CAJ | 학술논문

目的探讨传统教学法、以问题为基础学习教学法、病案讨论教学法和以问题为基础学习结合病案讨论教学法4种方法在普通外科学见习教学中的应用效果.方法将132名临床医学专业见习学生分成4组,分别采用传统教学法、以问题为基础学习教学法、病案讨论教学法和以问题为基础学习结合病案讨论教学法进行见习带教,并对学生的出科模拟考试成绩进行对比分析,同时对学生进行问卷调查.结果采用以问题为基础学习和病案讨论教学法的学生的成绩及满意度明显优于传统教学组,而采用以问题为基础学习结合病案讨论教学法的学生的成绩及满意度则高于其他3组.结论以问题为基础学习结合病案讨论教学法可以明显提高学生的学习兴趣,并能够更好地培养学生的临床思维、提高学习效率.
목적 탐토전통교학법、이문제위기출학습교학법、병안토론교학법화이문제위기출학습결합병안토론교학법4충방법재보통외과학견습교학중적응용효과.방법 장132명림상의학전업견습학생분성4조,분별채용전통교학법、이문제위기출학습교학법、병안토론교학법화이문제위기출학습결합병안토론교학법진행견습대교,병대학생적출과모의고시성적진행대비분석,동시대학생진행문권조사.결과 채용이문제위기출학습화병안토론교학법적학생적성적급만의도명현우우전통교학조,이채용이문제위기출학습결합병안토론교학법적학생적성적급만의도칙고우기타3조.결론 이문제위기출학습결합병안토론교학법가이명현제고학생적학습흥취,병능구경호지배양학생적림상사유、제고학습효솔.
Objective To investigate the application effect of 4 teaching methods, traditional teaching method, problem-based learning (PBL), case-based discussion and PBL combined with casebased discussion in clerkship teaching of general surgery. Methods One hundred and thirty-two clinical probationers of grade 2003 and 2004 were divided into 4 groups (33 in each group). Four teaching methods were applied respectively. Performance records of theoretical test, clinical skill assessments and questionnaires were analyzed statistically at the end of clerkship. Results The results of PBL and case-based discussion teaching were superior to traditional teaching ( P ＜ 0.05 ). And the result of PBL combined with case-based discussion teaching was superior to the others (P ＜0.05). Conclusions PBL combined with case-based discussion teaching method can stimulate clinical probationers' learning interests, promote the training of clinical thinking and elevate their learning efficiency.