Gynecology, Jiaxing Maternity and Child Health Care Hospital, College of Medicine, Jiaxing University, Jiaxing, Zhejiang, China.
Gynecology, Jiaxing Women's and Children's Hospital of Wenzhou Medical University, Jiaxing, China.
PeerJ. 2024 Jul 24;12:e17813. doi: 10.7717/peerj.17813. eCollection 2024.
To train highly qualified medical talent in 5-year programs and improve students' analytical and problem-solving abilities, it is necessary to change the traditional teaching method. This study introduces the combined teaching method of case-based learning (CBL) and clinical pathway and evaluates its role in practical gynecological teaching.
Medical students in a 5-year program who were enrolled in the fourth year were selected as the research subjects; these students were randomized into two groups that separately received either the traditional teaching method or the combined teaching method of CBL and clinical pathway. Before the internship, a questionnaire was administered to explore students' views of internship in gynecology, and after the internship, the questionnaire was administered to assess the two teaching methods. Furthermore, theoretical and skill tests were performed both before and after the internship.
A total of 206 medical students in a 5-year program who were in their fourth year were enrolled in the study. Students in the experimental group performed significantly better than those in the control group. They performed significantly better in the postinternship test than in the preinternship test ( < 0.001). The questionnaire showed that more students in the experimental group thought that their learning interests, clinical skills, case analysis ability, clinical communication ability, understanding of theoretical knowledge and clinical thinking ability had improved and significantly differed between the two groups ( < 0.05).
Compared to traditional teaching methods, combined teaching method of CBL and clinical pathway can elevate students' academic performance, improve their learning enthusiasm and help promote clinical teachers' teaching quality. Additionally, this novel method is effective in facilitating the achievement of teaching objectives and improving the quality of talent training. Therefore, the combined teaching method of CBL and clinical pathway should be popularized and applied in gynecological practice.
为培养 5 年制高素质医学人才,提高学生分析问题和解决问题的能力,有必要改变传统的教学方法。本研究将介绍以病例为基础的学习(CBL)与临床路径相结合的教学方法,并评价其在妇产科实践教学中的作用。
选择五年制四年级医学生为研究对象,随机分为传统教学法组和 CBL 联合临床路径教学法组。实习前采用问卷调查学生对妇产科实习的看法,实习后采用问卷调查评估两种教学方法,实习前后进行理论和技能测试。
共纳入 206 名四年级五年制医学生,实验组学生实习后测试成绩明显优于对照组,实习后测试成绩明显高于实习前(<0.001)。问卷调查显示实验组学生的学习兴趣、临床技能、病例分析能力、临床沟通能力、对理论知识的理解和临床思维能力的提高程度均明显优于对照组(<0.05)。
与传统教学方法相比,CBL 联合临床路径教学法可以提高学生的学习成绩,激发学生的学习积极性,有助于提高临床教师的教学质量。此外,这种新方法在促进教学目标的实现和提高人才培养质量方面具有积极作用。因此,CBL 联合临床路径教学法应在妇产科实践中推广应用。