在八年制醫學教育中獨立開設PBL課程的探索與實踐_《中國循證醫學雜志》

作者：

卿平 ¹ , 姚巡 ¹ , 程南生 ² , 曾靜 ³ , 蔣莉莉 ⁴ ,  萬學紅 ¹

1. 四川大學華西臨床醫學院教務部（成都 610041）2. 四川大學華西醫院外科（成都 610041）3. 四川大學華西醫院內科4. 四川大學華西醫院病理科;

關鍵詞：

以問題為基礎的學習 PBL 醫學八年制課程改革以學生為中心

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

四川大學醫學八年制的培養目標定位于“培養合格的臨床醫生”，并具有“棟梁型和領導型人才素質及成長的潛質”。對“全球醫學教育最基本要求中”提到的“溝通技能”、“信息管理”和“批判性思維和研究”的培養，以PBL（problem-based learning）為代表的“以學生為中心”的教學，較之傳統的說教式被動學習模式更有優勢。本文從課程設計、組織、實施及評估四個方面介紹了我校根據實情將PBL做為一門單獨課程在醫學八年制學生中開設的情況，并分析了我校采用這種“獨立設課、少量病案、持續多學期”PBL教學模式的原因及其優點與不足。從授之以“魚”到授之以“漁”的轉變，是從教育理念到教學模式的根本性轉變，這種“學習的革命”不可能一蹴而就。我們希望通過這門著重“方法與能力”培養的示范性課程，積極引導教師和學生轉變觀念，逐步完善“以學生為中心”的教學和評估體系，并逐漸向學科課程或系統整合課程滲透。

引用本文： 卿平,姚巡,程南生,曾靜,蔣莉莉,萬學紅. 在八年制醫學教育中獨立開設PBL課程的探索與實踐. 中國循證醫學雜志, 2007, 07(5): 397-402. doi: 復制

1.	Zhang ZD, Zhou TF. Global minimum essential requirements in medical education. 1st edition. Beijing: Higher Education Press; 2002.
2.	Lu XP, Wang BR, Chen JY. Problem-oriented Learning: Literature Review and Locking into the Future. Northwest Medical Education, 2006, 14(4):378-380.
3.	Chen LZ, Peng H, Yi LQ, et al. Actively explore the eight-year clinical medical education to train high quality medical students. Medical Education, 2005, (5): 10-11.
4.	Ji XH, Wang JF, Ma Y. Discussing on a few critical issues concerning long length of schooling of clinical medical education in China. Medical Education, 2004, (6): 7-9.
5.	Xia OD, Lin XH, Zeng ZR, et al. Exploration on the Objective of Talent-cultivation in 8-year-system Medical Education. Researches in Medical Education, 2006, 5(10): 900-901.
6.	Li ZS, Xian LQ, Liang CH. Evaluation of Student Performance in a Problem-based Learning Curriculum. Researches in Medical Education, 2004, 3(3):25-27.
7.	Li MZ, Yang RH, Li SX, et al. Adoption of PBL in Medical Education: Experience at Chung Shan Medical University. Chinese Journal of Evidence-based Medicine, 2006, 6(10): 699-703.
8.	張肇達, 周同甫. 全球醫學教育最低基本要求. 第1版. 北京: 高等教育出版社; 2002.
9.	Svinicki MD. Moving Beyond “It worked”: The Ongoing Evolution of Research on Problem-Based Learning in Medical Education. Educ Psychol Rev, 2007, (19):49-61.
10.	Savery JR. Overview of Problem-based Learning: Definitions and Distinctions. The Interdisciplinary Journal of Problem-based Learning, 2006, 1(1):9-20.
11.	SILVIA MAMEDE, SCHMIDT HG, R.NORMAN G. Innovations in Problem-based Learning: What can we Learn from Recent Studies? Advances in Health Sciences Education, 2006(11):403-422.
12.	Susarla SM, Medina-Martinez N, Howell TH, et al. Problem-based learning: effects on standard outcomes. J dent Educ, 2003, 67(9):1003-1010.
13.	陸希平, 王本榮, 陳家玉. 問題導向學習: 文獻回顧與未來展望. 西北醫學教育, 2006, 14(4):378-380.
14.	Tai-pong Lam, Wan X-h, Ip MS-m. Current perspectives on medical education in China. Med Educ, 2006, 40(10): 940-949.
15.	陳立章, 彭紅, 易露茜, 等. 積極探索八年制醫學教育努力培養高素質醫學人才. 醫學教育, 2005, (5): 10-11.
16.	季曉輝, 王錦帆, 馬艷. 關于我國長學制臨床醫學教育若干重要問題的探討. 醫學教育, 2004, (6): 7-9.
17.	夏歐東, 林新宏, 曾志嶸, 等. 八年制醫學教育培養目標探討. 醫學教育探索, 2006, 5(10): 900-901.
18.	李澤生, 冼利青, 梁彩花. 運用教育評價理論, 評定PBL學生的學業成績.醫學教育探索, 2004, 3(3): 25-27.
19.	Clarence H Braddock, Elizabeth Eckstrom, Haidet P. The “New Revolution” in Medical Education. J Gen Intern Med, 2004, 19(5): 610-611.
20.	FW H. Beyond curriculum reform: confronting medicine’s hidden curriculum. Acad Med,1998, 73(4): 403-407.
21.	Bernadt IN. National exit exam needed to test core knowledge. The Medical Journal of Australia, 2006, 185(1): 53.
22.	李孟智, 楊仁宏, 李淑杏, 等. 中山醫學大學醫學院如何推動問題導向學習. 中國循證醫學雜志, 2006, 6(10): 699-703.
23.	Michael J. Where’s the evidence that active learning works. Advan Physiol Edu, 2006, (30): 159-167.

