Blosser A, Jones B
Department of Surgery, University of Kentucky Chandler Medical Center, Lexington.
Med Teach. 1991;13(4):289-93; discussion 295-8. doi: 10.3109/01421599109089907.
The authors were members of the first group of medical students to participate in a newly modified third-year surgery clerkship at the University of Kentucky College of Medicine. The primary teaching methodology of this clerkship is problem-based learning (PBL). In this type of learning experience, students work with paper cases as though they were actual patients, using a method similar to that which they will later use as residents or practising physicians. The students make the decisions themselves, formulating differential diagnoses, eliciting relevant items from a history and physical examination, proceeding with a diagnostic work-up, and creating a treatment plan. This problem-based method increases students' use of resources, improves their retention of information, and helps them develop time management skills. Although the students believe that the clerkship as a whole should offer more opportunities for hands-on experience, they found the PBL component of the clerkship highly motivating, intellectually stimulating, and experimentally satisfying.
作者是肯塔基大学医学院首批参与新修订的三年级外科实习的医学生。该实习的主要教学方法是基于问题的学习（PBL）。在这种学习体验中，学生处理纸质病例，就好像它们是真实患者一样，使用的方法类似于他们日后作为住院医生或执业医师时会采用的方法。学生自己做出决策，形成鉴别诊断，从病史和体格检查中引出相关项目，进行诊断检查，并制定治疗计划。这种基于问题的方法增加了学生对资源的利用，提高了他们对信息的记忆，并帮助他们培养时间管理技能。尽管学生们认为整个实习应该提供更多的实践经验机会，但他们发现实习中的PBL部分极具激励性、智力启发性和实验满足感。
