层次递进-解决问题结合教学法用于临床药师培训的探讨

发布时间：2018-09-04 18:15

【摘要】：目的:探讨临床药师培训的新方法,以为提高临床药师培训质量提供参考。方法:在充分认识层次递进(SPL)-解决问题(PBL)结合教学法的概念和特点的基础上,在临床药师培训基地学员培训过程中,将SPL-PBL结合教学法应用于理论知识和临床实践的教学中。理论知识的教学课程上半部分以SPL法为主,下半部分以PBL法为主。临床实践教学中,查房、医嘱审核、参与制订治疗方案、病例讨论的教学,以PBL法为主,中间穿插SPL法;问诊、药学监护、用药教育,以SPL法为主,中间穿插PBL法。结果:SPL-PBL结合教学法不但有效地调动了学员学习的积极性,增强了责任心,提高了临床专业知识和实践能力,还加强了学员的沟通能力、文献检索能力、文字表达能力、自学能力("四能"),提高了主观能动性。结论:SPL-PBL结合教学法,既兼顾了学员个体的差异性又调动了学员的积极性,既兼顾了学员基础理论知识的教授又加强了学员临床思维和"四能"的培养,可用于临床药师培训。同时,SPL法的合理运用降低了PBL法对学员综合素质等的要求,从而扩大了PBL法的应用范围。由于该教学法的应用时间尚短,在教学实践中还需对其不断的加以完善。
[Abstract]:Objective: to explore a new method of clinical pharmacist training and to provide reference for improving the quality of clinical pharmacist training. Methods: on the basis of fully understanding the concept and characteristics of hierarchical progressive (SPL)-problem-solving (PBL) combined teaching method, the combined SPL-PBL teaching method was applied to the teaching of theoretical knowledge and clinical practice in the course of training students in clinical pharmacist training base. The SPL method is the main method in the teaching of theoretical knowledge and the PBL method is the main method in the second half. In the clinical practice teaching, including the inspection of the clinic, the examination of the doctor's orders, the participation in making the treatment plan, the teaching of the case discussion, the teaching of the PBL method, the intermediate intercalation of the SPL method, the inquiry, the pharmaceutical monitoring, the medicine education, the SPL method mainly, the middle intercalation PBL method. Results the teaching method combined with SPL-PBL not only effectively mobilized the students' enthusiasm in learning, enhanced their sense of responsibility, improved their clinical professional knowledge and practical ability, but also strengthened their ability of communication, literature retrieval and text expression. Self-study ability ("four abilities"), improve the subjective initiative. Conclusion the combination of the teaching method with SPL-PBL not only takes into account the differences of individual students, but also arouses the enthusiasm of the students. It not only takes into account the basic theoretical knowledge of the students, but also strengthens the cultivation of the students' clinical thinking and "four abilities", which can be used in the training of clinical pharmacists. At the same time, the reasonable application of PBL method reduces the requirements of PBL method for students' comprehensive quality, and thus expands the scope of application of PBL method. Because the application time of this teaching method is still short, it needs to be perfected continuously in teaching practice.
【作者单位】：苏州大学附属第三医院药事科;常州市第二人民医院药剂科;
【分类号】：R95

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