Application of combination of case-based learning and problem-based learning teaching method based on information platform in hepatobiliary surgery teaching

doi:10.3760/cma.j.issn.1673-677X.2017.06.024

Abstract

Abstract: Objective To investigate the relying on the information platform (teaching website), on the foundation of classical case database, CBL (case based learning, CBL) combined with PBL (problem based learning) teaching method application in clinical hepatobiliary surgery teaching effect.Methods 24 clinical trainees were randomly divided into the experimental group (CBL+PBL group,12) and the control group ( traditional teaching group,12). Experimental group in the teaching website established classic case database, teaching process by the CBL began, students on the web site of classical case database to autonomous learning, a comprehensive understanding of the case from the pathogenesis, clinical manifestations to the complaints, symptoms, signs, history collection, diagnosis, laboratory examination, therapy. Teachers set up the problem of classic cases to discuss the case study under the guidance of teachers. The control group of teachers in theory teaching, teaching rounds and observe the operation etc.. After the study of the two groups of theoretical knowledge and clinical operation to test. Students in the experimental group were surveyed by questionnaires to evaluate the teaching methods.Results The experimental group's theory test score (92.1±0.95) points, better than the control group (87.5±0.62), the difference was statistically significant (t=7.984,P<0.05). The clinical skills of the experimental group were (90.9±0.95), which was better than the control group (86.3±0.88), the difference was statistically significant (t=8.027,P<0.05). The results of the questionnaire showed that more than 90.0% of the students thought that the teaching method could arouse the enthusiasm of study and improve the efficiency of study.Conclusions Relying on the information platform, CBL and PBL are organically combined, applied in hepatobiliary surgery teaching, stimulate the students' interest and improve the teaching effect.

Key words: Information platform, Case-based learning, Problem-based learning, Hepatobiliary surgery, Clinical clerkship

Li Tao, Wang Fushun, Zhu Fengxue, Zhu Jiye, Zhang Siqin, Lu Yang. Application of combination of case-based learning and problem-based learning teaching method based on information platform in hepatobiliary surgery teaching[J]. Chinese Journal of Medical Education, 2017, 37(6): 916-920.

References

[1] 贾德蛟,吴秋瑾,刘海霞. 以问题为基础学习教学方法结合数字化排牙实验教学方法在口腔正畸学教学中的应用 [J]. 中华医学教育杂志,2016,36(1):85-88.DOI:10.3760/cma.j.issn.1673-677X.2016.01.023.
Jia DJ, Wu QJ, Liu HX. The application of the teaching method of PBL combining with digital arranging teeth test in teaching orthodontic [J]. Chin J Med Edu, 2016,36(1):85-88. DOI:10.3760/cma.j.issn.1673-677X.2016.01.023.
[2] 谭刚,张莉,吴刚,等. 以案例为基础学习教学方法在局部解剖学教学中对医学生专业素质与能力培养的探讨[J]. 中华医学教育杂志,2016,36(4):542-545.DOI:10.3760/cma.j.issn.1673-677X.2016.04.016.
Tan G, Zhang L, Wu G, et al. Application of the teaching method of case-based learning on the cultivation of ability and quality of the students in regional anatomy teaching [J]. Chin J Med Edu, 2016,36(4):542-545. DOI:10.3760/cma.j.issn.1673-677X.2016.04.016.
[3] Malau-Aduli BS, Lee AY, Cooling N, et al. Retention of knowledge and perceived relevance of basic sciences in an integrated case-based learning (CBL) curriculum[J].BMC Med Educ,2013,13(1):139-146.DOI:10.1186/1472-6920-13-139.
[4] Braeckman L, 't Kint L, Bekaert M, et al. Comparison of two case-based learning conditions with real patients in teaching occupational medicine[J].Med Teach,2014,36(4):340-346.DOI:10.3109/0142159X.2014.887833.
[5] Gade S, Chari S. Case-based learning in endocrine physiology: An approach toward self-directed learning and the development of soft skills in medical students[J].American Journal of Physiology Advances in Physiology Education, 2013,37(4):356-360.DOI:10.1152/advan.00076.2012.
[6] 王长远,秦俭,王晶,等.CBL结合PBL在留学生急诊医学教学中的应用[J].中华医学教育探索杂志,2013,12(5):484-486.DOI:10.3760/cma.j.issn.2095-1485.2013.05.015.
Wang CY, Qin J, Wang J, et al. Application of case-based learning (CBL) combined with problem-based learning (PBL) in emergency teaching for foreign students[J].Chin J Med Edu Res,2013,12(5):484-486.DOI:10.3760/cma.j.issn. 2095-1485.2013.05.015.

