PBL+CBL+CP教学在肝胆外科住院医师规范化培训中的应用

常虎林; 张煜; 马东瑞; 温红侠; 张文芳; 郭维; 杜立学; 郑伟

doi:10.3760/cma.j.cn116021-20201111-01183

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PBL+CBL+CP教学在肝胆外科住院医师规范化培训中的应用

住院医师规范化培训 | 更新时间：2023-04-14

- PBL+CBL+CP教学在肝胆外科住院医师规范化培训中的应用
- Application of PBL combined with CBL and CP teaching methods in standardized residency training in the department of hepatobiliary surgery
- 中华医学教育探索杂志 2023年22卷第2期页码：247-249
- 作者机构：
  
  1.陕西省人民医院肝胆外科，西安　710068
  2.陕西省人民医院教学处，西安　710068
- 作者简介：
  
  郑伟，Email：zhengwei_xa@163.com
- 基金信息：
- DOI：10.3760/cma.j.cn116021-20201111-01183
  中图分类号： R4
- 纸质出版日期：2023-02-20，
  
  收稿日期：2020-11-11，
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常虎林, 张煜, 马东瑞, 等. PBL+CBL+CP教学在肝胆外科住院医师规范化培训中的应用[J]. 中华医学教育探索杂志, 2023, 22(2): 247-249.

Chang Hulin, Zhang Yu, Ma Dongrui, et al. Application of PBL combined with CBL and CP teaching methods in standardized residency training in the department of hepatobiliary surgery[J]. Chinese Journal of Medical Education Research, 2023,22(2):247-249.
常虎林, 张煜, 马东瑞, 等. PBL+CBL+CP教学在肝胆外科住院医师规范化培训中的应用[J]. 中华医学教育探索杂志, 2023, 22(2): 247-249. DOI： 10.3760/cma.j.cn116021-20201111-01183.

Chang Hulin, Zhang Yu, Ma Dongrui, et al. Application of PBL combined with CBL and CP teaching methods in standardized residency training in the department of hepatobiliary surgery[J]. Chinese Journal of Medical Education Research, 2023,22(2):247-249. DOI： 10.3760/cma.j.cn116021-20201111-01183.

摘要

目的

探讨以问题为基础的学习（problem-based learning，PBL）、以案例为基础的学习（case-based learning，CBL）和临床路径（clinical pathway，CP）相结合应用于肝胆外科住院医师规范化培训中的效果。

方法

以2018年7月至2019年7月在陕西省人民医院肝胆外科接受规范化培训的64名住院医师为研究对象，分为观察组和对照组。其中对照组运用PBL+CBL教学，观察组运用PBL+CBL+CP教学。对比两组住培医师出科考试成绩和教学认可度评分。采用SPSS 15.0进行

检验和卡方检验。

结果

对比两组住培医师的出科考试成绩，在专业理论、病例分析、操作技能方面，观察组均高于对照组，差异有统计学意义（

=6.98、7.85、7.01，

0.05）。在对教学的认可度方面，观察组高于对照组，差异有统计学意义（

=9.14，

0.05）。

结论

PBL+CBL+CP教学有利于住培医师全面、系统地掌握知识，并快速建立科学的临床思维，具有很强的科学性和系统性，值得推广。

Abstract

Objective

To analyze the effect of problem-based learning (PBL) combined with case-based learning (CBL) and clinical pathway (CP) teaching methods in standardized residency training in department of hepatobiliary surgery.

Methods

A total of 64 residents who received the standardized residency training in the Department of Hepatobiliary Surgery in Shaanxi Provincial People's Hospital from July 2018 to July 2019 were selected and divided into the observation group and the control group. The control group used PBL + CBL teaching methods

while the observation group adopted PBL + CBL + CP teaching methods. The after-department examination scores and the teaching cognition scores of the two groups were compared. SPSS 15.0 was used for

-test and Chi-square test.

Results

The after-department examination scores of the two groups were compared. Compared with the control group

the examination scores of professional theories

case analysis and operation skills in the observation group were significantly higher

and the difference was statistically significant (

= 6.98

7.85

7.01

0.05). In terms of recognition of teaching

the observation group was significantly higher than the control group

and the difference was statistically significant (

= 9.14

0.05).

Conclusion

The PBL + CBL + CP teaching is conducive to the comprehensive and systematic mastery of knowledge and the rapid establishment of scientific clinical thinking. It has a strong scientific and systematic nature and is worthy of promotion.

关键词

肝胆外科以案例为基础的学习以问题为基础的学习临床路径

Keywords

Department of hepatobiliary surgeryCase-based learningProblem-based learningClinical pathway

references

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