目的 探讨以案例为基础学习(case-based learning,CBL)教学方法在八年制临床医学专业学生见习中的应用效果。方法 选取北京大学医学部2009级至2012级八年制临床医学专业学生共169人为研究对象。将这些学生分为两组,2009级和2010级88名学生为对照组,2011级和2012级81名学生为实验组。对照组学生在见习中采用CBL教学方法,并收集他们对CBL教学的改进建议;实验组学生采用改进后的CBL教学方法。见习结束后,分别对两组学生进行问卷调查,以评价教学效果。结果 实验组学生对于改进后的CBL教学整体满意度、适应程度、兴趣程度较对照组高,并认为CBL教学能够有效地提高临床能力。结论 从教师、学生、课程设置多层面精心设计并改进的CBL教学能够被八年制临床医学专业见习学生认可,获得了较好的教学效果。
Objective To explore the application of case-based learning(CBL)teaching approach in probation of eight-year medical program.Methods 88 clinical medicine students of eight-year program of grade 2009 and 2010 were as the control group,and 81 clinical medicine students of eight-year program of grade 2011 and 2012 were as the experimental group. In control group,we tried to take CBL teaching method and collected targeted improving measures. The improved CBL teaching was applied for experimental group. After the course,the teaching effect was evaluated by questionnaire.Results The level of satisfaction, adaption and interestingness were improved greatly in experimental group. The improved CBL teaching can improve clinical ability effectively.Conclusions Practice shows that well-designed and well-organized CBL teaching can be better accepted and recognized by medical students in probation, providing new ideas for clinical teaching reform.
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