1. Zhang ZD, Zhou TF. Global minimum essential requirements in medical education. 1st edition. Beijing: Higher Education Press; 2002.
2. Lu XP, Wang BR, Chen JY. Problem-oriented Learning: Literature Review and Locking into the Future. Northwest Medical Education, 2006, 14(4):378-380.
3. Chen LZ, Peng H, Yi LQ, et al. Actively explore the eight-year clinical medical education to train high quality medical students. Medical Education, 2005, (5): 10-11.
4. Ji XH, Wang JF, Ma Y. Discussing on a few critical issues concerning long length of schooling of clinical medical education in China. Medical Education, 2004, (6): 7-9.
5. Xia OD, Lin XH, Zeng ZR, et al. Exploration on the Objective of Talent-cultivation in 8-year-system Medical Education. Researches in Medical Education, 2006, 5(10): 900-901.
6. Li ZS, Xian LQ, Liang CH. Evaluation of Student Performance in a Problem-based Learning Curriculum. Researches in Medical Education, 2004, 3(3):25-27.
7. Li MZ, Yang RH, Li SX, et al. Adoption of PBL in Medical Education: Experience at Chung Shan Medical University. Chinese Journal of Evidence-based Medicine, 2006, 6(10): 699-703.
8. 張肇達, 周同甫. 全球醫學教育最低基本要求. 第1版. 北京: 高等教育出版社; 2002.
9. Svinicki MD. Moving Beyond “It worked”: The Ongoing Evolution of Research on Problem-Based Learning in Medical Education. Educ Psychol Rev, 2007, (19):49-61.
10. Savery JR. Overview of Problem-based Learning: Definitions and Distinctions. The Interdisciplinary Journal of Problem-based Learning, 2006, 1(1):9-20.
11. SILVIA MAMEDE, SCHMIDT HG, R.NORMAN G. Innovations in Problem-based Learning: What can we Learn from Recent Studies? Advances in Health Sciences Education, 2006(11):403-422.
12. Susarla SM, Medina-Martinez N, Howell TH, et al. Problem-based learning: effects on standard outcomes. J dent Educ, 2003, 67(9):1003-1010.
13. 陸希平, 王本榮, 陳家玉. 問題導向學習: 文獻回顧與未來展望. 西北醫學教育, 2006, 14(4):378-380.
14. Tai-pong Lam, Wan X-h, Ip MS-m. Current perspectives on medical education in China. Med Educ, 2006, 40(10): 940-949.
15. 陳立章, 彭紅, 易露茜, 等. 積極探索八年制醫學教育努力培養高素質醫學人才. 醫學教育, 2005, (5): 10-11.
16. 季曉輝, 王錦帆, 馬艷. 關于我國長學制臨床醫學教育若干重要問題的探討. 醫學教育, 2004, (6): 7-9.
17. 夏歐東, 林新宏, 曾志嶸, 等. 八年制醫學教育培養目標探討. 醫學教育探索, 2006, 5(10): 900-901.
18. 李澤生, 冼利青, 梁彩花. 運用教育評價理論, 評定PBL學生的學業成績.醫學教育探索, 2004, 3(3): 25-27.
19. Clarence H Braddock, Elizabeth Eckstrom, Haidet P. The “New Revolution” in Medical Education. J Gen Intern Med, 2004, 19(5): 610-611.
20. FW H. Beyond curriculum reform: confronting medicine’s hidden curriculum. Acad Med,1998, 73(4): 403-407.
21. Bernadt IN. National exit exam needed to test core knowledge. The Medical Journal of Australia, 2006, 185(1): 53.
22. 李孟智, 楊仁宏, 李淑杏, 等. 中山醫學大學醫學院如何推動問題導向學習. 中國循證醫學雜志, 2006, 6(10): 699-703.
23. Michael J. Where’s the evidence that active learning works. Advan Physiol Edu, 2006, (30): 159-167.

《中國循證醫學雜志》

在八年制醫學教育中獨立開設PBL課程的探索與實踐

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

《中國循證醫學雜志》

在八年制醫學教育中獨立開設PBL課程的探索與實踐

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料