Objective To investigate the effect of problem-based learning (PBL) combined with case-based learning (CBL) on neurology teaching for refresher physicians. Methods A total of 40 refresher neurologists at Beijing Tiantan hospital were randomly divided into experimental group (n=20) and control group (n=20). The refresher neurologists in experimental group were taught by PBL combined with CBL while those in control group were taught by traditional teaching method. Questionnaires and theory examination were used to evaluate the teaching effect. Results Learning interest, clinical thinking, problem-solving skills, capabilities of language expression and communications in experimental group were better than those in control group. The exam score in experimental group was also higher than that in control group. Conclusion PBL combined with CBL could stimulate the refresher neurologists' interest in neurology and self-learning ability, and improve their exam results, which enhanced the effect of teaching quality in neurology.%目的 探讨以问题为基础(problem-based learning,PBL)教学法结合以病例为基础(case-based learning, CBL)教学法在神经内科进修医师教学中的应用效果.方法 选取首都医科大学附属北京天坛医院神经内科的进修医师40例,随机分为实验组(20例)和对照组(20例),分别应用PBL结合CBL教学法和传统的授课式教学法完成神经病学教学任务,采用调查问卷和理论考试评估教学效果.结果 实验组在对学习兴趣、理论知识掌握、语言表达能力、分析解决问题能力,创新思维能力等方面的培养均显著优于对照组.前者的考试成绩亦显著高于后者.结论 PBL结合CBL教学法可激发进修医师的学习兴趣和自主学习能力,提高考试成绩,提升了临床神经病学的教学效果.
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