Exploration of TBL based on evidence-based medicine PICOS model in practice teaching of Neurology

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Exploration of TBL based on evidence-based medicine PICOS model in practice teaching of Neurology

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- Exploration of TBL based on evidence-based medicine PICOS model in practice teaching of Neurology
- Vol. 15, Issue 11, (2016)
- 作者机构：
  
  中国医科大学附属盛京医院神经内科
- 作者简介：
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- Published：2016，
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Exploration of TBL based on evidence-based medicine PICOS model in practice teaching of Neurology. [J]. 15(11).(2016)
DOI：

Exploration of TBL based on evidence-based medicine PICOS model in practice teaching of Neurology. [J]. 15(11).(2016) DOI：

摘要

目的探讨基于循证医学PICOS模式的TBL在神经病学临床教学中效果。方法将在2016年3月-2016年4月在神经内科课间实习的59名医学生作为研究对象，随机分成两组，实验组24人，对照组23人，实验组采用基于PICOS模式的TBL教学法，对照组采用TBL教学法。在本学期三次课间实习结束后，从相关疾病的发病机制，临床表现，辅助检查，诊断及治疗等知识要点对学生进行考核，同时使用问卷调查学生对教学方法的满意程度，采用SPSS 17.0 对两组结果行t 检验及χ2检验。结果在专业理论知识考核方面，实验组平均成绩优于对照组[ (89.08±3.60)vs(79.09±7.75)

t=5.707; P=0.03 ]；实验组中认为教学方法 “有助于理解神经病学诊疗思路”和“有利于理论联系实际”的人数明显高于对照组，差异均有统计学意义[22 vs14

χ2=4.615; P=0.032; 21 vs13

χ2=4.191; P=0.041]。结论在神经病学临床教学中，基于循证医学PICOS模式的TBL法的教学效果明显优于常规TBL教学法

Abstract

Objective To explore the effect of TBL based on evidence-based medicine PICOS model in practice teaching of neurology. Methods Totally 59 medical undergraduates in our department were chosen and randomly divided into 2 groups during March 2016 to April 2016. 24 students in the trial group were taught with TBL based on PICOS

while other 23 students in the control group were taught with conventional TBL method．After three times clinical practices

the test refer to disease pathogenesis

clinical manifestations

auxiliary examinations

diagnosis and treatments of related diseases

was performed

meanwhile

questionnaire were distributed to students in order to survey satisfaction of teaching methods. All the results and scores of two groups were compared. Statistical analyzed using t-test and χ2 test with SPSS 17.0 software. Results The score of the theoretical test of trial group was significantly superior to the control group[ (89.08±3.60)vs(79.09±7.75)

t=5.707; P=0.03 ]. In the experimental group

the number of students in the trial group who think teaching method can help understand clinical thinking of neurology and can help integrate the theory into clinical practice is significantly higher than that in the control group[22 vs 14

χ2=4.615; P=0.032; 21 vs13

χ2=4.191; P=0.041]. Conclusion In the clinical teaching of neurology

the TBL based on PICOS model is more effective than conventional TBL method o for medical undergraduates.

关键词

循证医学团队为导向的学习临床教学神经病学

Keywords

Evidence-based medicineteam-based learningclinical practice teachingNeurology

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