PBL结合系统化教学设计应用于神经病学教学的探索

摘要

神经病学是临床医学教学中的难点之一,如何改良神经病学教学模式是迫切需要解决的问题.当前系统化教学设计和以问题为基础的学习(problem-based learning,PBL)是较为成熟并具有广阔应用前景的教学方法,但从前期实践看,单纯的PBL教学并未能产生预期的效果.其原因可能与PBL教学过度重视学生的主观能动性,而忽略了考核、反馈、调整等监督考核机制相关,这正是系统化教学设计的关注点.本研究探索将PBL教学和系统化教学设计结合应用于神经病学教学中,通过确定教学目标,进行PBL教学分析,编写教学计划,组织PBL教学,反馈调整教学设计,最终应用终结性评价完成教学.经过实践提示,该教学设计有可能带来神经病学教学模式上的进步.%Neurology is one of the most difficult subjects in clinical medical education.How to improve the teaching model of neurology is a crucial problem.The systematic instructional design and problem-based learning (PBL) emerge as mature teaching techniques,and having a broad application prospect.However,simple PBL teaching model has not achieved the desired results,because PBL teaching method pays excessive attention to the subjective initiative of students,but ignores the supervision and assessment mechanisms,such as assessment,feedback,adjustment,which are the major concerns of systematic instructional design.This research tries to combine systematic instructional design with PBL teaching model,and explore the position in neurology teaching.By determining the teaching target,analysis of PBL teaching,writing teaching plans,organization of PBL teaching,feedback to adjust teaching design method,the final summative evaluation is done and the teaching,was completed.After practice tips may bring progress on neurology teaching mode.