【摘要】目的 探讨以团队为基础教学(Team Based Learning,TBL)和以讲授为基础教学(Lecture Based Learning,LBL)联合计划-执行-检查-行动循环(Paln-Do-Check-Action Circle,PDCA Circle)在神经病学临床教学中的可行性和实用性,并对其教学效果进行评价。方法 选取100名临床医学专业实习学生为研究对象,随机分为实验组和对照组(各50人),对照组采用TBL LBL的教学方式,实验组在对照组的基础上联合PDCA循环的教学方式。教学结束后,对两种教学方法的教学效果进行评估比较。结果 实验组理论基础考核成绩得分(85.95±7.63)优于对照组(77.31±5.38),差异有统计学意义(t=5.23,P<0.05)。实验组临床技能操作考核成绩得分(82.37±5.15)优于对照组(76.62±4.35),差异有统计学意义(t=7.36,P<0.05)。在无记名满意度调查中,TBL LBL联合PDCA循环教学得到92%学生的认可,学生的满意度显著提高(从82%上升至92%)。 结论 TBL LBL联合PDCA循环教学提高了学生的基础理论、实践操作和医患沟通能力,学生的满意度提高,值得在神经病学临床实习教学中推广应用
Abstract
【Abstract】 Objective To explore the teaching on Team Based Learning(TBL)and Lecture Baesd Learning(LBL) unite PDCA Circle teaching feasibility and practicability in clinical teaching of neurology
and evaluate its teaching effect. Method 100 cases clinical medical professional training students were chosed
divided into experiment group and control group
50 cases in each group. Control group used TBL and LBL teaching. Experiment group used unite PDCA Circle teaching on the basis of control group. After the teaching
evaluate and compare the teaching effects difference between two groups. Result The theoretical examination scores in experiment group (85.95±7.63) was higher than that in control group (77.31±5.38)
the difference was statistically significant (t=5.23,P<0.05). The practical operation scores in experiment group (82.37±5.15) was higher than that in control group (76.62±4.35)
the difference was statistically significant (t=7.36,P<0.05). In anonymous satisfaction survey
TBL and LBL unite PDCA Circle teaching was recognised by 92% students
whose satisfaction significantly increased (from 82% to 92%). Conclusion TBL and LBL unite PDCA Circle teaching improves the students' basic theory
practical operation and doctor-patient communication ability
whose satisfaction has also significantly increased
which is worth to popularize in the clinical practice teaching of neurology.
关键词
以团队为基础教学PDCA循环以讲授为基础教学临床教学
Keywords
Team Based LearningPDCA CircleLecture Based LearningClinical teaching