目的 探讨掌上基于问题学习(problem-based learning,PBL)教学软件在内科学见习混合式课程教学中的应用效果。方法 采用试验对照法。选取北京大学医学部2020级和2019级八年制临床医学专业各57名学生为研究对象,分别采用基于掌上PBL教学软件的混合式课程教学(试验组)和传统PBL课程教学(对照组)进行内科学见习授课。比较两组学生的教学效果和教学满意度等反馈结果。采用t检验和χ2检验分析数据。结果 试验组学生课堂活跃度(90.2%比81.3%)和课程考核成绩优于对照组学生[(93.2±10.6)分比(81.1±19.1)分],其差异均具有统计学意义(均P<0.05)。试验组学生的教学满意度优于对照组学生,如在知识理解程度方面试验组和对照组学生的满意度分别为94.7%和70.2%,其差异具有统计学意义(P<0.05)。结论 基于掌上PBL教学软件的混合式课程教学模式在内科学见习教学中具有较好的应用效果,可更好地实现教学目标。
Objective To explore the application effect of a handheld problem-based learning (PBL) teaching software in the blended curriculum teaching of internal medicine clerkships. Methods An experimental control method was adopted. A total of 114 eight-year medical students from the 2020 and 2019 cohorts of Peking University Health Science Center were enrolled in the study. The blended curriculum based on handheld PBL teaching software (experimental group) and traditional PBL teaching (control group) were used for internal medicine clerkship instruction, respectively. The teaching effects and teaching satisfaction of the two groups were compared. Data were analyzed using t-tests and χ2 tests. Results The classroom engagement (90.2% vs. 81.3%) and course assessment scores of the experimental group were better than those of the control group [(93.2±10.6) vs. (81.1±19.1)], and the differences were statistically significant (both P<0.05). The teaching satisfaction of the experimental group was higher than that of the control group. For example, in terms of knowledge comprehension, the satisfaction rates of the experimental and control groups were 94.7% and 70.2%, respectively, and the difference was statistically significant (P<0.05). Conclusions The blended curriculum teaching model based on handheld PBL teaching software demonstrated good application effects in the instruction of internal medicine clerkship students and was found to better achieve the teaching objectives.
[1] Ren S, Li Y, Pu L, et al. Effects of problem-based learning on delivering medical and nursing education: a systematic review and meta-analysis of randomized controlled trials[J]. Worldviews Evid Based Nurs, 2023,20(5):500-512. DOI: 10.1111/wvn.12663.
[2] Dolmans DH, De Grave W, Wolfhagen IH, et al. Problem-based learning: future challenges for educational practice and research[J]. Med Educ, 2005,39(7):732-741. DOI: 10.1111/j.1365-2929.2005.02205.x.
[3] 赵学铭.移动学习在PBL医学教学中的应用研究[J].中国教育技术装备,2017(4):10-12. DOI:10.3969/j.issn.1671-489X.2017.04.010.
[4] Burgess A, McGregor D, Mellis C. Medical students as peer tutors: a systematic review[J]. BMC Med Educ, 2014,14:115. DOI: 10.1186/1472-6920-14-115.
[5] 张媛媛,王晶桐,叶丽娜,等.以问题为基础的教学模式对医学生医患沟通能力培养的研究与探讨[J].中国高等医学教育,2014(12):1-2. DOI:10.3969/j.issn.1002-1701.2014.12.001.
[6] 李武宏,张欣荣,杨峰,等.移动PBL教学在医学教育中的应用展望[J].中国高等医学教育,2013(5):109-110. DOI: 10.3969/j.issn.1002-1701.2013.05.055.
[7] 容敏华,陈罡,柳亮.新冠肺炎疫情下高等医学教育: 反思与提升[J].中国医学教育技术,2021,35(3):287-290. DOI: 10.13566/j.cnki.cmet.cn61-1317/g4.202103003.
[8] 谭义文,黄燕卿,田毅,等.PBL教学法联合模拟培训在麻醉科住院医师技能操作教学中的应用[J].中国继续医学教育,2023,15(11): 92-96. DOI: 10.3969/j.issn.1674-9308.2023.11.021.
[9] 张姗.PBL结合EBM教学模式在住院医师规范化培训中应用效果的Meta分析[J].中国继续医学教育,2023,15(9):89-94. DOI:10.3969/j.issn.1674-9308.2023.09.019.
[10] 杨智涛,张明涛,刘涛,等.PBL联合CDIO模式在医学影像阅片教学中的应用研究[J].中国继续医学教育,2023,15(10):95-98. DOI:10.3969/j.issn.1674-9308.2023.10.022.
[11] 冯小东, 林江. 基于微信平台病例讨论的PBL教学法在口腔教学中的应用[J].北京医学,2021,43(3):271-273. DOI: 10.15932/j.0253-9713.2021.03.022.
[12] 陈筠, 谭宁, 谢远杰, 等. 疫情期间医学生线上教学的调查与分析[J].基层医学论坛,2021,25(22):3235-3237. DOI: 10.19435/j.1672-1721.2021.22.062.