PBL教学对提高医学生毕业后临床实践技能效果的系统评价

被引：31

作者：

马彬 ^{[1
]}

张宇龙 ^{[1
,2
]}

吴佳 ^{[1
,2
]}

郭继武 ^{[1
,2
]}

潘慧 ^{[1
,2
]}

杨克虎 ^{[1
,3
]}

机构：

[1] 兰州大学循证医学中心兰州大学基础医学院

[2] 兰州大学第二临床医学院

[3] 兰州大学第一临床医学院

来源：

中国循证医学杂志 | 2010年 / 08期

关键词：

PBL教学法; 临床实习教学; 系统评价;

D O I：

暂无

中图分类号：

R-4 [];

学科分类号：

摘要：

目的对PBL教学提高医学生毕业后临床实践技能的效果进行系统评价。方法计算机检索PubMed、EMbase、Cochrane图书馆、CBM、CNKI和VIP等数据库,纳入国内外有关PBL教学法对比传统教学法提高医学生毕业后临床实践技能的对照研究,检索时间截至2010年1月。对研究结果进行定性分析。结果最终纳入16个对照研究,其中仅1个为RCT。结果显示:4个研究的客观评价和2个研究的自我评价结果均显示PBL教学组医生的综合能力优于传统教学组医生。在卫生保健法律伦理道德、研究及表达技巧和解决问题的能力方面,无论自我评价还是客观评价均显示了PBL教学法的优势。但在其他方面,PBL教学方法对医学生毕业后临床实践技能的影响尚存在一定争议。结论相对于传统教学法,PBL教学法可较好地提高医学生毕业后的临床实践技能,但由于纳入分析的研究质量较低,上述结论尚有待设计更为严谨的试验进一步验证。

引用

页码：905 / 909

页数：5

共 9 条

[1]

PBL教学法对护理专业学生学习效果影响的Meta分析 [J].

王虹 ;

郑显兰 ;

孟玉倩 .

中国循证医学杂志, 2009, 9 (01) :93-98

[2]

Supervisor and Self-Ratings of Graduates From a Medical School With a Problem-Based Learning and Standard Curriculum Track[J] Linda H. Distlehorst;Beth K. Dawson;Debra L. Klamen Teaching and Learning in Medicine 2009,

[3]

Preregistration house officer skill and competency assessment through questionnaires[J] Simon Watmough;Ida Ryland;Reverend David CM Taylor;Anne Garden British Journal of Hospital Medicine (2005) 2006,

[4]

Longterm effects of problem‐based learning: a comparison of competencies acquired by graduates of a problem‐based and a conventional medical school[J] Henk GSchmidt;LyandaVermeulen;Henk TVan Der Molen Medical Education 2006,

[5]

Educational supervisors' views on the competencies of preregistration house officers[J] Simon Watmough;David CM Taylor;Anne Garden;Ida Ryland British Journal of Hospital Medicine (2005) 2006,

[6]

Effect Of A Community Oriented Problem Based Learning Curriculum On Quality Of Primary Care Delivered By Graduates: Historical Cohort Comparison Study[J] Robyn Tamblyn;Michal Abrahamowicz;Dale Dauphinee;Nadyne Girard;Gillian Bartlett;Paul Grand'Maison;Carlos Brailovsky BMJ: British Medical Journal 2005,

[7]

General competencies of problem‐based learning (PBL) and non‐PBL graduates[J] Katinka J A HPrince;Patrick W L JVan Eijs;Henny P ABoshuizen;Cees P MVan Der Vleuten;Albert J J AScherpbier Medical Education 2005,

[8]

Perceptions of how well graduates are prepared for the role of pre‐registration house officer: a comparison of outcomes from a traditional and an integrated PBL curriculum[J] AlisonJones;Patricia JMcArdle;Paul AO'Neill Medical Education 2002,

[9]

Problem Based Learning In Continuing Medical Education: A Review Of Controlled Evaluation Studies[J] P. B. A. Smits;J. H. A. M. Verbeek;C. D. de Buisonjé BMJ: British Medical Journal 2002,

← 1 →