CAJ | 학술논문

目的：探讨以团队为基础教学（team based learning，TBL）结合临床路径（clinical pathway，CP）教学在妇产科学临床实习教学中的可行性和实用性，并对其教学效果进行评价。方法选取40名临床医学专业实习医学生为研究对象，随机分为两组（各20人），分别采用TBL结合CP教学和传统教学。教学结束后，对两种教学方法的教学效果进行定量分析与比较,差异性比较采用t检验；同时，对TBL结合CP教学组医学生进行问卷调查，就TBL结合CP教学法的实施效果进行定性分析。结果 TBL结合CP教学组医学生终结性考核成绩得分优于传统教学组[（83.95±7.63） vs.（72.00±5.26）]，经t检验分析，差异有统计学意义（t=5.063，P<0.05）。 TBL结合CP教学组知识竞赛成绩均高于传统教学组（90分vs.85分、95分vs.75分、85分vs.70分）。TBL结合CP教学得到近90%医学生的认可，学生的多项素质得到进一步提高。结论 TBL结合CP教学具有实用性和可行性，值得在妇产科学临床实习教学中推广应用。
목적：탐토이단대위기출교학（team based learning，TBL）결합림상로경（clinical pathway，CP）교학재부산과학림상실습교학중적가행성화실용성，병대기교학효과진행평개。방법선취40명림상의학전업실습의학생위연구대상，수궤분위량조（각20인），분별채용TBL결합CP교학화전통교학。교학결속후，대량충교학방법적교학효과진행정량분석여비교,차이성비교채용t검험；동시，대TBL결합CP교학조의학생진행문권조사，취TBL결합CP교학법적실시효과진행정성분석。결과 TBL결합CP교학조의학생종결성고핵성적득분우우전통교학조[（83.95±7.63） vs.（72.00±5.26）]，경t검험분석，차이유통계학의의（t=5.063，P<0.05）。 TBL결합CP교학조지식경새성적균고우전통교학조（90분vs.85분、95분vs.75분、85분vs.70분）。TBL결합CP교학득도근90%의학생적인가，학생적다항소질득도진일보제고。결론 TBL결합CP교학구유실용성화가행성，치득재부산과학림상실습교학중추엄응용。
Objective To explore the practicality and feasibility and evaluation of the team based learning method (TBL) combined with the clinical pathway leaning method (CP) in clinical teaching of department of gynecology and obstetrics. Methods Toltally 40 clinical specialist interns selected for the study were randomly divided into two groups (each 20) respectively, using TBL com-bined with CP teaching method and traditional teaching method, and to make analysis and comparisons on the above two teaching methods. Differences were compared with t testing. Meanwhile, a question-naire survey was carried out among students of TBL combined with CP teaching group for qualitative analysis of the implementation effect of TBL combined with CP pedagogy. (Qualitative analysis is the medical students' evaluation of teaching effect, without further statistical processing). Results The professional test results of TBL combined with CP teaching team were superior to the traditional teach-ing group [(83.95 ±7.63) vs. (72.00 ±5.26)] and the difference was significant by paired t tests and analysis (t=5.063,P<0.05). The knowledge contest results of TBL combined with CP teaching team were superior to the traditional teaching group(90 vs. 85,95 vs. 75,85 vs. 70). TBL combined with CP method has been recognized by 90% medical students and they think that most of their quality has been further improved. Conclusions TBL combined with CP method for the clinical teaching of de-partment of gynecology and obstetrics is practical and feasible, and should be widely applied.