Abstract: Objective To summarize the effect of problem-based learning(PBL) method combine with lesson- based learning(LBL) teaching method in medical students' clinical practice. Methods The object is our seven-year program medical student major in clinical medical in Beijing Tiantan hospital affiliated to the Capital University of Medical Sciences, Neurology. We taught them by a PBL combine with LBL teaching method, then we asked them to do a questionnaire survey to collect their opinions of this teaching method. Results The qualified questionnaires are 200, the statistical analysis showed that this teaching method have inspired their learning interest, deepened their understanding of theoretical knowledge, expanded their clinical logic thinking ability, improved their ability of solving problems. Their ability to integrate theory with practice, capacity for independent thinking, communication collaborative capacity have been improved (84.3%-92.3% respondents). 85.3% of the respondents believe that this teaching method had the necessity to continue to be adopted. Conclusion Medical students gave a high acceptivity to PBL combine with LBL teaching method. This teaching method can help to improve students’ learning initiative.

Key words: Problem-based learning; Lesson based learning; Nerve; Vessel

摘要： 目的 总结基于问题学习 （problem-based learning， PBL） 教学法结合传统教学法 （lesson-based learning， LBL） 在医学生临床学习中的作用。 方法 对2011年-2014年在首都医科大学附属北京天坛医院神经内科进行临床学习的7年制医学生， 采用PBL结合LBL的教学模式， 教学后对学生进行问卷调查， 统计学生对教学方法的意见。 结果 共发放并收回合格问卷200份， 统计显示学生对PBL结合LBL的教学模式在激发学习兴趣， 加 深对理论知识的理解， 拓展临床逻辑思维能力、 提高分析解决问题的能力， 理论联系实际能力、 提高 独立思考能力、 提高沟通协作能力等方面认可度较高 （84.3%～92.3%） ， 85.3%的学生认为有必要继 续采用这种教学方法。 结论 医学生对PBL结合LBL的临床教学模式的接受度较高， 有利于提高学生的学习积极性。

关键词: 基于问题学习教学; 传统教学; 神经; 血管