CBL结合循证医学教学模式在血液科临床带教中的应用

Abstract

目的探讨血液科临床带教中案例为中心的学习(case-based learning,CBL)结合循证医学教学法的应用效果。方法选取2016年1月—2018年1月在我院血液科进行轮转住院医师70人作为研究对象,将研究对象分为传统带教组和CBL教学组,比较两组住院医师的出科考试包括理论知识、临床思维的考核成绩及教学满意度评价。结果 CBL教学组在出科考试理论成绩高于传统带教组[(90.5±2.58)分vs.(89.6±1.46)分],差异具有统计学意义(P=0.008); CBL教学组在提高学习兴趣、有利于基础知识巩固及利用循证医学指导临床等教学满意度方面优于传统带教组,差异均具有统计学意义(<0.05)。结论 CBL结合循证医学的教学模式有助于提高血液科临床带教的教学质量。

Objective To explore the application effect of CBL teaching method combined with Evidenced Based Medicine in the clinical teaching of hematology. Methods 70 rotating residents from January 2016 to January2018 were selected as the study subjects. The study subjects were divided into traditional teaching group and CBL teaching group. The outpatient examinations of the two groups including theoretical knowledge, clinical thinking and teaching satisfaction were compared. Results The theoretical scores of the CBL teaching group were higher than those of the traditional teaching group [(90.5±2.58) points vs.(89.6±1.46) points], and the difference was statistically significant(P=0.008). The CBL teaching group is superior to the traditional teaching group in improving learning interest,consolidating basic knowledge and using evidence-based medicine to guide clinical teaching satisfaction, and the difference was statistically significant(P<0.05). Conclusion CBL combined with evidence-based medicine teaching model is helpful to improve the quality of clinical teaching in hematology department.