摘要
目的探讨循证医学PICOS模式结合导学式教学法与传统教学法(LBL)在临床教学中的区别.方法进入呼吸内科临床实习的医学本科学生80人,随机选择其中44人为实验组(循证医学PICOS模式+导学式法),另36人为对照组(LBL法).实习结束出科时对实验组及对照组学生进行同期内容的考试考核,以学生探究问题的能力、知识的归纳运用能力、临床思维能力、评价文献查及阅理解文献的能力等作为教学效果评价的主观指标;以考核学生对疾病的综合分析及临床应用能力作为客观指标.结果理论考试成绩2组医学生无明显统计学差异(P>0.05),但循证医学PICOS模式+导学式组在病案分析考试成绩及探究问题的能力、知识的归纳运用能力、临床思维能力、评价文献能力及查阅理解文献的能力明显高于LBL组(P<0.05).结论在呼吸内科临床教学中开展循证医学PICOS模式结合导学式教学法,有助于提高临床实习生对疾病的综合分析能力及临床思维能力.
Objective The study aimed to compare the teaching efficiency between the evidence-based medicine（emb） PICOS model combined with the guiding type teaching method and traditional teaching method（LBL） in clinical teaching. Methods Eighty medical undergraduate students received the respiratory medicine clinical practice were randomly assigned into the experimental group（44 students,PICOS mode of ebm ＋ guided learning method） and the control group（36 students,LBL）. At the end of the internship,examination in the same period was given to students of the two groups. The subjective indexes,such as the ability to explore problems,knowledge performance ability, clinical thinking ability, evaluation and understand of literatures were used as evaluation indexes for teaching effect,and the ability of disease comprehensive analysis and clinical application were used as the objective index. Results There was no significant statistical difference in the results of theory examination between the two groups（P0.05）, but the PICOS mode of ebm ＋ learning type group was significantly higher in the subjective indexes than LBL group（P〈0.05）. Conclusion In clinical teaching of respiratory medicine,ebm PICOS model combined with the guiding type teaching method will contribute to improving the comprehensive analysis and clinical thinking abilities to disease of clinical interns.
出处
《昆明医科大学学报》
CAS
2014年第9期165-167,共3页
Journal of Kunming Medical University
基金
云南省教育科学"十二五"规划课题资助项目(Y13026)
关键词
循证医学PICOS模式
导学式教学法
传统教学法
临床教学
PICOS mode of evidence-based medicine
Guiding type teaching method
Traditional teaching method
Clinical teaching
作者简介
李建华（1959－），男，云南大理市人，大学本科，副教授，主要从事临床实践教学应用研究及呼吸内科工作．
