摘要
目的评价以问题为基础的学习(problem-based learning,PBL)结合循证医学(evidence-based medicine,EBM)教学模式在住院医师规范化培训(简称住培)中的应用效果。方法计算机检索知网、万方、维普数据库中有关PBL结合EBM(PBL-EBM)教学模式对比传统讲授式教学模式(lecture-based learning,LBL)在住培中应用效果的研究,检索时限从建库至2022年7月31日。采用RevMan 5.3软件对纳入研究进行Meta分析。结果最终共纳入研究文献17篇,包含研究对象1036名,其中试验组520名,对照组516名。结果显示,与LBL相比,应用PBL-EBM教学模式不仅提高了住培学员理论考试(SMD=1.53,95%CI:0.96~2.11)和操作考试(SMD=1.93,95%CI:1.11~2.75)的成绩,还提高了个人表达能力(RR=1.97,95%CI:1.43~2.73)、团队协作能力(RR=1.91,95%CI:1.46~2.49)、发现与解决问题能力(RR=1.61,95%CI:1.42~1.82)、临床思维能力(RR=1.51,95%CI:1.33~1.71)和自学能力(RR=2.44,95%CI:1.98~3.00),差异有统计学意义(P<0.05)。结论与LBL教学法相比,应用PBL-EBM教学法能够提高住培学员的培训效果。
Objective To evaluate the effect of problembased learning(PBL)combined with the evidence-based medicine(EBM)teaching method in standardized residency training.Methods The databases of CNKI,Wanfang and VIP were searched for studies on the application effect of PBL-EBM teaching mode compared with traditional lecture-based learning(LBL)teaching mode in the standardized training of residents.The search was done by July 31,2022.The paper used RevMan 5.3 software to perform a meta-analysis of the included studies.Results In total,17 studies were included in the review,which involved 1036 participants,while 520 participants were in PBL-EBM group,516 were in the LBL group.The meta-analysis showed that compared to the LBL group,the PBL-EBM method not only significantly elevated the theoretical(SMD=1.53,95%CI:0.96~2.11)and operational(SMD=1.93,95%CI:1.11~2.75)examination score,but also improved the abilities of personal expression(RR=1.97,95%CI:1.43~2.73),team cooperation(RR=1.91,95%CI:1.46~2.49),problem finding and solving(RR=1.61,95%CI:1.42~1.82),clinical thinking(RR=1.51,95%CI:1.33~1.71),and self-learning(RR=2.44,95%CI:1.98~3.00).Conclusion Current evidence suggests that the application of PBL combined with EBM teaching methods can improve the pedagogical impact of resident standardization training.
作者
张姗
ZHANG Shan(Department of Education,Peking University First Hospital,Beijing 100000,China)
出处
《中国继续医学教育》
2023年第9期89-94,共6页
China Continuing Medical Education
