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基于问题的学习在中国儿科学医学教育中的有效性:一项随机对照试验的荟萃分析。

The effectiveness of problem-based learning in pediatric medical education in China: A meta-analysis of randomized controlled trials.

作者信息

Ma Yimei, Lu Xiaoxi

机构信息

Department of Pediatrics, West China Second University Hospital.

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.

出版信息

Medicine (Baltimore). 2019 Jan;98(2):e14052. doi: 10.1097/MD.0000000000014052.

Abstract

BACKGROUND

The aim of this meta-analysis is to assess the effectiveness of problem-based learning (PBL) in pediatric medical education in China.

METHODS

We searched Chinese electronic databases, including the China National Knowledge Infrastructure, WanFang Data, the China Science Periodical Database, and the Chinese BioMedical Literature Database. We also searched English electronic databases, including PubMed, Embase, and the Cochrane Central Register of Controlled Trials. We searched for published studies that compared the effects of PBL and traditional lecture-based learning (LBL) on students' theoretical knowledge, skill, and case analysis scores during pediatric medical education in China. All randomized controlled trials (RCTs) were included.

RESULTS

A total of 12 RCTs were included, with a total sample size of 1003 medical students. The PBL teaching model significantly increased theoretical knowledge scores (95% confidence interval [CI], 0.79-1.52; P < .00001), skill scores (95% CI, 0.87-2.25; P < .00001), and case analysis scores (P < .00001, I = 88%) compared with those using the LBL teaching model alone.

CONCLUSION

The current meta-analysis shows that PBL in pediatric medical education in China appears to be more effective than the traditional teaching method in improving theoretical knowledge, skill, and case analysis scores. However, a more controlled design of RCT is needed to confirm the above conclusions in future work.

摘要

背景

本荟萃分析旨在评估基于问题的学习(PBL)在中国儿科学医学教育中的有效性。

方法

我们检索了中国电子数据库,包括中国知网、万方数据、维普资讯和中国生物医学文献数据库。我们还检索了英文电子数据库,包括PubMed、Embase和Cochrane对照试验中心注册库。我们检索了已发表的研究,这些研究比较了PBL和传统讲授式学习(LBL)在中国儿科学医学教育中对学生理论知识、技能和病例分析成绩的影响。纳入所有随机对照试验(RCT)。

结果

共纳入12项RCT,样本总量为1003名医学生。与单纯使用LBL教学模式相比,PBL教学模式显著提高了理论知识成绩(95%置信区间[CI],0.79 - 1.52;P <.00001)、技能成绩(95%CI,0.87 - 2.25;P <.00001)和病例分析成绩(P <.00001,I = 88%)。

结论

当前的荟萃分析表明,在中国儿科学医学教育中,PBL在提高理论知识、技能和病例分析成绩方面似乎比传统教学方法更有效。然而,未来的工作需要更严格设计的RCT来证实上述结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fceb/6336616/2380174980b3/medi-98-e14052-g001.jpg

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