McGrew M C, Skipper B, Palley T, Kaufman A
Department of Family and Community Medicine, University of New Mexico, Albuquerque, USA.
Fam Med. 1999 Mar;31(3):171-6.
The value of problem-based learning (PBL) in the preclinical years of medical school has been described widely in the literature. This study evaluates student and faculty perceptions of PBL during the clinical years of medical school, on a family medicine clerkship.
Students used a 4-point scale to rate clerkship educational components on how well learning was facilitated. Faculty narratives of their perceptions of PBL were reviewed.
Educational components that involved active learning by students--clinical activity, independent learning, and PBL tutorials--were ranked highest by students. Faculty perceived that PBL on the clerkship simulated "real-life" learning, included more behavioral and population issues, and provided substantial blocks of student contact time for improved student evaluation.
Students and faculty in a family medicine clerkship ranked PBL sessions higher than any other nonclinical component of the clerkship. In addition to providing students with opportunities for self-directed learning, the PBL sessions provide faculty with more contact time with students, thereby enhancing the assessment of students' learning and progress.
基于问题的学习(PBL)在医学院校临床前阶段的价值已在文献中得到广泛描述。本研究评估了医学院校临床阶段学生和教师对家庭医学实习中PBL的看法。
学生使用4分制对实习教育组成部分在促进学习方面的效果进行评分。对教师关于他们对PBL看法的叙述进行了审查。
涉及学生主动学习的教育组成部分——临床活动、自主学习和PBL辅导课——在学生中排名最高。教师认为实习中的PBL模拟了“现实生活”学习,包含更多行为和群体问题,并为改进学生评估提供了大量学生接触时间。
家庭医学实习中的学生和教师将PBL课程的排名高于实习的任何其他非临床组成部分。除了为学生提供自主学习的机会外,PBL课程还为教师提供了更多与学生接触的时间,从而加强了对学生学习和进步的评估。