CAJ | 학술논문

目的：探讨以案例为基础的教学(Case-Based Learning，CBL)与以问题为基础的教学(Problem-Based Learning， PBL)双轨式结合，在胃肠外科住院医师规范化培训中的应用效果。方法：选取在胃肠外科轮转的37名规范化培训学员，对其进行CBL+ PBL双轨教学模式培训，通过出科考核及问卷调查两种方式，采用自身前、后对照方法，评价学员的教学效果。结果：学员出科考试成绩CBL+PBL双轨教学模式明显高于传统教学模式（P<0.05）。调查问卷结果提示CBL+PBL双轨教学模式明显提高学员的自学能力、临床思维能力、查阅资料能力及语言表达能力（P<0.05），差异有统计学意义。结论：CBL+PBL双轨教学模式有利于提高胃肠外科轮转的住院医师综合能力，但还需要不断探索和实践。
목적：탐토이안례위기출적교학(Case-Based Learning，CBL)여이문제위기출적교학(Problem-Based Learning， PBL)쌍궤식결합，재위장외과주원의사규범화배훈중적응용효과。방법：선취재위장외과륜전적37명규범화배훈학원，대기진행CBL+ PBL쌍궤교학모식배훈，통과출과고핵급문권조사량충방식，채용자신전、후대조방법，평개학원적교학효과。결과：학원출과고시성적CBL+PBL쌍궤교학모식명현고우전통교학모식（P<0.05）。조사문권결과제시CBL+PBL쌍궤교학모식명현제고학원적자학능력、림상사유능력、사열자료능력급어언표체능력（P<0.05），차이유통계학의의。결론：CBL+PBL쌍궤교학모식유리우제고위장외과륜전적주원의사종합능력，단환수요불단탐색화실천。
Objective To explore the application effect on the combination of Case Based Learning(CBL) and Problem Based Learning(PBL) in resident standardization training of gastrointestinal surgery. Methods 37 residents of standardization training in gastrointestinal surgery were selected, and they were trained with CBL+PBL dual-track teaching mode. We evaluated the teaching effects before and after the CBL+PBL teaching mode by given examinations and questionnaire surveys. Results Students in CBL+PBL dual-track teaching mode shown better performance compared with traditional teaching mode (P<0.05). Survey results indicated that students' self-study ability and clinical thinking ability, informative ability and language expression ability (P<0.05). were obviously increased by CBL+PBL teaching mode. Conclusion CBL+PBL dual-track teaching model can help improve the comprehensive abilities of residents of standardization training in gastrointestinal surgery, but it also needs to explore and practice continuously.