Abstract:

Objective To investigate the effectiveness of applying problem-based learning (PBL) teaching method to the practice of teaching in the operating room on stroke patients. Methods One hundred and thirty-six graduate students in the Neurosurgery Department of our school who received a Bachelor’s degree in clinical medicine between Jan 2012 and Jan 2013 were included in this study and randomly divided into a traditional teaching group (68 students) and a PBL teaching group (68 students). Traditionally teaching method and PBL teaching method were applied in the two groups, respectively. Observations and comparisons of students’ graduate knowledge exam scores, skill exam scores, comprehensive exam scores and satisfaction about teaching methods were carried out in the two groups after the application of two different teaching methods. Results Graduate students in the PBL teaching group had significantly high average scores in graduate knowledge exam, skill exam, and comprehensive exam than those in the traditional teaching group, and the differences between groups are statistically significant (P <0.05); 2. the overall student satisfaction was significantly higher in the PBL teaching group than in the traditional teaching group, and the difference between groups is statistically significant (P =0.0086). Conclusion PBL teaching method renders better educational effect than traditional teaching method in the practice of clinical teaching in the operating room on stroke for graduate students, and is one of the ideal methods of teaching in the operating room on stroke.

Key words: Problem-based learning; Stroke; Teaching in the operating room

摘要：

目的 探讨以问题为导向教学（problem-based learing，PBL）在卒中患者手术带教中的应用实践效果。 方法 选取2012年1月至2013年1月临床专业本科毕业并考入首都医科大学附属北京天坛医院神经外 科专业的研究生136人。随机分为传统教学组（68人）和PBL组（68人）。分别实施传统教学和PBL教 学，比较两组研究生实施不同带教方法后的理论考试成绩、操作考试成绩、综合考试成绩和学生对 带教方法的满意度。 结果 PBL组理论成绩得分、操作成绩得分和综合成绩得分均高于传统教学组，组间比较差异均具 有显著性（P＜0.05）；PBL组总满意度高于传统教学组，组间比较差异具有显著性（P＜0.01）。 结论 在研究生卒中手术带教的实践过程中，与传统教学方法相比，采用PBL的教学效果更好，是针 对卒中手术带教的理想方式之一。

关键词: 以问题为导向教学; 卒中; 手术带教