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中华胃食管反流病电子杂志

中华胃食管反流病电子杂志 ›› 2024, Vol. 11 ›› Issue (01) : 23 -26. doi: 10.3877/cma.j.issn.2095-8765.2024.01.005

论著

基于问题的学习联合基于案例的学习教学法在提升医学留学生外科临床实习中的效果研究
贺湘焱1, 路阳1, 阿力木江·麦斯依提2, 克力木·阿不都热依木2, 李鹏3, 叶勒丹·马汉1, 李义亮2, 买买提·依斯热依力1,†()   
  1. 1. 830001　乌鲁木齐，新疆维吾尔自治区人民医院科研教育中心
    2. 830001　乌鲁木齐，新疆维吾尔自治区人民医院腹腔镜、腹壁疝外科
    3. 830001　乌鲁木齐，新疆维吾尔自治区人民医院胃肠外科
  • 收稿日期:2023-12-17 出版日期:2024-02-15
  • 通信作者: 买买提·依斯热依力
  • 基金资助:
    新疆维吾尔自治区自然科学基金(2021D01C148); 新疆维吾尔自治区“天山英才”医药卫生高层次人才培养计划(TSYC202301B171); 自治区优秀博士后资助项目(346798)

Study on the effect of PBL with CBL teaching method in promoting clinical practice of surgery for foreign medical students

Xiangyan He1, Yang Lu1, Peng Li3, Yiliang Li2   

  1. 1. Research and Education Center, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001,
    2. Department of Laparoscopic and Abdominal Wall Hernia Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
    3. Department of Gastrointestinal Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
  • Received:2023-12-17 Published:2024-02-15
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贺湘焱, 路阳, 阿力木江·麦斯依提, 克力木·阿不都热依木, 李鹏, 叶勒丹·马汉, 李义亮, 买买提·依斯热依力. 基于问题的学习联合基于案例的学习教学法在提升医学留学生外科临床实习中的效果研究[J]. 中华胃食管反流病电子杂志, 2024, 11(01): 23-26.

Xiangyan He, Yang Lu, Peng Li, Yiliang Li. Study on the effect of PBL with CBL teaching method in promoting clinical practice of surgery for foreign medical students[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2024, 11(01): 23-26.

目的

探讨基于问题的学习（PBL）联合基于案例的学习（CBL）教学法在提升医学留学生在外科临床实习中的效果研究。

方法

选取新疆维吾尔自治区人民医院2023年2月至2024年1月的90名留学生为研究对象，采用随机数字表分为研究组（CBL+PBL组, 45名）和对照组（“以外科教师授课，以留学生听课为主的传统教学模式”（LBL组, 45名)。比较2组在外科领域教学效果和教学满意度之间的差异。

结果

在基础理论考试方面，研究组的留学生平均成绩明显优于对照组（72.15±8.85）分；临床技能考核方面，研究组的留学生平均成绩也明显优于对照组（76.34±9.28）分，差异有统计学意义(P<0.05)。研究组在学习兴趣、文献查阅能力、语言表达能力和临床思维能力4个方面评价均明显高于对照组，差异有统计学意义(均P<0.05)。研究组留学生对教学模式的满意程度为100%，对照组留学生对教学模式的满意程度为86.67%。

结论

PBL结合CBL教学法有利于加深医学留学生对普外科理论知识的理解，培养自主学习和解决问题的能力，明显优于对照组教学法，可以有效提升医学留学生的理论和实践教学培训效果。

关键词: 基于问题的学习, 基于案例的学习, 医学留学生, 外科, 效果
Objective

To explore the effectiveness of problem-based learning (PBL) combined with case-based learning (CBL) teaching method in enhancing the clinical internship of medical international students.

Methods

A total of 90 international students who internshiped in surgery from Xinjiang Uygur Autonomous Region People's Hospital from January 2023 to February 2024 were selected as the research subjects. They were randomly divided into a research group (CBL+PBL group, 45 students) and a control group (Lecture based Learning, LBL group, 45 students) using a random number table. Compare the differences in teaching effectiveness and satisfaction between two groups in the field of surgery.

Results

In terms of basic theory exams, the average score of international students in the research group was significantly better than that in the control group (72.15±8.85) points; In terms of clinical skill assessment, the average score of international students in the research group was significantly better than that in the control group (76.34±9.28) points, and the difference was statistically significant (P<0.05). The research group rated higher than the control group in four aspects, including Learning interest, literature review ability, language expression ability and clinical thinking ability, with statistically significant differences (all P<0.05). The satisfaction level of the research group's international students with the teaching mode is 100%, while the satisfaction level of the control group's international students with the teaching mode is 86.67%.

Conclusion

The combination of PBL and CBL teaching method is beneficial for deepening the understanding of general surgical theory knowledge among medical international students, cultivating their ability to learn independently and solve problems, and is significantly better than the control group teaching method. It can effectively improve the theoretical and practical teaching and training effectiveness of medical students.

Key words: Problem-based learning, Case-based learnin, Medical international students, Surgery, Effect
表1 2组留学生实习能力提升情况（分，）
组别 名数 学习兴趣 文献查阅能力 语言表达能力 临床思维能力
研究组 45 80.21±6.52 78.83±5.75 86.45±6.42 88.47±10.62
对照组 45 70.68±5.84 67.94±7.58 72.33±7.65 75.26±7.54
t值 7.304 7.678 9.484 6.804
P值 <0.001 <0.001 <0.001 <0.001
表2 2组留学生对教学模式的满意度比较[例（%）]
组别 人数 满意 基本满意 不满意 满意度
研究组 45 40（88.89） 5（11.11） 0（0.00） 45（100）a
对照组 45 30（66.67） 9（20.00） 6（13.33） 39（86.67）
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