摘要目的 对比以问题为基础学习(problem-based learning,PBL)与循证医学相结合的教学方法与传统教学方法在心血管内科学临床实习教学中的效果.方法 将2013年5月至2016年8月在西安交通大学第一附属医院心血管内科实习的106名学生随机分为实验组和对照组,分别采用PBL与EBM相结合教学方法和传统教学方法.教学评估标准为病例分析考试成绩,教学过程满意度调查和循证医学认知度问卷评分.综合评价2种教学方法的教学效果.结果 实验组学生病例分析考试成绩更高,获得了较高的教学满意度.结论 PBL与循证医学相结合可以提高学生学习能力,使实习学生在短期内迅速掌握相应的知识,激发学习的主动性,增加学习的互动性.

abstractsObjective To compare effects of the problem-based learning method combined with evidence-based medicine(EBM) and the conventional learning method in cardiovascular clinical teaching practice.Methods Totally 106 internship students studied in the Cardiology Department of The First Hospital of Xi'an Jiaotong University from May 2013 to August 2016 were randomly divided into the PBL combined with EBM Group (n =56) and CL Group (a =50);PBL teaching method and conventional teaching method were adopted to introduce the cardiovascular evidence-based medicine.Inspection standards were medical cases analysis,satisfaction survey from students of the teaching process,EBM awareness questionnaire scores.Comprehensive evaluation was made in teaching effect of two kinds of teaching methods.Results Compared with the CL group,PBL combined with EBM Group had satisfied exam results,students grasped the medical diagnosis and treatment of common diseases of cardiology,PBL combined with evidence-based medicine group had a higher satisfaction of teaching process,students believed their literature searching skills,ability to detect clinical problems,clinical problem solving ability had been improved.Conclusions PBL combined with EBM teaching should be adopted in the practice of clinical teaching.It can improve students' ability of learning and can give a great help,it can let students quickly master the knowledge of cardiology in a short period,to stimulate learning initiative,increase the learning interaction.