PBL结合EBM教学在住院医师规范化培训中应用的系统评价
Chinese Journal of Medical Education Research（2022）
Abstract
目的 系统评价以问题为基础的学习(problem-based learning,PBL)结合循证医学(evidence-based medicine,EBM)教学在住院医师规范化培训中应用的教学效果.方法 计算机检索中国知网、万方数据、维普、中国生物医学文献数据库、EMbase、PubMed和Web of SCI数据库,搜集有关EBM结合PBL教学在住院医师规范化培训中应用的随机对照试验(randomized controlled trial,RCT).检索时限均从建库至2018年7月1日.由两名研究者独立进行筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析.结果 最终共纳入4个研究.因研究结局指标不一及文献质量较低无法进行定量合成,故采用描述性方式进行分析总结.结果 显示,与基于课堂的灌输式教学(lecture-based learning,LBL)教学相比,EBM结合PBL教学组在住院医师规范化培训中大部分指标均取得更优的成绩,尤其是病例分析得分、考试总分、提高临床思维能力、交流表达能力、组织协作能力等方面具有更多优势.结论 当前证据提示EBM结合PBL教学在住院医师规范化培训中的应用具有一定的教学效果,比起传统LBL教学来讲更能提升学生能力.但受纳入研究数量和质量的限制,上述结论尚待更多大样本高质量研究予以验证.
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Key words
Resident,Standardized training,Problem-based learning,Evidence-based learning,Systematic review
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