Exploring the effectiveness and limitations of a multi-outcomes case-based PBL teaching methodin clinical apprenticeships
基于多重结局案例的PBL教学法在临床见习中的成效与限制探讨

摘要

目的 将多重结局案例运用于基于问题式学习（problem-based learning，PBL）教学中，以创新的医学案例形式，旨在更好地培养学生的批判思考与解决问题的能力。方法 以四川大学华西临床医学院2019春季学期至2020年秋季学期参与临床见习的48位临床医学本科生为研究对象，通过问卷调查了解多重结局案例运用于PBL教学的成效，并从中邀请24位学生进行一对一深度访谈，以探讨学生在创新医学案例学习中的收获以及困难。结果 多重结局案例较传统PBL案例更能提升学生的学习成效及能力，但学习压力也更大。结论 多重结局案例运用于PBL教学有很好的应用前景，但其良好运作需在课程设置安排、导师角色发挥等多环节进一步完善和探索。

Abstract

Objective: To apply multi-outcomes case to problem-based learning (PBL) teaching in the form of innovative medical cases, aiming to better develop students' critical thinking and problem-solving skills.
Methods Forty-eight undergraduate clinical medicine students who participated in clinical internship from the spring semester of 2019 to the autumn semester of 2020 at the West China School of Clinical Medicine, Sichuan University were used as the study participants, from which 24 students were invited to conduct one-on-one in-depth interviews to explore the students' gains as well as difficulties in innovative medical case learning through questionnaires.
Results Multi-outcomes case are more effective and competent than traditional PBL cases, but they are also more stressful to learn.
Conclusion   The use of multi-outcomes case in PBL teaching has good potential, but its good operation needs further improvement and exploration in multiple aspects such as the curriculum arrangement and the role of the tutor.