【摘要】 目的探讨多学科协作(MDT)模式下以问题为基础的学习(PBL)教学法在神经病学临床实习教学的效果。方法以2018年6月至2018年12月在神经病学临床实习的中南大学湘雅二医院2014级临床专业五年制医学生72名为研究对象,随机分为实验组(MDT-PBL组)和对照组(LBL组),比较2组出科考试成绩及问卷调查结果。结果MDT-PBL组理论考试成绩为(86. 65±4. 03)分,显著高于LBL组的(81. 77±3. 77)分(P<0. 001); MDT-PBL组临床技能操作考试成绩为(87. 42±3. 71),亦显著高于LBL组的(78. 23±4. 84)分(P<0. 001)。MDT-PBL组教学满意度明显高于LBL组(P<0. 001)。结论 MDT联合PBL教学模式在神经病学临床实习教学中取得了良好效果,值得进一步推广。更多还原

【Abstract】 Objective To explore the effect of multiple disciplinary team( MDT) combined with problem-based learning( PBL) in clinical practice teaching of neurology. Methods A total of 72 5-year medical students majoring in clinical medicine in grade 2014 of Xiangya Second Hospital of Central Couth University,who had clinical practice in neurology from June 2018 to December 2018,were randomly divided into the experimental group( MDTPBL group) and the control group( LBL group). Results The MDT-PBL group’s theoretical test score( 86. 65 ±4. 03) was significantly higher than that of LBL group( 81. 77±3. 77)( P<0. 001). The score of clinical skills operation test in MDT-PBL group( 87. 42 ± 3. 71) was also significantly higher than that in LBL group( 78. 23 ±4. 84)( P < 0. 001). The education satisfaction of MDT-PBL group was significantly better than that of the LBL group( P < 0. 001). Conclusions MDT combined with PBL teaching mode has achieved good results in clinical practice teaching of neurology,which is worthy of further promotion in clinic teaching.更多还原