CAJ | 학술논문

目的：运用案例教学法（case-based learning，CBL）结合以问题为基础的教学方法（pro-blem-based learning ，PBL）进行教学查房并与传统教学查房所取得的教学效果相比较，以探讨对七年制学生最优化的教学方法。方法将2011年10月-2013年7月进行临床实习的75名七年制学生分为2组，一组进行传统的教学查房，一组进行CBL结合PBL法进行教学查房，随后进行调查问卷，并比较2组学生出科考核成绩。结果学生主观上评价CBL结合PBL法在自学能力的培养和知识面的拓宽上优于传统教学法（ P＜0．05）。出科考试成绩比较显示，在问诊、回答问题和病例书写方面，CBL结合PBL组成绩优于传统教学查房组（ P＜0．05）。结论 CBL 结合PBL 的教学查房模式有利于调动学生学习的积极主动性，有助于其自学能力、发现问题和解决问题能力的提高，这对七年制学生的培养非常有帮助。
목적：운용안례교학법（case-based learning，CBL）결합이문제위기출적교학방법（pro-blem-based learning ，PBL）진행교학사방병여전통교학사방소취득적교학효과상비교，이탐토대칠년제학생최우화적교학방법。방법장2011년10월-2013년7월진행림상실습적75명칠년제학생분위2조，일조진행전통적교학사방，일조진행CBL결합PBL법진행교학사방，수후진행조사문권，병비교2조학생출과고핵성적。결과학생주관상평개CBL결합PBL법재자학능력적배양화지식면적탁관상우우전통교학법（ P＜0．05）。출과고시성적비교현시，재문진、회답문제화병례서사방면，CBL결합PBL조성적우우전통교학사방조（ P＜0．05）。결론 CBL 결합PBL 적교학사방모식유리우조동학생학습적적겁주동성，유조우기자학능력、발현문제화해결문제능력적제고，저대칠년제학생적배양비상유방조。
Objective To compare the teaching effectiveness of case-based learning ( CBL ) combined with problem-based learning ( PBL) and the traditional teaching mode in clinical teaching ward rounds for seven-year-program students .Methods We divided 75 seven-year-program students who took clinical practice from October 2011 to July 2013 into 2 groups: the traditional teaching ward round and CBL combined with PBL . Subsequent questionnaires and clinical scores were used to assess the effectiveness of the two teaching modes .Results Students made a positive evaluation of CBL combined with PBL over the traditional teaching method in enhancing their self-study ability and broadening knowledge ( P <0.05 ) .The scores of history taking , question answering and case writing in CBL combined with PBL group upon leaving the clinical department were higher than those in the traditional teaching ward-round group (P<0.05).Conclusion CBL combined with PBL in teaching ward rounds can improve seven-year-program students'learning initiative and enhance their self-study ability and ability to find and solve clinical problems , which is helpful to training seven-year-program students .