卢明东　孙维建　柯将琼　游　涛　李丕宏　郑志强▲.温州医科大学附属第二医院外科，浙江温州　35000；.温州医科大学附属第二医院内科，浙江温州　35000

基于标准病例的CBL教学法在普外科见习教学中的效果观察

卢明东1孙维建1柯将琼2游涛1李丕宏1郑志强1▲
1.温州医科大学附属第二医院外科，浙江温州325000；2.温州医科大学附属第二医院内科，浙江温州325000

目的 探讨基于标准病例的病案教学法（CBL）在普外科见习教学中的作用。方法 将111例在我院见习的学生随机分为研究组（n=55）和对照组（n=56），分别进行基于标准病例的CBL教学法教学和传统教学法教学，通过理论考核、实践考核和问卷调查评价教学效果。结果研究组学生在病例分析能力和基本操作能力方面的考核结果明显优于对照组，差异有统计学意义（P=0.012、0.031）。在知识点理解运用能力、临床思维能力、学习兴趣和教学满意度四个方面的问卷调查显示研究组均高于对照组，差异有统计学意义（P<0.05）。结论 基于标准病例的CBL教学法有助于提高教学效果、增强学生学习兴趣、提高学生临床思维能力。

标准病例；CBL教学法；见习；教学

[Abstract]Objective To explore the role of CBL method in the teaching and apprenticeship of department of surgery. Methods 111 apprentices in our hospital were randomly divided into two groups,study group(n=55)and control group (n=56).CBL teaching method and conventional teaching method were adopted respectively and the teaching outcomes were evaluated by theoretical examination,practical examination and questionnaire survey.Results Students from study group had significant better ability in case analysis and basic operation than tat in the control group(P=0.012,0.031). The questionnaire survey showed higher result of study group than control group in the aspects of ability in knowledge understanding and application,clinical thinking ability,learning interest and teaching satisfaction,the difference was statistically significant(P<0.05).Conclusion CBL teaching method is helpful in improving the teaching result,increasing students'interests and improving the ability of clinical thinking.

[Key words]Standard case;CBL teaching method;Apprentice;Teaching

普通外科学是具有很强实践性的一门医学科学，要求我们非常重视医学生的临床思维和临床实践操作能力的培养。在临床的见习教学中，目前有各种教学模式，如传统教学模式[1]、以案例为基础的教学模式（case based learning，CBL）[2]、以问题为基础的教学模式（problem based learning，PBL）等[3]。随着医学教育改革的深入和CBL优点的体现，部分运用这种方法及其思想的学校遍及世界各地，包括哈佛医学院的“医学教育新途径”教改在内的几乎所有重大的医学教育改革，均或多或少地吸收了CBL的理念。……