刘胜文　黄露露　徐钰　王胜

[摘要] 目的 探索PBL（problem-based learning）教学法联合循证医学模式在神经外科住院医师规范化培训临床教学中的应用效果。方法 将2019年3—8月华中科技大学同济医学院附属同济医院神经外科的100名住院医师规范化培训人员随机分为两组，A组接受PBL联合循证医学模式教学授课，B组接受传统教学授课。规范化培训结束时，对两组学员进行出科考试，并发放满意度调查问卷，了解两组的教学效果及两组对教学过程的满意度。结果 出科成绩和满意度调查的结果均显示，A组效果高于B组，差异有统计学意义（P<0.05）。结论 在神经外科住院医师规范化培训教学中，PBL教学法联合循证医学模式能够提高规范化培训人员的理论操作能力及其对教学效果的满意度。

[关键词] PBL;循证医学模式;神经外科;住院医师规范化培训;教学效果

[中图分类号] R-4 [文献标识码] A [文章编号] 1672-5654（2020）07（b）-0176-03

Application of PBL Combined with Evidence-based Medicine in Standardized Training of Neurosurgery Residents

LIU Sheng-wen1， HUANG Lu-lu2， XU Yu1， WANG Sheng1

1.Department of Neurosurgery， Tongji Hospital， Tongji Medical College， Huazhong University of Science and Technology， Wuhan， Hubei Province， 430030 China; 2.Department of Oncology， Tongji Hospital， Tongji Medical College， Huazhong University of Science and Technology， Wuhan， Hubei Province， 430030 China

[Abstract] Objective To explore the application effect of PBL（problem-based learning） teaching method combined with evidence-based medicine model in the clinical teaching of standardized training of neurosurgery residents. Methods From March to August 2019， 100 resident standardized trainers from the Department of Neurosurgery， Tongji Hospital， Tongji Medical College， Huazhong University of Science and Technology were randomly divided into 2 groups. Group A received PBL combined with evidence-based medicine teaching and teaching， and Group B accepted traditional teaching. At the end of the standardized training， the two groups of trainees were given a subject examination and a satisfaction survey questionnaire was issued to understand the teaching effect of the two groups and the satisfaction of the two groups with the teaching process. Results The results of the department grade and satisfaction survey showed that the effect of group A was higher than that of group B， and the difference was statistically significant（P<0.05）. Conclusion In the standardized training and teaching of neurosurgery residents， the PBL teaching method combined with the evidence-based medicine model can improve the theoretical operation ability of standardized trainers and their satisfaction with the teaching effect.

[Key words] PBL; Evidence-based medicine model; Neurosurgery; Standardized training of residents; Teaching effect

神經外科涉及病种繁多，知识面广，学习内容抽象复杂。专业性和操作性都很强的神经外科学习，一直是住院医师规范化培训的重点和难点，对授课老师的要求更高。如何探索出更高效的适合神经外科住院医师规范化培训的教学方法，是临床教学的重点工作之一。以学生为中心，以问题为基础的PBL教学模式，能最大程度地激发学生的学习兴趣及主观能动性。而循证医学模式培养的重点是要求学生在牢记书本知识的基础上，掌握具体问题分析和相关前沿信息检索的能力。目前，PBL联合循证医学教学模式被广泛应用于临床教学中，教学效果显著。但目前尚缺乏该模式在神经外科住院医师规范化培训教学中的研究报道。因此，该院神经外科教学课题组尝试将2019年3—8月期间在神经外科进行住院医师规范化培训的100名学员作为研究对象，调查研究PBL联合循证医学教学模式的教学效果，现报道如下。……