网络环境下循证pbl教学法在内科学教学中的应用-中国高等医学教育.docVIP

网络环境下循证PBL教学法在内科学教学中的应用 陈羽，牛凌云，蔡洁毅，谢文瑞何兴祥作者单位：广东药学院附属第一医院消化内科，广东药学院临床医学院内科学教研室，广州 510080 通讯作者：何兴祥，教授、主任医师，xingxianghe@ 【摘要】 目的：结合循证医学和网络的方法，探讨PBL教学法在内科学教学中的应用。 方法：将临床医学专业两个本科班级作为研究对象，随机分为结合循证医学网络的PBL教学和传统的LBL教学，从主观和客观方面比较两组短期、中期和远期的教学成效。 结果：客观评价中短期内PBL教学组和LBL教学组成绩无统计学差异（p=0.471），而中期考核PBL教学组成绩明显优于LBL教学组（p=0.022），主观评价中PBL教学组更是得到了老师的肯定。 结论：PBL教学法短期内教学效果与传统的LBL教学法相似，而中远期评价则明显优于后者。【关键词】 PBL；循证医学；网络 The research of internal medical teaching through problem-based-learning combining evidence-based medicine and the network approach CHEN Yu, Niu Ling-yun, CAI Jie-yi, XIE Wen-rui, HE Xing-xiang Department of Gastroenterology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou 510080, China 【Abstract】 AIM: By combining evidence-based medicine and the network approach of problem-based-learningPBL) teaching were assessed effectiveness in internal medical teaching. METHODS: The study include two clinical medicine undergraduate classes which were randomly divided into teaching groups of EN-PBL and LBL. The two groups were compared subjective and objective aspects of the short, medium and long-term effectiveness of teaching. RESULTS: In objective evaluation, the short term of teaching performance has no significant difference between groups (p = 0.471), while the mid-term evaluation of EN-PBL teaching group was significantly better than the LBL teaching group (p = 0.022). EN-PBL teaching group was considered batter than LBL teaching group by the teachers in subjective evaluation. CONCLUSIONS: The EN-PBL teaching combining evidence-based medicine and the network approach is more suitable for domestic teaching and learning environment. The EN-PBL pedagogy and the traditional LBL pedagogy was similar in short-term effect, but was significantly better than the latter in the mid-term and long-term. 【Key words】：problem-based-learning；evidence-based medicine；network 以问题为导向的教学法Problem Based Learning，PBL一种以问题为核心，解答问题为驱动力，学生为主体，在辅导教师的参与下，采用分组阐述、展示、讨论及相互交流为手段，围