叶夷露，张 琦，朱一亮，胡 珏，郑鸣之，钟雅文，俞月萍

(浙江医学高等专科学校，浙江 杭州 310053)

·教育教学研究·

PBL教学在专科基础医学整合课程教学中的应用效果分析

叶夷露，张 琦，朱一亮，胡 珏，郑鸣之，钟雅文，俞月萍@

(浙江医学高等专科学校，浙江 杭州 310053)

目的：探讨PBL教学法在专科基础医学整合课程教学中的应用效果。方法以2011级临床医学专业学生为教学对象，在人体机能学课程的消化系统和内分泌系统单元教学中，分别采用传统教学方法和PBL教学方法，比较学生的考试成绩；对PBL教学班进行调查问卷，评价PBL的教学效果。结果PBL教学班较传统教学班基础理论客观题成绩无差异，临床应用主观题成绩和总成绩有显著提高。问卷调查中发现，绝大多数学生认为PBL法教学效果优于传统教学法，对各方面能力的提升有帮助。结论在专科基础医学整合课程中，PBL教学法可与传统教学法结合使用，提高教学效果，提高学生自主学习的能力。

PBL；基础医学；整合课程；专科

Abstract: [Objective] To investigate the application effects of Problem-Based Learning approach (PBL) for preclinical medicine integration curriculum in medical college. [Methods] Students majoring in Clinical Medicine were randomly divided into two classes which were received PBL and traditional teaching methods, respectively. Test scores of digestive system and endocrine system were compared between these two classes. The questionnaire survey was used to investigate the teaching effects of PBL in the PBL class. [Results] There was no significant difference in the score of objective questions between two classes, but the score of subjective questions and total score in PBL class were higher than the traditional teaching class. The results of questionnaire survey showed that over 80% students considered the teaching effects of PBL method was better than the traditional teaching method, which can also help them to build learning abilities. [Conclusion] PBL combined with traditional teaching method can improve the teaching effect and promote students’ self-learning ability

Keywords: problem-based learning (PBL); basic medicine; integrated curriculum; college

基于问题的学习(Problem-Based Learning, PBL)是目前国际上比较流行的医学教学模式，其主要特点是强调以学生为中心，以问题为基础，充分调动学生的学习积极性。经典的PBL教学模型是加拿大McMaster大学医学院Schmidt教授总结归纳的“七步跨越”方法，此教学方法让学生通过合作解决问题、培养学生解决问题的能力，从而使学生达到自主学习、终身学习的目的[1]。人体机能学是将生理学、病理生理学和药理学整合后的一门基础医学课程，该课程涉及的知识点较多、框架体系较复杂，而专科的医学生基础较差、学习主动性不够，易出现学习兴趣下降、畏难等问题。……