CAJ | 학술논문

目的：探讨以问题为基础的学习（ PBL）教学模式在全科医师规范化培训中的具体应用及评价效果。方法2012年8月-2013年8月以同济大学医学院全科医学系参加全科医师规范化培训的学员作为研究对象，根据学号将学员分为PBL组（n=75）和以授课为主的学习组（LBL组，n=68）。由共同教师授予相同主题内容的课程，PBL组采用PBL教学模式，LBL采用传统讲座式教学方法。以执业医师考试及客观结构化临床考试（ OSCE）成绩作为客观测评指标，主观测评依据以三级教学评价指标进行效果调查问卷，采用SPSS 20.0统计软件分析处理所有数据。结果PBL组的OSCE考试成绩（体检及临床技能除外）及执业医师综合考试成绩均较LBL组提高，差异有统计学意义（ P＜0.05）。问卷结果显示PBL组学生在教学内容、教师能力和教学效果为基础的三级评价问卷中，对19个具体评价指标的肯定率高于LBL组。结论对于全科医师规范化培训学员，PBL教学模式优于传统LBL教学模式，有助于临床思维能力的培养，提高学员的综合素质。
목적：탐토이문제위기출적학습（ PBL）교학모식재전과의사규범화배훈중적구체응용급평개효과。방법2012년8월-2013년8월이동제대학의학원전과의학계삼가전과의사규범화배훈적학원작위연구대상，근거학호장학원분위PBL조（n=75）화이수과위주적학습조（LBL조，n=68）。유공동교사수여상동주제내용적과정，PBL조채용PBL교학모식，LBL채용전통강좌식교학방법。이집업의사고시급객관결구화림상고시（ OSCE）성적작위객관측평지표，주관측평의거이삼급교학평개지표진행효과조사문권，채용SPSS 20.0통계연건분석처리소유수거。결과PBL조적OSCE고시성적（체검급림상기능제외）급집업의사종합고시성적균교LBL조제고，차이유통계학의의（ P＜0.05）。문권결과현시PBL조학생재교학내용、교사능력화교학효과위기출적삼급평개문권중，대19개구체평개지표적긍정솔고우LBL조。결론대우전과의사규범화배훈학원，PBL교학모식우우전통LBL교학모식，유조우림상사유능력적배양，제고학원적종합소질。
Objective To analyze the effect of application with problem-based learning model in general practical standard training. Methods The standard training students of general practice in Department of General Practice from Tongji Uni-versity Shool of Medicine were divided into the PBL group(n=75)and the LBL group(n=68). Objective evaluation scores ( Occupation physician examination and Objective Structured Clinical Examination,OSCE)and subjective evaluation form were used to evaluate the teaching effectiveness. SPSS software was used for statistical analysis. Results The OSCE scores ( except physical examination and clinical skills)and Occupation physician examination in PBL Group was significantly higher than that in the LBL group(P<0. 05);Students in the PBL teaching groups had higher evaluation on the PBL in the basic aspect of teaching content、teachers﹑capability and teaching effectiveness within 19 items. Conclusion PBL teaching method is superior to tradi-tional LBL teaching for the general practical standard training students to improve the comprehensive quantity.