PBL+CBL+CPTM多模式融合教学在耳鼻咽喉头颈外科学临床教学实践中的应用

doi:10.6040/j.issn.1673-3770.0.2024.121

Abstract

Abstract: Objective To explore the application effect of problem based learning(PBL)+ case based learning(CBL)+ clinical pathway teaching method(CPTM)multimodal fusion teaching in the clinical teaching practice of otolaryngology head and neck surgery. Methods A total of sixty probationary doctors who underwent rotation in the Department of Otolaryngology, Head and Neck Surgery at the Second Hospital of Shandong University from September 2023 to December 2023 were selected as research subjects. They were randomly divided into a research group and a control group. The research group received PBL+CBL+CPTM teaching mode, and the control group received PBL+CBL teaching mode. Then the examination scores and teaching evaluation scores of the two groups of trainees were compared. Results The average evaluation scores of theoretical knowledge, case analysis and clinical operations of the trainees in the research group were significantly higher than those in the control group ［(92 vs 90, P=0.007),(92 vs 89, P=0.003), and(92 vs 90, P=0.003), respectively］, and the differences were statistically significant. The results of a questionnaire survey of novice doctors showed that in terms of self-learning ability, ability to understand theoretical knowledge, problem-solving ability, clinical logical thinking ability, and doctor-patient communication ability, the satisfaction of the research group of novice doctors with teaching methods was superior to that of the control group, and the differences were statistically significant(P=0.016,P=0.025,P=0.022,P=0.024, P=0.044). Conclusion Compared with traditional teaching methods, the PBL+CBL+CPTM multimodal integration teaching method has higher teaching quality, better student satisfaction, and is conducive to the formation of a systematic knowledge structure for students, improving the scientific and systematic nature of teaching. It is worth promoting and applying in the standard training of otolaryngology head and neck surgery and other specialties.

Key words: Clinical teaching, Otolaryngology Head and Neck Surgery, Case based learning, Problem based learning, Clinical pathway teaching method

CLC Number:

R762

JIN Peng, LIANG Xu, WANG Yang, ZI Xiaoxue. An exploration of PBL combined with CBL and CPTM methods in clinical teaching of otorhinolaryngology head and neck surgery[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(4): 70-76.

