Abstract:

Objective  To analyze the effect of multi-technology combined with CBL-Literature Review-Clinical Practice model in clinical teaching of cerebrovascular disease in postgraduate students of neurology. Methods  Twenty-six students from Fu Xing Hospital who enrolled in 2011-2012 were divided into the multi-technology group (n=14) and the lecture-based learning (LBL) group (n=12). Objective evaluation scores were used to compare the clinical application effects of two groups during rotation and training in Department of Neurology. Results  In summarizing the characteristics of cases, clinical thinking and literature review, the scores in multi-technology combined with CBL-Literature Review-Clinical Practice model group was significantly higher than those in the LBL group (P<0.05) in the case of the same level of basic education. Conclusion  The model of multi-technology can improve the ability of clinical thinking and skills as well as initiative in postgraduate students of neurology, it is also an effective method of graduate teaching.

Key words: Case-based learning; Cerebrovascular disease; Clinical ability

摘要：

目的    探讨以临床问题为中心的三结合教学法（典型病例、文献复习、临床运用）对临床神经病学专业学位研究生处理脑血管病能力培养中的应用效果。 方法  选取首都医科大学附属复兴医院2011级、2012级神经病学专业学位研究生26名，分为试验组（14名）和对照组（12名），分别在神经科临床轮转阶段接受以三结合教学法与传统授课式教学培养，比较两组研究生出科考核时的临床运用技能。 结果  两组学生的基线成绩及受教育程度差异无显著性（P＞0.05），接受三结合教学法培养的研究生较传统授课式教学培养的研究生在病例总结分析、信息整合、诊疗思路、临床思维及表达、英文文献的提炼方面差异具有显著性（P＜0.05），在基础理论知识方面差异无显著性（P＞0.05）。 结论  三结合教学法（典型病例、文献复习、临床运用）可提高临床神经病学专业学位研究生的临床思维能力，发挥其主观能动性，是研究生教学的有效方法。

关键词: 典型病例; 脑血管病; 临床能力