基于临床案例的PBL教学法在中医痹病临床教学中的应用评价

文章信息/Info

• Title:基于临床案例的PBL教学法在中医痹病临床教学中的应用评价

• 卷期:2024年22卷17期

• 作者:汪元,刘健,黄传兵，张皖东，万磊，陈瑞莲，王桂珍，黄旦，刘菲菲

• 安徽中医药大学第一附属医院风湿一科  安徽合肥 230031

• Author(s):Wang Yuan, Liu Jian, Huang chuanbing, Zhang Wandong, Wan Lei, Chen Ruilian Wang Guizhen, Huang Dan, Liu Feifei

• The First Affiliated Hospital of Anhui University of traditional Chinese medicine Hefei 230031, Anhui Province

• 关键词PBL教学；中医痹病学；学习效果；教学满意度；评判性思维能力

• Keywords:PBL teaching; Arthralgia of traditional Chinese medicine; Learning effect; Teaching satisfaction; Critical thinking ability

• 摘要:目的：客观评价基于临床案例的PBL教学法在中医痹病临床教学中的应用效果。方法：选择安徽中医药大学2018级本科生60名，均于2021年10月-2022年3月在安徽中医药大学第一附属医院风湿病科实习，随机分为PBL（problem based learning）教学法研究组和传统教学法对照组，每组30人，比价两组学生出科时的学习效果、教学满意度和评判性思维能力。结果：PBL教学法研究组实习生在专业理论考核、临床思维能力、临床技能操作三个方面的学习效果明显优于对照组，差异有统计学意义（P＜0.05）。研究组实习生的教学满意度明显优于对照组（P＜0.05）。研究组实习生评判性思维能力总体优于对照组，特别在“寻求真相”、“开放思想”、“分析能力”、“自信心”、“求知欲”这五个方面的得分均明显高于对照组，差异有统计学意义（P＜0.05）。结论：在中医痹病临床教学中采用PBL教学法可有效提高学生的学习效果，发挥主观能动性，提高团队协作能力，促进评判性思维能力形成，全面提高学生的临床综合能力，在临床教学过程中可推广应用。                                                                                                                                                                                

• Abstractto objectively evaluate the effect of PBL teaching method based on clinical cases in the clinical teaching of arthralgia disease of traditional Chinese medicine.Methods: 60 2018 undergraduate students from Anhui University of traditional Chinese medicine were randomly divided into PBL (problem based learning) teaching method research group and traditional teaching method control group, with 30 students in each group. The learning effect, teaching satisfaction and critical thinking ability of the two groups were compared when they graduated from the Department of rheumatology, the First Affiliated Hospital of Anhui University of traditional Chinese medicine from October 2021 to March 2022.Results: the learning effect of interns in PBL teaching method research group in professional theory examination, clinical thinking ability and clinical skill operation was significantly better than that in the control group (P < 0.05). The teaching satisfaction of interns in the research group was significantly better than that of the control group (P < 0.05). The interns in the research group had better critical thinking ability than those in the control group, especially in the five aspects of "seeking the truth", "open thinking", "analytical ability", "self-confidence" and "thirst for knowledge", which were significantly higher than those in the control group (P < 0.05).Conclusion: PBL teaching method in clinical teaching of arthralgia disease of traditional Chinese medicine can effectively improve students' learning effect, give play to subjective initiative, improve team cooperation ability, promote the formation of critical thinking ability, comprehensively improve students' clinical comprehensive ability, and can be widely used in the process of clinical teaching.

  中医内科学是运用中医理论和中医临证思维方法阐述内科疾病的病因病机、辨证论治及其预防的一门实践学科，是临床各科的基础，在中医学中起到关键的学科地位，中医痹病学是其重要分支之一[1]。我院痹病学科作为国家中医药管理局重点学科，长期以来高度重视人才培养，积极探索教学方法改革。传统的临床教学模式容易枯燥乏味，课堂上注重于理论知识，按照教师提前整理好的系统化的知识体系进行授课，通过课堂讲解将知识灌输给同学，容易导致学生产生单方面接受知识，少于思考和造成对临床知识缺乏的后果。