学附属第一医院神经内科实习的2010级临床医学专业68名学生为研究对象,将其随机分为实验组(35人)和对照组(33人),分别采用PBL和BBL教学方法施教。实习结束后,比较两组学生的临床思维和EMR书写成绩,以及反映实习医生人文素质的患者满意度评分。结果实验组学生临床思维考核成绩(P=0.020)、病历书写成绩(P=0.001)和总成绩(P=0.001)均明显高于对照组学生;实验组学生的患者满意度也明显高于对照组学生(P=0.016)。结论在EMR模式下,PBL教学方法对神经科实习学生临床综合素质的培养效果优于BBL教学方法,是一种值得推广的教学方法。

关键词: 以问题为基础学习, 床边学习, 电子病历, 神经病学, 实习医生

Abstract: Objective To compare the teaching effect of neurologic interns between the problem-based learning (PBL) and bedside-based learning (BBL) methods under the model of electronic medical record (EMR).Methods From January 2014 to December 2014, the neurologic interns in the department of neurology of the First Affiliated Hospital of Guangzhou Medical University were randomly assigned to experimental group (n=35)and control group (n=33). The PBL and BBL methods were respectively used to teach the interns in two groups. After the experiment, a comparison was performed between the two groups with respect to the scores of clinical thinking, EMR writing and the patients' satisfaction questionnaire, as reflects the humanistic quality of the interns.Results After the trial, the scores of clinical thinking (P= 0.020), EMR writing (P=0.001) and the total (P=0.001) in experimental group were respectively significantly higher than those in the control group; the sore of patients' satisfaction questionnaire was as well significantly higher in experimental group than those in control group (P=0.016).Conclusions PBL is more effective than BBL on the training of clinical comprehensive quality to neurologic interns under the model of EMR, deserving to be popularized.

Key words: Problem-based learning, Bed-based learning, Electronic medical record, Neurology, Interns

马己才, 刘秦, 陈俐, 吴卓华, 吴宜娟, 奉俊敏, 李少明, 徐评议, 刘宇平, 田作军. 电子病历模式下以问题为基础学习与床边学习在神经科实习教学中的效果比较[J]. 中华医学教育杂志, 2017, 37(4): 566-570.

Ma Jicai, Liu Qin, Chen Li ,Wu Zhuohua, Wu Yijuan, Feng Junmin, Li Shaoming, Xu Pingyi, Liu Yuping, Tian Zuojun. Comparison between the problem-based learning and the bedside-based learning in the teaching of neurologic interns under the model of electronic medical record[J]. Chinese Journal of Medical Education, 2017, 37(4): 566-570.

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电子病历模式下以问题为基础学习与床边学习在神经科实习教学中的效果比较

Comparison between the problem-based learning and the bedside-based learning in the teaching of neurologic interns under the model of electronic medical record

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