目的 评价以案例为基础学习(case-basedlearning, CBL)教学方法结合“是什么-为什么-怎么样-怎么办”(What-Why-How-How do,W2H2)思维教学方法在老年病科临床见习中的教学效果。方法 以在老年病科临床见习的45名学生为研究对象,随机分为 CBL+W2H2教学组(n=23) 和传统教学组(n=22),分别进行临床带教。通过理论考核、病例书写考核及问卷调查比较两组教学效果。结果 CBL+W2H2教学组学生不仅在考核成绩上优于传统教学组学生,而且在学习主动性、医患沟通能力、学员自信心建立方面也优于传统教学组学生。结论 CBL教学方法结合W2H2思维教学方法有助于提升老年病科见习的教学质量。
Objective To investigate the effect of case-based learning (CBL) and What-Why-How-How do (W2H2) thinking training in clerkship in geriatrics department.Methods 45 clerkship students in the department of geriatrics were randomly divided into CBL+ W2H2 teaching group (n=23) and traditional teaching group (n=22). At the end of clerkship,theoretical examination,clinical case writing examination and questionnaire were carried out.Results The scores of students in CBL+W2H2 teaching group were higher than those in traditional teaching group. In addition, the learning initiative, the ability of doctor-patient communication and self-confidence of students in CBL+W2H2 teaching group were better than those in traditional teaching group.Conclusions Combined teaching methods of CBL and W2H2 thinking training can improve the teaching quality in the clinical clerkship in geriatrics department.
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