[摘要] 目的 评价分析PBL与CBL教学法联合应用于儿科临床教学中的教学效果。方法 选取该校2016级1班三年制临床医学专业学生46名为对照组，另选取同级2班三年制临床医学专业学生42名为观察组，对照组根据儿科临床教学大纲采取传统教学方法，观察组采用PBL联合CBL教学法开展教学，对两组学生考核成绩及学习能力进行观察。结果 观察组理论成绩、临床技能考核成绩均较对照组高（P<0.05）;观察组学生在自主学习能力、解决问题能力、语言表达能力、团队合作能力方面的评分均较对照组高（P<0.05）。结论 PBL法联合CBL教学法应用于儿科临床教学中可提高教学效果，也能有效培养学生的综合素质。

[关键词] 儿科;临床教学;PBL教学法;CBL教学法

[中图分类号] R-4 [文献标识码] A [文章编号] 1672-5654（2020）05（b）-0118-03

Application of the Combination of PBL and CBL Teaching Methods in Pediatric Clinical Teaching

LIU Ying-hua

Department of Pediatrics， Heze Medical College， Heze， Shandong Province， 274000 China

[Abstract] Objective To evaluate and analyze the teaching effect of the combination of PBL and CBL teaching methods in pediatric clinical teaching. Methods Forty-six students of the three-year clinical medicine major of 2016 class in the school were selected as the control group， and 42 students of the three-year clinical medicine major of the same class for the second class were selected as the observation group. The control group took traditional teaching according to the pediatric clinical syllabus. Methods The observation group used PBL and CBL teaching methods to conduct teaching， and observed the assessment results and learning ability of the two groups of students. Results The theoretical scores and clinical skills assessment scores of the observation group were higher than those of the control group（P<0.05）. Students in the observation group scored higher than those of the control group in their autonomous learning ability， problem solving ability， language expression ability and teamwork ability（P<0.05）. Conclusion The combination of PBL and CBL teaching methods in pediatric clinical teaching can improve the teaching effect and effectively cultivate the comprehensive quality of students.

[Key words] Pediatric; Clinical teaching; PBL teaching method; CBL teaching method

儿科学主要是研究胎儿到青少年时期生长发育规律以及疾病防治的一门临床学科，其教学任务是让临床医学生能够熟练掌握小儿的生长发育规律、儿科常见疾病的发生发展规律和诊治方案以及儿童的保健措施等，减少儿科疾病发生，并提高疾病的治愈率[1]。近年，随着新医改的不断推行以及医学技术的飞速发展，培养具有扎实基础知识、较强临床操作技能、富有创新能力的医学生成为了现代医学教育的要求。然而，以往传统的教学模式是老师在课堂集中授课，学生被动接受，其形式较为单一，大部分学生都只是死记硬背儿科学理论知识，导致某些学生走向临床工作时难以适应，或者其临床实践技能较差，难以很好地服务患儿，也会使其工作积极性不高[2]。因此，如何使临床医学生将所学的理论知识灵活、有效地运用到临床实践中是当前临床医学教育中的研究热点。现为改善儿科教学效果，该校选取2016级1班三年制临床医学专业学生46名和同级2班三年级制42名学生为研究对象，尝试将PBL与CBL教学法联合应用于儿科临床教学中，最终获得了良好的效果，现报道如下。……