目的 使临床医学专业学生更好地掌握检验指标的临床意义和相互关系,提高学生分析和应用检验指标的能力。方法 选取北京大学医学部临床医学专业2012级、2013级和2014级38名留学生,在实验诊断学实习课教学中实施基于案例学习（case-based learning,CBL）联合基于问题学习（problem-based learning,PBL）教学方法,并采用自行设计的教学评价表收集来自学生和教师的反馈。结果 所有学生均认可CBL联合PBL的教学,愿意在课堂上分享主动学习的成果。CBL案例的选择、PBL问题的提炼、课堂设计、教师素质以及学生的准备情况均影响教学效果。以病例分析题为主的考核结果显示,学生能够较好理解和应用课堂学习的检验指标。结论 CBL联合PBL教学可以帮助学生更好地理解并运用常见检验指标。
王学晶
,
赵旭
,
吕文娟
,
王杉
,
屈晨雪
,
鲁炳怀
,
李东
,
龚珂
,
王淑华
,
朱凤霞
,
徐先发
. 基于案例学习结合基于问题学习在实验诊断学实习课教学中的应用[J]. 中华医学教育杂志, 2018
, 38(2)
: 272
-276
.
DOI: 10.3760/cma.j.issn.1673-677X.2018.02.025
Objective To help medical students better understanding the clinical significance and the mutual relationship of laboratory tests,and to improve their ability on analysis and application of laboratory tests. Methods 38 foreigner medical students who started their clinical course in Civil Aviation General Hospital in 2012, 2013 and 2014 were chosen to try CBL-PBL teaching method. Self-designed evaluation sheet was used to collect the feedback from students and teachers. Results All students presented a welcome attitude on CBL combined with PBL teaching method, they liked to share what they have learned. Selection of case,refinement of problem,design of class, professional quality of teacher and the preparation situation of student all had influence on the teaching efficiency. Appraising through case-analyzing tests, it showed that students could understand and utilize the laboratory tests well which they studied in the class. Conclusions CBL combined with PBL teaching method can help student better understanding the utilizing laboratory tests.
[1] Rhem J.Problem based learning:An introduction[J].The National Teaching & Learning Forum, 1998, 8(1):l.
[2] 于峰, 李海潮, 王颖, 等.以问题为基础学习教学方法在内科学见习教学中的应用[J].中华医学教育杂志, 2007, 27(5):71-73. DOI:10.3760/cma.j.issn.1673-677X.2007.05.030.
Yu F, Li HC, Wang Y, et al.Application of problem-based learning in clinical clerkship of internal medicine[J].Chin J Med Edu, 2007, 27(5):71-73. DOI:10.3760/cma.j.issn.1673-677X.2007.05.030.
[3] 姬萍, 孙玉梅, 林可可.以问题为基础学习教学法在护理学专业健康评估课程中的应用[J].中华医学教育杂志, 2011, 31(1):111-112, 142. DOI:10.3760/cma.j.issn.1673-677X.2011.01.036.
Ji P, Sun YM, Lin kk.Application of the problem-based learning in the health assessment course for nursing students[J].Chin J Med Edu, 2011, 31(1): 111-112, 142. DOI: 10.3760/cma.j.issn.1673-677X.2011.01.036.
[4] 蒲丹, 王韵, 吴立玲, 等.北京大学基础医学院以问题为基础学习教学体系的建立与实践[J].中华医学教育杂志, 2013, 33(3):386-389. DOI:10.3760/cma.j.issn.1673-677X.2013.03.023.
Pu D, Wang Y, Wu LL, et al.Module of PBL in the new pathway curriculum at Peking University Health Science Center[J].Chin J Med Edu, 2013, 33(3):386-389. DOI:10.3760/cma.j.issn.1673-677X.2013.03.023.
[5] 耿红莲, 温海燕, 仲人前.探索适应临床医学专业的实验诊断学教学模式[J].中华医学教育探索杂志, 2012, 11(10):1046-1048. DOI:10.3760/cma.j.issn.2095-1485.2012.10.020.
Gen HL, Wen HY, Zhong RQ.Reform of laboratory diagnostics teaching mode for students of clinical medicine[J].Chin J Med Edu Res, 2012, 11(10):1046-1048. DOI:10.3760/cma.j.issn.2095-1485.2012.10.020.
[6] 张敏, 蔡玉婵, 王璐, 等.以疾病为中心探索实验诊断学继续教育模式[J].检验医学与临床, 2016, 13(12):1734-1735. DOI:10.3969/j.issn.1672-9455.2016.12.060.
[7] 朱国华, 姜宏, 金桂兰.PBL、TBL与LBL相结合在中医专业实验诊断学教学中的应用探索[J].中国高等医学教育, 2017(4):66-67. DOI:10.3969/j.issn.1002-1701.2017.04.033.
Zhu GH, Jiang H, Jin GL.Using a combination of PBL, TBL and LBL in the experimental diagnostics teaching in TCM specialty[J].China Higher Medical Education, 2017(4):66-67. DOI:10.3969/j.issn.1002-1701.2017.04.033.
[8] 王斌, 郑亚安.浅谈PBL教学模式下问题的设计[J].中国高等医学教育, 2015(2):63, 136. DOI:10.3969/j.issn.1002-1701.2015.02.032.
Wang B, Zheng YA.Problem design in PBL teaching[J].China Higher Medical Education, 2015(2):63, 136. DOI:10.3969/j.issn.1002-1701.2015.02.032.
[9] 郭玲伶, 段丽萍, 贾金忠.师生双向测评在研究生学术道德规范教育中的应用[J].中华医学科研管理杂志, 2017, 30(1):31-34, 55. DOI:10.3760/cma.j.issn.1006-1924.2017.01.009.
Guo LL, Duan LP, Jia JZ.Application of mentor-mentee two-way evaluation in the academic ethics trainings for post graduate students[J].Chin J Med Sci Res Manage, 2017, 30(1):31-34, 55. DOI:10.3760/cma.j.issn.1006-1924.2017.01.009.
