CAJ | 학술논문

基于医学生理论实践、临床思维、沟通能力欠缺，同时为使医学生接触真实世界中的案例，学习隐含在案例中的概念、原理和观点，结合胸膜疾病教学内容的特点和医学生的具体情况，在临床教学中应用了“以病例为先导，以问题为基础，以学生为主体，以教师为主导”为核心的以案例为导向的教学模式。通过对临床教学的实践与反思，以案例为导向的教学模式在胸膜疾病临床教学中具有提供临床实践机会、进一步巩固基础理论知识、提高临床思维能力、增强沟通及团队协作能力等优势，但仍需注意病案库的建立、学生能力的不同及高水平要求教师等问题。
기우의학생이론실천、림상사유、구통능력흠결，동시위사의학생접촉진실세계중적안례，학습은함재안례중적개념、원리화관점，결합흉막질병교학내용적특점화의학생적구체정황，재림상교학중응용료“이병례위선도，이문제위기출，이학생위주체，이교사위주도”위핵심적이안례위도향적교학모식。통과대림상교학적실천여반사，이안례위도향적교학모식재흉막질병림상교학중구유제공림상실천궤회、진일보공고기출이론지식、제고림상사유능력、증강구통급단대협작능력등우세，단잉수주의병안고적건립、학생능력적불동급고수평요구교사등문제。
Based on the lack of the theory, practice, clinical thinking and communication skills of medical students, and at the same time in order to make medical students contact with the real world cases, learning concept, principle and idea of implied in the case, according to the characteristics of medical students and pleural diseases teaching content, apply Case-based Learning teaching mode whose core is "with cases as the guide, based on the problem, take the student as the main body, dominated by teachers" to pleural disease clinical teaching. Through the practice and reflection on the clinical teaching, Case-based Learning teaching mode in the pleural disease clinical teaching can offer clinical practice opportunities, further consolidate the basic theoretical knowledge, improve the clinical thinking ability, enhance the advantages of the communication and team cooperation ability. But we still need to pay attention to the establishment of the medical record library, the differences of students' ability and high level requires teachers and so on.