Objective To explore the effect and experience of problem-based (PBL) teaching in neurosurgical clinical training and improve the quality of the neurosurgical clinical training. Methods 600 clinical medical students of Grade 2011 in their probation in our department of neurosurgery were chosen as the subjects of study and were randomly divided into the experimental (PBL
15 groups
20 people/group
over 300 people) and control groups (CBL+ LBL
15 groups
20 people/group
over 300 people). In experimental group
PBL which is a problem-based
student-centered and teacher-directed pedagogy was adopted. In control group
CBL (case-based learning) + LBL (lecture-based learning) were adopted. After probation
two groups of students had the unified test and assessed their teaching methods by questionnaire survey and at the same time
the questionnaire survey about PBL' impact on the various aspects was done only to experimental group students. SPSS 15.0 software was used to do statistical analysis and data were processed by description analysis
t test
Mann-Whitney U test and correlation analysis. Results The scores of theoretical knowledge and general ability in PBL group [(40.57±3.24), (41.23±4.56) individually] were higher than these in control group [(37.21±4.05),(36.51±4.11) individually]. The differences demonstrated statistically meanings. Through the surveys
the students in experimental group showed the high satisfaction (97.0%
n=291) in PBL teaching. Most of the students considered that their abilities of team cooperation (96.7%
n=290)
and self-directed learning (92.7%
n=278) were improved by PBL teaching. The students in experimental group illustrated their attitudes in satisfaction of teaching; interests of clinical training
participation of teaching and understanding of knowledge were superior to the control group. The differences demonstrated statisti-cally meanings. Conclusion PBL teaching got a good effect in neurosurgical clinical training. This method
which improved students' participation and motivation of study and contributed to the training of medical students' comprehensive abilities
is suitable for modern neurosurgical clinical training.
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Related Author
赵季红 石蕊 梁国庆 李东霞 姜铁民
张丽 赵占波 瓮长水
Qu Liangliang
Liu Jianlei
Cui Yaling
Tian Jiayu
Yu Hongyu
Li Yanyan
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解放军总医院南楼临床部康复医学科(张丽
瓮长水)
北京大学软件与微电子学院(赵占波)
Department of Orthopedics, the First Affiliated Hospital of Jinzhou Medical University