References

[1] 袁玮, 戴惟葭, 李臻. PBL联合CBL教学模式在眼科见习中的效果分析[J]. 中国病案, 2024, 25(1): 88-91. doi:10.3969/j.issn.1672-2566.2024.01.028 YUAN Wei, DAI Weijia, LI Zhen. Analysis of the effectiveness of PBL combined with CBL teaching model in ophthalmology education[J]. Chinese Medical Record, 2024, 25(1): 88-91. doi:10.3969/j.issn.1672-2566.2024.01.028
[2] 尤琳东, 付真彦. CBL联合PBL教学法在五年制心内科临床教学中的应用分析[J]. 中国高等医学教育, 2018(7): 96-97. doi:10.3969/j.issn.1002-1701.2018.07.047 YOU Lindong, FU Zhenyan. Using a combination of CBL and PBL in the course of clinical cardiovascular of five year program[J]. China Higher Medical Education, 2018(7): 96-97. doi:10.3969/j.issn.1002-1701.2018.07.047
[3] 吴南楠, 马燕, 王萌, 等. CBL与PBL相结合的教学模式在内分泌临床见习中的应用[J]. 中国病案, 2016, 17(7): 78-80 WU Nannan, MA Yan, WANG Meng, et al. Application of CBL combined with PBL Teaching Mode in the Clinic Trainee of Endocrinology Department[J]. Chinese Medical Record, 2016, 17(7): 78-80
[4] 贺军, 齐硕, 邱俊, 等. CBL联合PBL教学法在医学生医患沟通教育中的应用[J]. 中国继续医学教育, 2018, 10(6): 7-9. doi:10.3969/j.issn.1674-9308.2018.06.004 HE Jun, QI Shuo, QIU Jun, et al. Application of CBL combined PBL teaching method in the medical students' doctor-patient communication education[J]. China Continuing Medical Education, 2018, 10(6): 7-9. doi:10.3969/j.issn.1674-9308.2018.06.004
[5] 王平, 孙北望, 黄娴娴, 等. CBL教学法结合PBL教学法在肝胆外科教学中的应用[J]. 现代生物医学进展, 2016, 16(18): 3578-3580. doi:10.13241/j.cnki.pmb.2016.18.046 WANG Ping, SUN Beiwang, HUANG Xianxian, et al. Application of CBL teaching method combined with PBL teaching method in hepatobiliary surgery teaching[J]. Progress in Modern Biomedicine, 2016, 16(18): 3578-3580. doi:10.13241/j.cnki.pmb.2016.18.046
[6] 关强, 于喆. 普外科临床路径带教方法探析[J]. 中国卫生产业, 2017, 14(8): 76-77. doi:10.16659/j.cnki.1672-5654.2017.08.076 GAUN Qiang, YU Zhe. Study on clinical path teaching method in the department of general surgery[J]. China Health Industry, 2017, 14(8): 76-77. doi:10.16659/j.cnki.1672-5654.2017.08.076
[7] Ogdon TL, Loomba RS, Penk JS. Reduced length of stay after implementation of a clinical pathway following repair of ventricular septal defect[J]. Cardiol Young, 2024, 34(1): 101-104. doi:10.1017/S1047951123001245
[8] 陈向芳, 汤玮, 孙亮亮, 等. 以临床路径为基础的问题教学法应用于住院医师糖尿病教学的探索[J]. 中国毕业后医学教育, 2024, 8(4): 279-282. doi:10.3969/j.issn.2096-4293.2024.04.010 CHEN Xiangfang, TANG Wei, SUN Liangliang, et al. Exploration of the problem-based learning method based on clinical pathway in residents' diabetes mellitus teaching[J]. Chinese Journal of Graduate Medical Education, 2024, 8(4): 279-282. doi:10.3969/j.issn.2096-4293.2024.04.010
[9] 张亚丽, 潜丽俊, 蓝菊红. 慕课、PBL联合临床路径教学模式在儿科学教学中的应用及效果评价[J]. 中国现代医生, 2023, 61(30): 97-99. doi:10.3969/j.issn.1673-9701.2023.30.024 ZHANG Yali, QIAN Lijun, LAN Juhong. Application and effect evaluation of massive open online course and PBL combined clinical pathway teaching model in pediatrics teaching[J]. China Modern Doctor, 2023, 61(30): 97-99. doi:10.3969/j.issn.1673-9701.2023.30.024
[10] 杜伟嘉, 薛涛, 陈晓栋, 等. 新形势下耳鼻喉专业医学教育的思考[J]. 中国继续医学教育, 2023, 15(5): 150-153. doi:10.3969/j.issn.1674-9308.2023.05.034 DU Weijia, XUE Tao, CHEN Xiaodong, et al. Reflections on medical education in otolaryngology under the new situation[J]. China Continuing Medical Education, 2023, 15(5): 150-153. doi:10.3969/j.issn.1674-9308.2023.05.034
[11] 周兰柱, 孙哲, 吴俊, 等. 基于PBL教学模式下的情境创设教学在耳鼻喉临床教学中的应用[J]. 名医, 2020(6): 287 ZHOU Lanzhu, SUN Zhe, WU Jun, et al. Application of situational creation teaching based on PBL teaching mode in otolaryngology clinical teaching[J]. Renowned Doctor, 2020(6): 287
[12] 周凯, 吴鹏飞, 范雁东, 等. 改良PBL教学方法在神经外科临床实习教学中的应用[J]. 中国医药导报, 2017, 14(20): 168-171 ZHOU Kai, WU Pengfei, FAN Yandong, et al. Application of improved PBL teaching method in clinical practice teaching in Department of Neurosurgery[J]. China Medical Herald, 2017, 14(20): 168-171
[13] 赵吉波, 张晨昕, 房艳宇, 等. PBL教学法在神经内科教学中的应用[J]. 中国卫生产业, 2018, 15(7): 100-101. doi:10.16659/j.cnki.1672-5654.2018.07.100 ZHAO Jibo, ZHANG Chenxin, FANG Yanyu, et al. Application of PBL teaching method in neurology teaching[J]. China Health Industry, 2018, 15(7): 100-101. doi:10.16659/j.cnki.1672-5654.2018.07.100
[14] 王雪鹏. CBL教学模式在神经外科临床实习教学中的应用研究[J]. 中国实验诊断学, 2018, 22(12): 2210-2212. doi:10.3969/j.issn.1007-4287.2018.12.059 WANG Xuepeng. Application of CBL teaching mode in clinical practice teaching of neurosurgery[J]. Chinese Journal of Laboratory Diagnosis, 2018, 22(12): 2210-2212. doi:10.3969/j.issn.1007-4287.2018.12.059
[15] 陶文丹, 张舒婷, 吴波, 等. PBL和CBL教学法在神经内科临床教学中的应用[J]. 继续医学教育, 2022, 36(10): 41-44. doi:10.3969/j.issn.1004-6763.2022.10.011 TAO Wendan, ZHANG Shuting, WU Bo, et al. Application of PBL and CBL teaching methods in clinical teaching of neurology[J]. Continuing Medical Education, 2022, 36(10): 41-44. doi:10.3969/j.issn.1004-6763.2022.10.011
[16] 周金, 刘丹, 都达古拉, 等. PBL联合临床路径在普外实习生带教中的应用效果[J]. 中国当代医药, 2019, 26(12): 188-190. doi:10.3969/j.issn.1674-4721.2019.12.058 ZHOU Jin,LIU Dan,Du Dagura, et al. Application effect of PBL combined with clinical pathway in teaching general surgery undergraduate interns[J]. China Modern Medicine, 2019, 26(12): 188-190. doi:10.3969/j.issn.1674-4721.2019.12.058
[21] Ghysen A, Dambly-Chaudière C. The lateral line microcosmos[J]. Genes Dev, 2007, 21(17): 2118-2130. doi:10.1101/gad.1568407
[22] Zhong ZH, Fu XL, Li H, et al. Citicoline protects auditory hair cells against neomycin-induced damage[J]. Front Cell Dev Biol, 2020, 8: 712. doi:10.3389/fcell.2020.00712
[23] Zheng ZW, Tang DM, Zhao LP, et al. Erratum to “liproxstatin-1 protects hair cell-like HEI-OC1 cells and cochlear hair cells against neomycin ototoxicity”[J]. Oxid Med Cell Longev, 2021: 9873282. doi:10.1155/2021/9873282
[24] Miyoshi H, Otomo M, Takahashi K. Clomipramine inhibits dynamin GTPase activity by L-α-phosphatidyl-L-serine stimulation[J]. J Biochem, 2023, 174(3): 267-272. doi:10.1093/jb/mvad038

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