AIM: To investigate the effect of problem - based learning (PBL) combined with standardized patient (SP) in the teaching of basic science of ophthalmology. n METHODS: Sixty-four students of Optometry in grade 2012 were randomly divided into experimental group ( n=32 ) and control group ( n = 32 ) . Traditional teaching method was implemented in control group while PBL combined with SP was applied in experimental group. At the end of term students were interviewed using self-administered questionnaire to obtain their evaluation for teaching effect. Measurement data were expressed as x-±s and analyzed by independent samples t test. Enumeration data were analyzed by χ2 test, and P<0. 05 significantly statistical differences. n RESULTS:The mean scores of theory test (83. 22±3. 75) and experimental test (94. 28±2. 20) in experimental group were significantly higher than theory test ( 70. 72±3. 95 ) and experimental test (85. 44±3. 52) in control group (all P < 0. 01 ). The mean scores of diagnose inquiry, ophthalmologic examination, clinical diagnosis and medical record writing were higher than that in the control group, difference had statistical significance (P<0. 01). The students in experimental group had a significantly better self-assessment than the control group in learning enthusiasm, consciousness of team cooperation, ability of language expression, comprehensive analysis ability, self - learning ability, innovation ability, summarizing ability, practice ability, and systematic knowledge structure. The differences were statistically significant in questionnaire between the two groups (all P<0. 05). n CONCLUSION:Using PBL combined with SP teaching mode in basic science of ophthalmology can highly improve learning enthusiasm of students and cultivate self-learning ability of students, practice ability and ability of clinical analysis.%目的:探讨以问题为基础的学习( problem-based learning , PBL)结合标准化患者( standardized patient,SP)在眼科学基础教学中的应用效果。n 方法:选取2012级眼视光专业学生64人为研究对象,随机抽取32人为试验组,采用PBL 结合标准化患者进行眼科学基础教学,其余32人为对照组,采用传统教学方法。授课结束后应用自制调查问卷调查学生对教学效果的评价。统计两组学生的考试成绩及问卷调查结果。计数资料采取χ2检验,计量资料采用均数±标准差( x-±s)表示,行独立样本 t 检验,以 P<0.05为差异有统计学意义。n 结果:试验组理论考试成绩(83.22±3.75)和试验考试成绩(94.28±2.20)均明显高于对照组理论考试成绩(70.72±3.95)和试验考试成绩(85.44±3.52),差异有统计学意义(P均<0.01)。试验组在实习考核中问诊及病史采集、眼科检查、临床诊断和病历书写的成绩均值均高于对照组,差异均有统计学意义(P均<0.01)。试验组学生对SP 与PBL结合教学在调动学习积极性、加强团队协作意识、提高语言表达能力、综合分析能力、自学能力、创新能力、总结归纳能力、实践操作能力,以及加强知识结构系统化方面的效果评价明显高于对照组,差异有统计学意义(P均<0.05)。n 结论:眼科学基础教学中将SP与PBL相结合,有助于学生更好地掌握专业知识,能调动学习积极性,提高自学能力、实践操作能力和临床思维能力。
展开▼