Abstract
Objective To evaluate the role of 'problem-based learning' and 'none-standardanswer' teaching model in improving interns' clinical thinking in general surgery.Methods Interns were divided into two groups by stratified random, test group receiving ' problem-based learning' and ' nonestandard-answer' teaching model, control group receiving conventional teaching model, then were tested clinical thinking by means of script concordance test and received a questionnaire survey by means of Dundee Ready Education Environment Measure (DREEM).Results The mean score of clinical thinking of test group, 79.1 ±5.4, was higher than that of control group, 75.1 ±5.7 (t ＝3.192, P＝0.002), and the mean score of DREEM of test group, 142.2 ± 8.3, was higher than that of control group , 126.9 ±11.0 (t ＝ 6.993, P ＝ 0.000).Subgroup analysis revealed that interns receiving ' problem-based learning'and 'none-standard-answer' teaching model got higher clinical thinking test scores and higher DREEM scores than those receiving conventional teaching model no matter of varied schooling-length programs and grades.Conclusions Application of ' problem-based learning' and ' none-standard-answer' teaching model into clinical clerkship in general surgery was helpful to improve the students' clinical thinking and to improve the education environment of problem-based learning. Key words: Problem-based learning; ' None-standard-answer ' teaching model; Script concordance test; Clinical thinking; Education environment
Published Version
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