基于问题教学法在骨科实习医生教学中的应用

摘要目的：通过基于问题教学方法（problem based learning，PBL）对骨科临床实习医师教学培训，探索提高实习医师临床实践的能力。方法：在骨科临床实习过程中，我们根据学生实习前平均成绩将实习医生分为2组，对18名实习医生采用传统教学模式，而对另18名实习医生采用基于问题教学模式，在临床实习过程进行问诊、初步诊断和分析、治疗处理、写病历、查房，骨科实习结束进行临床基本技能考核比较。结果：在体格检查、辅助检查、问题回答和患者评价项目考核比较，实验组实习医生出科成绩优于对照组；病历书写和病史采集两组没有区别。结论：通过对两组实习医师的临床实践成绩比较，在临床教学实践中，采用基于问题教学方法能够更好地提高实习医师掌握临床知识和技能的能力。

Application to Intem Doctors with Problem Based Leaming Pattem in Orthpedics Department

Objective： To explore the teaching mode on developing intern doctors clinical skills by the application of Problem Based Learning （PBL） pattern on intern doctors in orthopedics department. Methods： In clinical practice, the problem based learning pat- tern was applied to 18 intern doctors, and the traditional teaching pattern was applied to other 18 intern doctors on the inquiry, tentative diagnosis and analysis, treatment, writing medical record and medical round. In the end of clinical practice, a clinical assessment were performed in the 2 groups intern doctors. Results： The clinical skills results were better on physical examination, accessory examination, answer question and patients evaluation in PBL group; but there were no difference on writing medical record and inquiry in both of the groups. Conclusions： In general, the clinical skills results in PBL group were better than the control group. Problem Based Learningpat- tern may develop the intern doctors clinical skills better.