Chinese Journal of Medical Education

Chinese Journal of Medical Education >

2017 , Vol. 37 >Issue 4: 566 - 570

DOI: https://doi.org/10.3760/cma.j.issn.1673-677X.2017.04.020

Comparison between the problem-based learning and the bedside-based learning in the teaching of neurologic interns under the model of electronic medical record

  • Ma Jicai ,
  • Liu Qin ,
  • Chen Li ,
  • Wu Zhuohua ,
  • Wu Yijuan ,
  • Feng Junmin ,
  • Li Shaoming ,
  • Xu Pingyi ,
  • Liu Yuping ,
  • Tian Zuojun
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  • Department of Neurology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China(Ma JC, L Q, Chen L ,Wu ZH, Wu YJ, Feng JM, Li SM, Xu PY, Tian ZJ);
    Hospital Office, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China (Liu YP)

Online published: 2020-12-09

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Abstract

Objective To compare the teaching effect of neurologic interns between the problem-based learning (PBL) and bedside-based learning (BBL) methods under the model of electronic medical record (EMR).Methods From January 2014 to December 2014, the neurologic interns in the department of neurology of the First Affiliated Hospital of Guangzhou Medical University were randomly assigned to experimental group (n=35)and control group (n=33). The PBL and BBL methods were respectively used to teach the interns in two groups. After the experiment, a comparison was performed between the two groups with respect to the scores of clinical thinking, EMR writing and the patients' satisfaction questionnaire, as reflects the humanistic quality of the interns.Results After the trial, the scores of clinical thinking (P= 0.020), EMR writing (P=0.001) and the total (P=0.001) in experimental group were respectively significantly higher than those in the control group; the sore of patients' satisfaction questionnaire was as well significantly higher in experimental group than those in control group (P=0.016).Conclusions PBL is more effective than BBL on the training of clinical comprehensive quality to neurologic interns under the model of EMR, deserving to be popularized.

Key words： Problem-based learning; Bed-based learning; Electronic medical record; Neurology; Interns

Cite this article

Ma Jicai , Liu Qin , Chen Li , Wu Zhuohua , Wu Yijuan , Feng Junmin , Li Shaoming , Xu Pingyi , Liu Yuping , Tian Zuojun . Comparison between the problem-based learning and the bedside-based learning in the teaching of neurologic interns under the model of electronic medical record[J]. Chinese Journal of Medical Education, 2017 , 37(4) : 566 -570 . DOI: 10.3760/cma.j.issn.1673-677X.2017.04.020

References

[1] Clough RW, Shea SL, Hamilton WR, et al. Weaving basic and social sciences into a case-based, clinically oriented medical curriculum:one school's approach[J]. Acad Med, 2004, 79(11):1073-1083. DOI:10.1128/AEM.66.6.2685-2689.2000.
[2] O'NeillPA. The role of basic sciences in a problem-based learning clinical curriculum[J].Medical Education, 2000,34(8):608-613.DOI:10.1016/S0024-3205 (97)01150-8.
[3] 田作军,奉俊敏,吴宜娟,等.神经病学见习中以问题为基础学习与床边学习两种教学方法的比较研究[J].中华医学教育杂志,2010,30(6):885-886,938.DOI:10.3760/cma.j. issn.1673-677X.2010.06.031.
Tian ZJ, Feng JM, Wu YJ, et al. Comparison of the effect of clinical neurologic thinking training between the problem-based learning and the bedside-based learning during neurologic probation[J].Chin J Med Edu,2010,30(6):885-886, 938.DOI:10.3760/cma.j.issn.1673-677X.2010.06.031.
[4] 田作军,奉俊敏,吴宜娟,等.问题导向联合任务驱动教学法对神经科见习医生临床思维能力的教学效果[J].中国高等医学教育,2011(7):96-97,140.
Tian ZJ, Feng JM, Wu YJ, et al. Teaching effect of problem-based learning joining in drive-oriented learning to clinical thinking ability of neurologic interns [J].China Higher Medical Education,2011(7):96-97,140.
[5] 向贤宏,刘明娟,李子平,等.PBL在医学影像学教学中的实践与思考[J].中华医学教育探索杂志,2013,12(6):645-648.DOI:10.3760/cma.j.issn.2095-1485.2013.06.033.
Xiang XH, Liu MJ, Li ZP, et al. Practice and thinking of PBL in medical imaging [J].Chin J Med Edu Res,2013,12(6):645-648.DOI:10.3760/cma.j.issn.2095-1485. 2013.06.033.
[6] 李潇,李会颖,卢建华.临床医学七年制专业学生对PBL教学的反馈意见调查与分析[J].中华医学教育探索杂志,2014,13(4):429-432.DOI:10.3760/cma.j.issn.2095-1485. 2014.04.028.
Li X, Li HY, Lu JH. Investigation and analysis of the feedback of seven year students of clinical medicine about the PBL teaching method[J].Chin J Med Edu Res,2014,13(4):429-432.DOI:10.3760/cma.j.issn.2095-1485.2014.04.028.
[7] 章亚东.基于循证医学的以问题为基础学习教学方法在骨科学专业研究生临床教学中的应用[J].中华医学教育杂志,2016,36(1):115-117.DOI:10.3760/cma.j.issn.1673- 677X.2016.01.031.
Zhang YD. Application of PBL teaching model based on evidence-based medicine in graduate's orthopedics teaching[J].Chin J Med Edu,2016,36(1):115-117.DOI:10.3760/cma.j.issn.1673-677X.2016.01.031.
[8] 陆亚琴,张桂林,赵修春,等.PBL与传统教学法在影像专科《临床医学概论》临床思维教学中的比较[J].国际医药卫生导报,2012,18(4):455-459.DOI:lO.3760/cma.j.issn. 1007-1245.2012.04.004.
Lu YQ, Zhang GL, Zhao XC, et al. Comparison between the problem-based learning (PBL) and the lecture-based learning (LBL) clinical thinking training to image college students between teaching the introduction of clinical medicine[J]. IMHGN,2012,18(4):455-459.DOI:lO.3760/cma.j.issn.1007-1245.2012.04.004.
[9] Holen A, Manandhar K, Pant DS, et al. Medical students' preferences for problem-based learning in relation to culture and personality: a multicultural study [J].Int J Med Educ,2015,19(6):84-92.DOI:10.5116/ijme.558e.6451.
[10] Sriha Belguith A, Elmhamdi S, Bouanene I, et al. Quality of the medical record notification in primary health care[J].Tunis Med,2015,93(3):148-152.
[11] Fujino A. Medical Humanities——the historical significance
and mission in medical education[J].J of University of Occupational and Environmental Health, 2015,37(4): 273-291.DOI:10.7888/juoeh.37.273.
[12] 杜治政.医学生的培养目标与人文医学教学[J].医学与哲学,2015,36(6A):1-6.
Du ZZ. Medical students training objective and humanistic medicine teaching [J].Medicine and Philosophy,2015,36(6A):1-6.
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