CAJ | 학술논문

目的:评价PBL(Problem-Based Learning ,基于问题的学习)结合LBL(Lecture-Based Learning ,传统教学模式)双轨教学模式在国内临床医学教学中应用的效果.方法:在中国期刊全文数据库(CNKI)、中文科技期刊数据库(维普)、PubMed /MEDLINE和Cochrane library等数据库中检索2012~1989年间发表的有关PBL+LBL模式应用于国内临床医学教学的文献,由2位独立的研究人员进行文献筛选和数据提取,采用RevMan 4.2软件进行Meta分析.结果:共纳入5项随机对照研究,包括222例临床医学生;PBL+LBL组理论考试成绩和学习者满意度明显高于单纯PBL组(P<0畅05);问病/查体/书写病历考核、操作技能考核及总成绩在PBL+LBL和单纯PBL2组间差异无统计学意义(P>0畅05).结论:PBL+LBL双轨教学模式在保持PBL优势的同时,更有助于国内临床医学生理论知识的掌握.
목적:평개PBL(Problem-Based Learning ,기우문제적학습)결합LBL(Lecture-Based Learning ,전통교학모식)쌍궤교학모식재국내림상의학교학중응용적효과.방법:재중국기간전문수거고(CNKI)、중문과기기간수거고(유보)、PubMed /MEDLINE화Cochrane library등수거고중검색2012~1989년간발표적유관PBL+LBL모식응용우국내림상의학교학적문헌,유2위독립적연구인원진행문헌사선화수거제취,채용RevMan 4.2연건진행Meta분석.결과:공납입5항수궤대조연구,포괄222례림상의학생;PBL+LBL조이론고시성적화학습자만의도명현고우단순PBL조(P<0창05);문병/사체/서사병력고핵、조작기능고핵급총성적재PBL+LBL화단순PBL2조간차이무통계학의의(P>0창05).결론:PBL+LBL쌍궤교학모식재보지PBL우세적동시,경유조우국내림상의학생이론지식적장악.
Objective] To evaluate the effects of PBL+LBL (the combination of problem-based and lecture-based learning mode) teaching mode in clinical education in China .[Method] All studies on PBL+LBL in clinical education in China pub-lished between2009-1989 were identified by searching in CNKI ,VIP database ,Pubmed ,Cochrane library ,Elsevier ,and so on . Two independent assessors reviewed the studies to extract raw data .meta -analysis was performed using the RevMan 4 .2 soft-ware .[Result] Five randomized controlled trials on 222 clinical students qualified for the meta -analysis according to our crite-ria .The students in PBL+ LBL group got significant higher scores than the students in PBL group in theoretical tests ( P<0.05) ,and the students in PBL+LBL group were more satisfied with the teaching mode ,too (P<0.05) .However ,the dif-ferences of interrogation ,physical examination ,medical records ,clinical skills and total score ,between two groups were not significant(P>0 .05) .[Conclusion] PBL+LBL mode is an effective teaching mode in clinical education in china ,particular-ly for theory teaching ,compared with PBL mode .