合作学习联合基于问题的教学模式在胃肠外科临床见习中的应用

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摘要目的评估合作学习联合基于问题的教学模式（PBL）在胃肠外科见习教学中的效果。方法选取2020年9月至2021年1月在广西医科大学第一附属医院见习的97名临床本科生作为研究对象，按照简单随机化法将其分为实验组（采用合作学习联合PBL教学，49名）和对照组（采用常规教学模式，48名）。比较两组的考试成绩与教学效果。结果实验组学生的理论知识考核成绩与临床病例分析能力考核成绩均高于对照组，差异有统计学意义（P＜0.05）。实验组学生对教师教学能力、课程内容与安排、理论知识掌握、临床思维培养、激发学习兴趣、自主学习能力培养、团队合作意识、提高与患者交流的能力等方面的反馈均优于对照组，差异有统计学意义（P＜0.05）。结论合作学习联合PBL教学模式能提高医学生胃肠外科学的见习效果，并得到学生的认可。

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	王震
	陈俊强

关键词 ：医学生, 医学教育, 联合教学, 合作学习, 基于问题的教学模式, 外科见习

Abstract：Objective To evaluate the effect of cooperative learning combined with problem-based learning(PBL)teaching model in the internship teaching in the department of gastrointestinal surgery.Methods Altogether 97 clinical undergraduates who were interned in the First Affiliated Hospital of Guangxi Medical University from September 2020 to January 2021 were selected as subjects.According to the simple randomization method,they were divided into experimental group (using cooperative learning combined with PBL teaching,49 students)and control group (using conventional teaching mode,48 students).The test scores and teaching effect of the two groups were compared.Results The test results of theoretical knowledge and clinical case analysis ability of the experimental group were higher than those of the control group,the differences were statistically significant(P＜0.05).Students in the experimental group had better feedback on teachers′teaching ability,curriculum content and arrangement,theoretical knowledge mastery,clinical thinking cultivation,stimulating learning interest,cultivation of independent learning ability,teamwork awareness and improvement of communication ability with patients than those in the control group,with statistical significances(P＜0.05).Conclusion Cooperative learning combined with PBL teaching mode can improve the internship effect of gastrointestinal surgery for medical students,and is recognized by the students.

Key words： Medical students Medical education Joint teaching Cooperative learning Problem-based learning Surgical interns

基金资助:国家自然科学基金资助项目（82002492）；
广西壮族自治区自然科学基金资助项目（2018GXNSFBA281159）

通讯作者: 陈俊强（1968-），男，广西北海人，博士，教授，院长，研究方向：胃肠道肿瘤的基础与临床研究，胃肠道的临床诊疗及防治，获得“白求恩”式好医生等多个荣誉称号，获得多项广西科技进步奖。

作者简介: 王震（1985-），男，河南信阳人，博士，副主任医师，研究方向：胃肠道肿瘤及胃肠道肿瘤的临床诊疗，获得多项广西科技进步奖。

引用本文:

王震；陈俊强. 合作学习联合基于问题的教学模式在胃肠外科临床见习中的应用[J]. 中国当代医药, 2021, 28(33): 204-207.
WANG Zhen； CHEN Jun-qiang. Application of cooperative learning combined with problem-based teaching model in clinical internship in department of gastrointestinal surgery. 中国当代医药, 2021, 28(33): 204-207.

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