PBL教学法在研究生临床药物治疗学课程中的应用

doi:10.3969/j.issn.2096-045X.2023.02.006

医学教育管理 ›› 2023, Vol. 9 ›› Issue (2): 154-159,172.doi: 10.3969/j.issn.2096-045X.2023.02.006

PBL教学法在研究生临床药物治疗学课程中的应用

李佳佳，李涵涵，徐彤彤，杨长青^*

中国药科大学基础医学与临床药学学院，南京 211198

收稿日期:2022-06-13 出版日期:2023-04-20 发布日期:2023-05-29
通讯作者: 杨长青
基金资助:
1.2022年中国药科大学专业学位课程改革项目（3322200087）；2.2019年中国药科大学校级教学改革重点项目（2019XJZD07）

Application of PBL teaching method in clinical pharmacotherapy for postgraduates

Li Jiajia, Li Hanhan, Xu Tongtong, Yang Changqing^*

School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing 211198, China

Received:2022-06-13 Online:2023-04-20 Published:2023-05-29

摘要/Abstract

摘要：

目的比较以问题为基础的教学法（problem-based learning，PBL）和以案例为基础的教学法（case-based learning，CBL）在临床药学专业硕士研究生临床药物治疗学课程（clinical pharmacotherapy，CPT）的教学效果。方法将14名研究生随机分为CBL组和PBL组，进行高血压和糖尿病两种疾病的药物治疗教学，采用案例综合分析多项选择题（MCQs）与SOAP（S：Subjective，O：Objective，A：Assesssment，P：Plan）考核评估学生的学习成果，利用教学问卷调查表和课程回馈表获得学生对教学方法和教学成果的自我评价。结果与CBL组比较，PBL组学生的MCQs总成绩明显提高（P＜0.05），在MCQs中的“药物治疗方案” “患者教育”两个主题的分数显示出提高的趋势（P＞0.05）；PBL组学生普遍认为课程内容更具应用性、灵活性、人文性。PBL教学有利于培养学生临床药物治疗思维，提高问题解决等能力，并在“收集信息评估患者” “资源管理”“审视和反思”“管理时间”等方面获得较高的自我评价（P＜0.05）。结论 PBL教学法符合CPT课程的特点，能够拓宽学生知识的宽度与深度，泛化案例推理能力，有利于药学服务基本技能的提升。

关键词:

临床药物治疗学, 基于问题的教学法, 基于案例的教学法, 临床药学, 教学方法

Abstract: Objective To compare the teaching effects of problem-based learning (PBL) and case-based learning (CBL) in clinical pharmacotherapy course (CPT) for postgraduates majoring in clinical pharmacy. Methods Total 14 postgraduates from China Pharmaceutical University were randomly assigned to a CBL group or a PBL group to learn the clinical pharmacotherapy of hypertension and diabetes. Comprehensive case-analysis multiple-choice questions (MCQs) and SOAP (S:Subjective, O:Objective, A:Assesssment, P:Plan) record were used to evaluate the students' learning outcome. The questionnaire and curriculum feedback form were adopted to obtain students' self-evaluation of teaching methods. Results Compared to CBL group, the total MCQs scores of PBL group were significantly higher (P＜0.05), MCQs scores of two themes of "medication regimens" and "patient education" showed an increasing trend (P＞0.05). Students in PBL group generally believed that the course content was more applicable, flexible and humanistic and believed PBL teaching was conducive to cultivating clinical pharmacotherapy thinking, improving the ability of problem solving (P＜0.05). Students in PBL group obtained higher self-evaluation in the aspects of "collecting information to assess patients", "resource management", " review and reflection" and "time management strategies"(P＜0.05).Conclusion PBL teaching method can broaden the width and depth of knowledge and generalize case-based reasoning ability, which is consistent with the characteristics of clinical pharmacotherapy course and is beneficial to the improvement of basic skills of pharmaceutical care.

Key words: clinical pharmacotherapy, problem-based learning, case-based learning, clinical pharmacy, teaching method

中图分类号:

李佳佳, 李涵涵, 徐彤彤, 杨长青.

PBL教学法在研究生临床药物治疗学课程中的应用 [J]. 医学教育管理, 2023, 9(2): 154-159,172.

Li Jiajia, Li Hanhan, Xu Tongtong, Yang Changqing.

Application of PBL teaching method in clinical pharmacotherapy for postgraduates [J]. Medical Education Management, 2023, 9(2): 154-159,172.

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PBL教学法在研究生临床药物治疗学课程中的应用

Application of PBL teaching method in clinical pharmacotherapy for postgraduates

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