[1]	Wang Yang, Cao Yu, Zhao Zhigang, Zhang Yan, Qiu Huimin, Liu Jintong. Application of case-based learning method in psychological health education [J]. Chinese Journal of Medical Education, 2020, 40(6): 439-442.
[2]	Zhang Yifan, Wang Yuan, Li Wenfei, Jia Yue, Zhang Ming. Analysis of reasearch hotspots and trends of problem-based learning in medical education [J]. Chinese Journal of Medical Education, 2020, 40(10): 757-761.
[3]	Han Xue, Yao Maolin, Wang Qi, Ma Lu, Wang Dapeng, Chen Xiong, Zou Zhonglan, Wang Qingling, Hu Ting, Qin Zixiu, Pan Xueli, Hong Feng, Zhang Aihua. Application and effect of case-based inquiry teaching method in toxicology experiment teaching [J]. Chinese Journal of Medical Education, 2020, 40(10): 766-769.
[4]	Dong Dan, Hou Jun, Wang Xiaofang, Chen Xueling. Application of case-based learning in experiment course of medical microbiology [J]. Chinese Journal of Medical Education, 2020, 40(10): 770-773.
[5]	Min Li, Fang Xiang, Zhou Yong, Luo Yi, Zhang Wenli, Duan Hong, Li Jian, Zeng Jing, Qing Ping, Tu Chongqi. Application of 3D-multimodality image reconstruction in orthopedics clinical probation teaching [J]. Chinese Journal of Medical Education, 2020, 40(1): 47-50.
[6]	Yang Mukun, Mao Lele, Wang Zijun, Bai Wenpei. Application of WeChat learning platform combined with problem-based learning teaching model in gynecological refresher physician training [J]. Chinese Journal of Medical Education, 2019, 39(8): 586-589.
[7]	Yuan Yuan, Deng Liping, Tang Hehan, Pan Xuelin, Li Yuming, Wang Ziwei, Qian Lingling, Li Zhenlin. Application of case-based learning method in clinical practice education for medical imaging technology students [J]. Chinese Journal of Medical Education, 2019, 39(8): 590-593.
[8]	Zeng Zhu, Ding Yu. Multi-disciplinary team nursing mode plus problem-based learning in the training of emergency nursing [J]. Chinese Journal of Medical Education, 2019, 39(8): 616-619.
[9]	Li Haichao. Analysis of the relationship between the second generation of medical education reform and the competency-based medical education [J]. Chinese Journal of Medical Education, 2019, 39(11): 801-806.
[10]	Wang Lina, Mao Huijuan, Liu Sheng, Qin Meng, Wei Jianzi. Comparison of three teaching methods applied in experimental acupuncture-moxibustion and tuina science [J]. Chinese Journal of Medical Education, 2019, 39(11): 827-830.
[11]	Lu Bingfeng, Li Weixiong, Dai Yi, Song Rui, Guan Xuechun, Zhang Chunfang, Long Liling. Application of combined teaching method in medical imaging teaching [J]. Chinese Journal of Medical Education, 2019, 39(11): 847-850.
[12]	Yao Xiuyu, Zhang Xin, Qin Xuelian, Sheng Yu, Zhang Hui. Analysis of the application of early clinical clerkship among low grade nursing undergraduates [J]. Chinese Journal of Medical Education, 2019, 39(1): 52-55.
[13]	Wei Bin, Xu Mao, Zhang Liping, Guo Xiangyang. Application of HC video laryngoscope airway visualization technology in tracheal intubation teaching for clinical probation [J]. Chinese Journal of Medical Education, 2018, 38(3): 360-363.
[14]	Wei Junni, Xue Shulian, Fu Zhendong. Investigation on cognition and application of problem-based learning among teachers in a medical college [J]. Chinese Journal of Medical Education, 2018, 38(3): 403-406.
[15]	Zhang Lijuan, Gu Yijun, Zhang Jie, Li Jue. Application of combined teaching method in the teaching reform of epidemiology for clinical medical students [J]. Chinese Journal of Medical Education, 2018, 38(2): 237-241.