[摘要] 目的 将以案例为基础的教学法（CBL）应用于皮肤外科教学中，并探讨其效果及可行性。 策略 以第四军医大学西京医院烧伤与皮肤外科2013年32名进修生为教学对象，随机分为CBL组和对照组，每组各16名。CBL组采用CBL教学法，对照组采用传统教学法进行皮肤外科学授课，对两组教学效果进行比较。 结果 两组理论考试成绩比较，CBL组中优秀者9名，良好者6名，及格者1名，无不及格者;而对照组测试优秀者5名，良好者7名，及格者3名，不及格者1名。CBL组优秀率高于对照组（56.2%比31.2%），差异有统计学作用（P < 0.05）。而在病例分析与手术操作技能考核中，CBL组中优秀者10名，良好者5名，及格者1名，无不及格者;而对照组中优秀者6名，良好者4名，及格者4名，不及格者2名，CBL组优秀率高于对照组（62.5%比37.5%），差异有统计学作用（P < 0.05）。 结论 CBL教学法有利于学生学习观念的转变，能明显提高其自主学习能力，值得在皮肤外科临床教学中应用推广。
[关键词] 以案例为基础的教学法;皮肤外科;教学
[] B [文章编号] 1673-7210（2015）01（a）-0130-04
Application of case-based learning method to improve teaching effect in skin surgery
LI Jun1ZHU Liang2▲HAN Juntao1HU Dahai1▲
1.Department of Burns and Cutaneous Surgery， Xijing Hospital of the Fourth Military Medical University， Shaanxi Province， Xi'an710032， China; 2.Department of Medical Education， the Fourth Military Medical University， Shaanxi Province， Xi'an710032， China
[Abstract] Objective To explore the feasibility and effect of the case-based learning （CBL） method used in Dermatologic surgery teaching. Methods During 2013， 32 visiting students in Department of Burns and Cutaneous Surgery， Xijing Hospital of the Fourth Military Medical University were randomly divided into CBL group and control group， with 16 students in each group. CBL group was given CBL teaching method and control group was given traditional teaching method. The effects of teaching were compared between the two groups. Results The score of theory examination in CBL group， 9 students were excellent， 6 students were good， 1 student was pass， no fail; while in the control group， 5 students were excellent， 7 students were good， 3 students were pass， 1 student was fail. The excellent rate in CBL group was better than that in the control group （56.2% vs 31.2%）， the difference was statistically significant （P < 0.05）. In the assesent of operation skills， case analysis and operation， the score in CBL group， 10 students were excellent， 5 students were good， 1 student was pass， no fail; while in the control group， 6 students were excellent， 4 students were good， 4 students were pass， 2 students were fail. The excellent rate in CBL group was better than that in the control group （62.5% vs 37.5%）， the difference was statistically significant （P < 0.05）. Conclusion The CBL method changes the learning concept of the students and further improves their autonomous learning ability. Thus， this method is worth advocating widely.
阐述应用以案例为基础教学法提高皮肤外科教学效果
更新时间：2024-02-19
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