Abstract:Objective To study the effect of the problem-based learning (PBL) in ablation training for liver cancer interventional students. Methods A total of 65 refresher physicians were selected as the study subjects who were taking advanced courses in the Minimally Invasive Interventional Center of Oncology and Liver Disease in Beijing You′an Hospital of Capital Medical University from March 2017 to February 2019, and they were divided into the experimental group and the control group by random number table method. Among them, thirty-three of the experimental group received the PBL teaching model, while thirty-two of the control group received the traditional teaching model. The training time was 6 months, and the teaching effect was evaluated by examination and questionnaire survey. Results The test scores of theory, skill and case analysis in the experimental group were significantly higher than those in the control group, and the differences were statistically significant (P < 0.05). The questionnaire survey scores of learning initiative, literature retrieval ability, teamwork ability and teaching effect in the experimental group were significantly higher than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion The application of PBL teaching in the ablation training of refresher doctor has a significant effect. It mobilizes the learning enthusiasm of refresher doctors and is worth promoting and applying.
[1] Suter B,Riedel H. Problem-Based Learning:Cervical Adenocarcinoma Three-Session Case for First-Year Medical Students-Patient Minnie Pauls [J]. Med Ed Portal,2017, 13:10561.
[2] Lepiller Q,Solis M,Velay A,et al. Problem-based learning in laboratory medicine resident education:a satisfaction survey [J]. Ann Biol Clin(Paris),2017,75(2):181-192.
[3] Levett-Jones TL. Self-directed learning:implications and limitations for undergraduate nursing education [J]. Nurse Educ Today,2005,25(5):363-368.
[4] European Association for the Study of the Liver. EASL Clinical Practice Guidelines:Management of hepatocellular carcinoma [J]. J Hepatol,2018,69(1):182-236.
[5] Ding J,Jing X,Liu J,et al. Comparison of two different thermal techniques for the treatment of hepatocellular carcinoma [J]. Eur J Radiol,2013,82(9):1379-1384.
[6] 郑加生,李建军.进修医师肝肿瘤射频消融治疗技术培训探讨[J].中国医学教育技术,2013,27(1):105-107.
[7] Demir?觟ren M,Turan S,?魻ztuna D. Medical students' self-efficacy in problem-based learning and its relationship with self-regulated learning [J]. Med Educ Online,2016,21:30049.
[8] Li D,Kang J,Madoff DC. Locally ablative therapies for primary and metastatic liver cancer [J]. Expert Rev Anticancer Ther,2014,14(8):931-945.
[9] 付宁,李正平,马明坤.射频消融治疗中等体积肝癌患者的临床效果[J].中国医药导报,2016,13(11):108-116.
[10] Yue JY,Chen J,Dou WG,et al. Using integrated problem- and lecture-based learning teaching modes for imaging diagnosis education [J]. BMC Med Educ,2018,18(1):183.
[11] 张海涛,徐英英,胡俊喜,等.PBL与传统教学法在眼科见习教学中的比较[J].中国医药导报,2011,8(1):118-119.
[12] Marshall TA,Finkelstein MW,Qian F. Improved student performance following instructional changes in a problem-based learning curriculum [J]. J Dent Educ,2011, 75(4):466-471.
[13] Faisal R,Khalil-ur-Rehman,Bahadur S,et al. Problem-based learning in comparison with lecture-based learning among medical students [J]. J Pak Med Assoc,2016,66(6):650-653.
[14] Dolmans DHJM,Loyens SMM,Marcq H,et al. Deep and surface learning in problem-based learning:a review of the literature [J]. Adv Health Sci Educ Theory Pract,2016,21(5):1087-1112.
[15] 刘霖,龚娟妮,高莹卉.呼吸内科临床教学中使用PBL教学法的可行性探讨[J].中华保健医学杂志,2018,20(4):344-346.
[16] 龚艳萍,邹秀和,刘枫,等.PBL结合LBL教学模式在甲状腺外科临床实习教学中的临床应用效果[J].中国医药导报,2019,16(20):181-184.
[17] 张嫄怡,李品,玉王敏,等.情景互动式PBL教学在病理学实验课中的应用[J].中国医药导报,2019,16(1):65-67.
[18] 王向文,赵淑玲,刘建平,等.PBL教学法在儿科学教学中的应用[J].中国医药导报,2017,14(7):138-141.
[19] 史瑞华,蒋涛.PBL教学法与PACS系统在放射科进修医师培训中的应用[J].中国病案,2016,17(5):72-74.
[20] 王占利.PBL教学法在研究生中医妇科中的应用评价[J].中国中医药现代远程教育,2018,16(6):34-36.
[21] 周荣胜,薛小红,颜飞,等.基于病例分析的PBL教学法在麻醉科进修医师培训中的应用[J].重庆医学,2017, 46(24):3444-3445.
[22] 蔡静怡,谢朝阳,余路新,等.PBL联合CBS教学法在临床血液学检验技术教学中的应用[J].中国医药导报,2018, 15(34):77-80.
[23] 马梅,卓碧敏,吴志辉,等.PBL联合CBL教学法在临床检验医学实习带教中的应用[J].中外医学研究,2018, 16(36):184-186.
[24] 杨伟平,陈万光.PBL教学模式在高校教学改革中的应用现状[J].中国科技信息,2010(13):264-265.
[25] 杨玮,陈晓鸥,汤明明,等.PBL联合微信推送授课内容对内分泌常见多发疾病教学模式的影响初探[J].中国医学创新,2019,16(3):141-145.
[26] 何宋兵.基于微信平台的PBL教学在卓越医师教改班普外科教学中的应用探索[J].中国医药科学,2019,9(17):73-75,83.
[27] 袁保红,石瑛,杜青平,等.教师在PBL授课模式中承担的角色[J].教育教学论坛,2017(17):12-13.
[28] 李伟英,王鹏,王志敏,等.循证医学结合PBL教学法在神经内科住院医师规范化培训中的实践和研究[J].中国现代医生,2019,57(10):148-152.
[29] 张嫄怡,李品玉,王敏等.情景互动式PBL教学在病理学实验课中的应用[J].中国医药导报,2019,16(1):65-67.
[30] 申昌福.课堂教学中设问的实践研究[J].上海师范大学学报:基础教育版,2010(5):93-99.