【摘要】 目的 探讨器官-系统整合课程背景下基础医学PBL课程的实施路径和应用效果。方法 基于“互联网+”及多元考核方式构建基础医学PBL课程的实施路径。以山西大同大学2019级临床医学专业207名本科生为研究对象，全部学生于2021年9—12月给予基础医学PBL授课及考核，通过课前和课后问卷的比较，初步评估课程的实施效果。结果 学生平时、期末及总成绩的均数分别为94.97、75.68和83.40分；期末测试及格率为99.52%，且客观及主观题的掌握率分别为88.95%和66.83%。与课前比较，课后学生的知识掌握度、学习兴趣度以及自主学习、查阅资料、整合知识、团队合作、表达沟通、临床推理多项能力均显著提升，差异有统计学意义（P <0.05）。结论 成功构建基础医学PBL课程的有效实施路径，通过PBL整合课程的开展助力基础阶段课程质量的提升。更多还原

【Abstract】 Objective To investigate the implementation approach and application effect of problem-based learning(PBL) course in basic medicine under the background of organ-system integrated course. Methods Based on "internet+" and multiple assessment methods, the implementation approach of PBL course in basic medicine was constructed. A total of 207 undergraduate students majoring in clinical medicine in 2019 in Shanxi Datong University were taken as the research objects. All the students were given PBL course and assessment of basic medicine from September to December 2021. Through the comparison of questionnaires before and after course, the implementation effect of the course was preliminarily evaluated. Results The average scores of students in usual, final, and total scores were 94.97, 75.68 and 83.40 points respectively.The pass rate of the final test was 99.52%, and the mastery rates of objective and subjective questions were 88.95% and 66.83% respectively. Compared with the pre-course, students’ after-course knowledge mastery, interest in learning, independent learning, data access, integration of knowledge, teamwork,expression and communication, clinical reasoning abilities were significantly improved, with statistically significant differences(P < 0.05). Conclusion The effective implementation approach of PBL course in basic medicine has been successfully constructed, and the development of PBL integrated course will help improve the course quality in the basic stage.更多还原