【摘要】 目的:探讨问题为导向的教学(PBL)结合模拟教学对轮转重症医学科住院医师的教学效果。方法:选取2014年9月-2015年4月在本院重症医学科轮转的48名住院医师作为研究对象,随机分为传统教学组与PBL+模拟教学组,每组24名。传统教学组为住院医师轮转期间科室正常查房讲课等教学方法,PBL+模拟教学组为除科室正常查房外增设2周/次PBL教学及模拟教学。教学前后采用问卷调查、模拟人考核等对教学效果进行评估比较。结果:问卷调查结果显示:教学前两组在教学方法、学习兴趣、自学能力及团队协作等方面比较差异无统计学意义(P>0.05);教学后两组在教学方法、学习兴趣、自学能力及团队协作方面均有提高,其中PBL+模拟教学组在教学方法上与传统教学组比较差异有统计学意义(P<0.05)。模拟病例考核结果显示:两组在教学后的模拟考核成绩均明显优于教学前,除判断病情是否好转比较差异无统计学意义外,其余教学后PBL+模拟教学组的模拟病例评分均明显高于传统教学组,比较差异均有统计学意义(P<0.05)。结论:PBL结合模拟教学能够提高轮转住院医师的学习积极性、临床综合处理能力和团队协作能力,值得临床推广。更多还原

【Abstract】 Objective:To discuss on problem based teaching(PBL) combined with the simulation teaching residency teaching effect of rotation in ICU.Method:A total of 48 residents in our hospital of severe medicalrotation from September 2014 to April 2015 as the research objects,randomly divided into the traditional teaching group and PBL+simulation teaching group,each group had 24 residents.The traditional teaching group for residency rotation during normal rounds lecture teaching methods such as department,PBL+simulation teaching group in department of normal rounds added 2 weeks a time PBL teaching and simulation teaching.Before and after teaching,the teaching effects were evaluated by questionnaire and simulation.Result:The results of the questionnaire survey showed that there were no significant differences in teaching methods,learning interest,learning ability and team work in two groups. After teaching,the teaching methods,learning interest,self learning ability and team cooperation were all improved in the two groups,PBL+simulation teaching group of the teaching methods were higher than the tradition group,the difference was statistically significant(P<0.05).The simulation results showed that the two groups in the teaching of simulation test scores were significantly better than before teaching,except for judging whether the condition was improved(P>0.05),the PBL+simulation teaching group of the simulated case scores were significantly higher than the traditional teaching group,the difference was statistically significant(P<0.05).Conclusions:PBL combined with simulation teaching can promote the students’ team work spirit,clinical skills and comprehensive clinical capacity in critical care medicine teaching,it is worthy of clinical promotion.更多还原