Abstract:

Objective To explore the effect of case-based learning (CBL) combined classical learning methods on training of 5-years-clinical interns in cerebrovascular disease. Methods There were 60 cases of 5-years-clinical interns whom were randomized into CBL combined classical methods group and classical methods group with the ratio of 1:1 during September 2015 and September 2016 in Beijing Luhe Hospital of the Capital Medical University. CBL combined classical methods and classical methods were applied separately in teaching of patients with acute cerebrovascular diseases. The effects of these teaching methods were evaluated by questionnaire survey, basic theoretical knowledge examination, practice examination including physical examination and case analysis among these students. Results There were no significant difference in basic theory knowledge examination. The result of physical examination and case analysis of CBL combined classical teaching method were much higher than that of the control group [(89.10±2.99) vs (86.60±3.41), P =0.015]. Compared with the classical teaching method, CBL combined classical methods could significantly improve interns’ abilities in initiative learning ability, analytical skill, problem solving, expression and communication, expansion of professional knowledge and team cooperation. Conclusion CBL combined classical methods can significantly improve the ability of interns in mastering the knowledge of cerebrovascular disease.

Key words: Classical learning methods; Case-based learning; Cerebrovascular disease; Clinical
interns

摘要：

目的 探讨分析以病例为基础的教学（case based l earning，CBL）联合传统教学模式在脑血管病5年 制临床医学实习医师带教中的效果。 方法 以2015年9月-2016年9月于首都医科大学附属北京潞河医院神经内科脑血管病教学组5年制临 床医学实习医师60例作为教学对象，按照1∶1比例随机分入传统教学模式组、CBL联合传统教学模式 组。教学结束后以基础理论知识考核、实践考核（包括查体及病例分析）以及问卷调查等方式进行 评价。 结果 两组的基础理论知识考核成绩无显著性差异；CBL联合传统教学组神经系统体格检查及病 例分析成绩显著高于对照组（[ 89.10±2.99）分 vs（86.60±3.41）分，P=0.015]；CBL联合传统教学组 学生在自我评价是否增加了学习兴趣、学习主动能力、文献查阅能力、综合分析问题的能力、知识拓 展能力、团队合作能力、教学满意度及系统诊断能力等方面均显著优于对照组。 结论 CBL联合传统教学模式可以有效提高实习医师掌握脑血管病临床诊疗能力。

关键词: 传统教学; 病例为基础的教学; 脑血管病; 临床实习医师