徐英妹

【摘 要】目的：分析PBL与CBL教学法在精神科住院医师规范化培训中的联合应用。方法：将我院2019年1月至2020年12月内的40例须参加精神科住院医师规范化培训医学生选为本次研究对象，并以培训方式差异将其分为常规组（20例，传统教学法）和实验组（20例，PBL与CBL教学法），对比分析两组教学方法的培训效果。结果：两组学员培训前的操作技能与自我职业认同感评分无明显差异（P>0.05），但培训后的实验组学员操作技能与自我职业认同感评分均显著高于常规组（P<0.05），且常规组和实验组学员对培训方式的反馈优良率分别为70.00%、95.00%，实验组显著高于常规组（P<0.05）。结论：在精神科住院医师规范化培训中，以PBL与CBL教学法进行联合应用，可充分调动住院医师的学习积极性，进而有效提高培训质量，为患者提供更优质的医疗服务。

【关键词】精神科住院医师；PBL培训；CBL培训

The combined application of PBL and CBL teaching methods in standardized training of psychiatric residents

Xu Yingmei

Department of Psychiatry， Third People’s Hospital of Maoming， Maoming Guangdong 525000， China

【Abstract】Objective： To analyze the combined application of PBL and CBL teaching methods in standardized training of psychiatric residents. Methods： 40 medical students from January 2019 to December 2020 in our hospital who were required to participate in the standardized training of psychiatric resident physicians were selected as the subjects of this study， and they were divided into conventional group （20 cases， traditional teaching method） and experimental group （20 cases， PBL and CBL teaching methods）according to the difference in training methods. Comparing and analyzing the training effects of the two teaching methods.Results： There was no significant difference in the operating skills and self-professional identity scores of the two groups of trainees before training （P>0.05）， but the operating skills and selfprofessional identity scores of the experimental group after training were significantly higher than those of the conventional group（P<0.05）， and the excellent feedback rates of the training methods of the trainees in the conventional group and the experimental group were 70.00% and 95.00%， respectively. The experimental group was significantly higher than that in the conventional group（P<0.05）.Conclusion： In the standardized training of psychiatric residents， the combined application of PBL and CBL teaching methods can fully mobilize the enthusiasm of residents in learning， thereby effectively improving the quality of training and providing patients with better medical services..

【Key？Words】Psychiatric resident； PBL training； CBL training

常規的理论知识教学，多以层层推进的方式，促使受教者构建基础扎实、完整而系统的知识结构，但整个教学过程中，受教者属于被动接受地位，对受教者的自主行为要求高，较易产生教材依赖，缺乏自主获知识的积极性，已无法满足当前临床对精神科住院医师的新标准[1-3]。而以问题为基础的PBL教学法与以案例为基础的CBL教学法是充分调动受教者积极主动性的教学方式，可有效打破传统教学方式的局限，提高教学质量的新型教学方法，但当前对其的研究较少，基于此，为明确两者联合用于精神科住院医师规范培训中的应用价值，本文就对此展开研究，具体如下。……