情景体验式教学结合PBL教学模式在神经外科的应用效果

曾正艳 伍海军　杨华　张波

[摘要] 目的 探討情景体验式教学结合PBL教学模式应用于神经外科临床实习中的效果。 方法 选取2018年12月至2019年8月在贵州中医药大学第一附属医院神经外科轮转实习的贵州中医药大学实习生80例为研究对象，采取随机数字表法，将实习生分为对照组和观察组，每组各40例。对照组以传统方式进行教学，观察组采用情景体验式教学结合PBL教学法进行授课，比较两组的效果评价及能力考核分数。 结果 两组对情景体验式教学的了解程度和对PBL教学的了解程度比较，差异无统计学意义（P>0.05）;观察组教学满意度、教学方式满意度、教师教学满意度、课堂愉悦满意度、结合教学满意度均高于对照组，差异有统计学意义（P<0.05）。观察组理论与考核分数均显著高于对照组差异有统计学意义（P<0.05）。 结论 情景体验式教学结合PBL教学法，可显著提高学生的满意度及能力考核分数。

[关键词] 情景体验式教学;PBL 教学模式;神经外科;临床实习

[中图分类号] R651          [文献标识码] B          [文章编号] 1673-9701（2021）06-0152-03

Application effect of situational experience teaching combined with PBL teaching mode in neurosurgery

ZENG Zhengyan1   WU Haijun2   YANG Hua2   ZHANG Bo 3

1.Graduate School， Guizhou University of Traditional Chinese Medicine， Guiyang   550002， China; 2.Department of Neurosurgery， the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine， Guiyang   550001， China; 3.Department of Neurosurgery， Huiya Hospital of The First Affiliated Hospital of Sun-Yat Sen University， Huizhou   516211， China

[Abstract] Objective To explore the effect of situational experiential teaching combined with PBL teaching mode in clinical neurosurgery practice. Methods A total of 80 interns from Guizhou University of Traditional Chinese Medicine who had a rotating internship in Department of Neurosurgery， the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from December 2018 to August 2019 were selected as the study subjects. According to the random number table method， the interns were divided into the control group and the observation group， with 40 people in each group. The control group was given the teaching in the conventional way. The observation group was given the situational experience teaching combined with PBL teaching mode. The efficacy evaluation and the ability assessment score were compared between the two groups. Results There was no difference between the observation group and the control group in the knowledge of situational experience teaching and PBL teaching mode（P>0.05）. There were differences in the satisfaction of teaching， satisfaction of teaching method， satisfaction of teacher teaching， satisfaction of classroom pleasure and satisfaction of combination teaching mode， and the differences were statistically significant（P<0.05）. The theoretical and ability assessment scores in the observation group were significantly higher than that in the control group（P<0.01）. Conclusion The situational experience teaching combined with the PBL teaching mode can significantly improve students′ satisfaction and ability assessment score.

[Key words] Situational experiential teaching; PBL teaching mode; Neurosurgery; Clinical practice

临床教学承担着高等医学院校培养过程中50%以上的教学任务，医学临床实习阶段是医学生由学生逐渐转变身份成为一名合格医师的关键过渡时期，也是将理论认识上升到临床实践和工作中的必要过程，决定着医学毕业生的质量。神经外科学是外科学体系中一个年轻的学科，其主要研究人体的神经中枢系统及大脑周围神经系统。神经外科学涉及神经生理、解剖、病理和疾病多个方面，学科体系庞杂、概念抽象、知识涉面广、专业性强是神经外科学的学科特点，其知识点不容易被理解和掌握。随着教学方式的改革，传统临……