同行辅助学习与基于问题的学习相结合,增强了医学学生的临床推理和知识应用
Jingtao Xie1,2, Ziyan Chen1,2, Duhuang Lin1,2
1Department of Microbiology and Immunology, Shantou University Medical College, Shantou, 515041, China.
BMC medical education
|January 24, 2026
概括
同行辅助基于问题的学习 (PA-PBL) 改善了医学学生的临床推理和知识应用. 这种积极学习策略提高了学习成果,并可能降低教育成本,这表明了更广泛的实施潜力.
科学领域:
- 医学教育 医学教育
- 积极学习方法 积极学习方法
- 发展临床推理 发展临床推理
背景情况:
- 基于问题的学习 (PBL) 和同行辅助学习 (PAL) 是医学教育中的积极学习方法.
- PBL面临着教师工作量等挑战,而PAL可能有模两可的目标和导师熟练程度问题.
- 本研究介绍了基于问题的同行辅助学习 (PA-PBL),以解决这些局限性.
研究的目的:
- 评估PA-PBL在增强医学学生临床推理方面的有效性.
- 评估PA-PBL对医学学生知识应用的影响.
- 探索PA-PBL作为一个潜在的更有效的教育模式.
主要方法:
- 一个非随机对照试验,涉及523名医学二年级学生.
- 实验组 (134名学生) 接受了PA-PBL补充讲座;对照组 (389名学生) 仅接受了讲座.
- 通过测验,考试和柯克帕特里克模型调查 (反应和学习水平) 评估学习成果;使用非参数测试和千平方测试分析数据.
主要成果:
- 实验组在测试成绩上显著改善 (12.3-6.8%的增加),在知识回忆MCQ,基于案例的MCQ和MEQ上获得更高的分数 (P<0.05).
- 在PA-PBL组的学生在四轮学习后获得了较高的学术排名,而在两轮学习后 (P<0.05) 获得了较高的学术排名.
- 调查显示满意度很高,平均反应和学习水平得分高于4.7/5 (基克帕特里克模型).
结论:
- PA-PBL有效地提高了知识掌握和案例分析技能.
- 该PA-PBL模型增强医学学生的临床推理和知识应用能力.
- PA-PBL是一种有价值的,潜在的成本效益的方法,可以在医学教育中更广泛地实施.
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