【摘要】 目的：探讨基于临床案例的PBL教学在组织学与胚胎学教学中的应用。方法：选择临床专业2个班级的学生为研究对象，在进行常规面授课程教学外，第一阶段试验组(2016级和2017级临床一系)在自学时间里安排2个临床案例的PBL教学，对照组(2016级和2017级临床二系)利用本校MOOC和精品资源共享课程自学；第二阶段对象为2018级和2019级临床一系和二系，均进行2个临床教案的PBL教学，并开展回顾性问卷调查。结果：第一阶段试验组期末平均成绩优于对照组(P<0.01),第二阶段2018级和2019级成绩无差异(P>0.05)。调查显示PBL教学提高了学生的表达、沟通、自学等能力，加强了与其他学科的联系，有助于后续医学课程的学习。结论：基于临床案例的PBL教学不仅能提高学生的成绩，而且能培养学生高阶学习能力。更多还原

【Abstract】 Objective: This study explores the application of problem-based learning(PBL) based on clinical cases in histology and embryology teaching.Methods: Two classes of students in clinical majors were selected.In addition to conventional face-to-face teaching, the experimental group in the first phase(Clinical One, 2016 and 2017) was provided with 2 clinical case-based PBL sessions during self-study time, while the control group(Clinical Two, 2016 and 2017) utilized the university’s MOOC and high-quality shared resource courses for self-study.The second phase included students from Clinical One and Two(2018 and 2019),with 2 clinical case-based PBL sessions scheduled during self-study time, followed by a retrospective questionnaire survey.Results: The experimental group in the first phase showed significantly higher final exam scores than the control group(P<0.01),while there was no significant difference in scores in the second phase(P>0.05).The survey indicated that PBL teaching enhanced students’ abilities in expression, communication, and self-directed learning, strengthening connections with other disciplines and facilitating subsequent medical course learning.Conclusion: PBL based on clinical cases not only improves students’ academic performance but also cultivates their higher-order learning abilities.更多还原