Chang Chia-Hung, Yang Ching-Yue, See Lai-Chu, Lui Ping-Wing
Department of Anesthesiology, Chang Gung Memorial Hospital, Fushing Street, Gueishan Shiang, Taoyuan, Taiwan 333, ROC.
Chang Gung Med J. 2004 Sep;27(9):654-62.
The aim of this study was to compare students' satisfaction between problem-based learning (PBL) and lecture-based traditional teaching of anesthesia.
One hundred and thirty-seven fifth-year medical students were enrolled in a course which used a hybrid curriculum for teaching about anesthesia. The hybrid curriculum included 9 essential lectures and 3 related PBL case discussions. A Linkert 5-point scale was used for to assess students' satisfaction levels between PBL and lecture-based traditional teaching. Data were collected through a year-end questionnaire over 2 academic years from 2002 to 2003. Scores regarding the satisfaction levels between these 2 teaching methods were analyzed using a 2-sided paired t-test.
Most students preferred PBL over the lecture-based traditional teaching in the following 6 aspects: learning about anesthesia, understanding other medical knowledge, being interested in and motivated to learn, training for future work, training of personal abilities, and being confident and satisfied with the teaching method (p < 0.05). However, traditional teaching was superior to PBL in enhancing the speed of learning with greater understanding of a basic knowledge of anesthesia, as well as in providing more solid content with understanding of a greater number of anesthetic techniques (p < 0.05). Satisfaction levels with this curriculum did not generally differ between students enrolled in different classes in 2002 and 2003.
Although the assessment tools and content of PBL need to be modified, implementation of PBL for teaching anesthesia showed satisfactory results.
本研究旨在比较基于问题的学习(PBL)与基于讲座的传统麻醉教学中学生的满意度。
137名五年级医学生参加了一门使用混合课程教授麻醉学的课程。混合课程包括9次重要讲座和3次相关的PBL病例讨论。采用李克特5点量表评估学生对PBL和基于讲座的传统教学的满意度。数据通过2002年至2003年两个学年末的问卷收集。使用双侧配对t检验分析这两种教学方法满意度得分。
在以下6个方面,大多数学生更喜欢PBL而非基于讲座的传统教学:学习麻醉学、理解其他医学知识、对学习感兴趣并有学习动力、为未来工作进行培训、个人能力培养以及对教学方法有信心并感到满意(p < 0.05)。然而,在提高学习速度以及对麻醉基础知识有更好理解方面,传统教学优于PBL,在提供更扎实的内容以及对更多麻醉技术的理解方面也是如此(p < 0.05)。2002年和2003年不同班级的学生对该课程的满意度总体上没有差异。
尽管PBL的评估工具和内容需要改进,但PBL用于麻醉教学的实施显示出令人满意的结果。