以病例为基础的讨论式教学模式在临床教学中的应用

目的:探讨以病例为基础讨论式学习(case-based discussion and learning,CBDL)在临床教学中的应用效果。方法:将40位临床医学本科专业学生随机分为两组,其中20人采用CBDL教学,20人采用传统教学,并且通过理论基础考试和临床技能考试的形式评价学生的学习效果,通过问卷的形式调查学生对教学方法的满意度。结果:CBDL教学组的理论考试、临床技能考试及总成绩得分均较传统教学组明显提高(P0.01),CBDL教学组学生对教学的满意度分别为:教学方法 100%,教学效果90%,小组功能95%,教师评价95%。结论:CBDL教学法较传统教学方法更能提高学生的基础和临床能力,为临床工作中独立解决问题打下了基础。

Application of Case Based Discussion and Learning (CBDL) on the Teaching of Clinical Medicine

Objective:To explore the application of case based discussion and learning on the teaching of internal medicine.Methods:40 students were selected and randomly divided into two groups with 20 students in each one. The students in the CBDL teaching group (20 students) were taught by the case based discussion and learning, while the students in the traditional teaching group (20 students) received the conventional teaching method. Then the satisfaction of teaching method was tested by theoretical and skill examination, and a questionnaire survey about teaching was conducted.Results:The theoretical score, clinical skill score and total score of CBDL group were higher than that of traditional group (P<0.01). Student satisfaction in CBDL teaching were as follows: teaching methods 100%, teaching effect 90%, function of group 95%, and teacher evaluation 95%.Conclusion:CBDL teaching method is superior to the traditional teaching method which could lay the foundation of solving problems independently for clinical work in the future.