Effects of Problem-Based Learning versus Lecture-Based Learning in Surgery Education in China: A Meta-Analysis_Chinese Journal of Evidence-Based Medicine

Authors：

WANG Guizhi ¹ , LIU Hong ¹ , WANG Ying ² ,  HUANG Weiming ¹ , GU LI Ni Ge ErTu Er Xun ¹

1. The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi 830002, China;2. The Third Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, China;

Corresponding author：

HUANG Weiming, Email: 1944893475@qq.com

Keywords：

Problem-based learning (PBL); Lecture-based learning (LBL); Surgery; Meta-analysis

DOI：

10.7507/1672-2531.20130226

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To systematically review the effects of problem-based learning (PBL) versus lecture-based learning (LBL) teaching models on students in surgery education in China.
Methods 　Such databases as CNKI, WanFang Data and PubMed were electronically searched for literature on PBL versus LBL applied in surgery education in China up to June 30th, 2013. According to the inclusion and exclusion criteria, we screened literature, extracted data, and assessed the methodological quality of included studies. Then meta-analysis was performed using RevMan 5.2 software.
Results 　Sixteen studies were included totally, all of which were low in quality. Compared with LBL, PBL was superior in surgery comprehensive scores (WMD=4.98, 95%CI 3.88 to 6.09, P lt;0.000 01), fundamental theoretical knowledge (WMD=3.09, 95%CI 0.81 to 5.38, P=0.008), clinical manipulation skills (WMD=4.70, 95%CI 2.69 to 6.71, P lt;0.000 01), and practical ability (WMD=2.13, 95%CI 1.11 to 3.15, P lt;0.000 1) with significant differences.
Conclusion 　PBL teaching method is superior to LBL in surgery education.

Citation： WANG Guizhi,LIU Hong,WANG Ying,HUANG Weiming,GU LI Ni Ge ErTu Er Xun. Effects of Problem-Based Learning versus Lecture-Based Learning in Surgery Education in China: A Meta-Analysis. Chinese Journal of Evidence-Based Medicine, 2013, 13(11): 1313-1317. doi: 10.7507/1672-2531.20130226 Copy

1.	Mcparland M, Noble LM, Livingston G. The effectiveness of problem based learning compared to traditional teaching in undergraduate psychiatry. Med Educ, 2004, 38(8): 859-867.
2.	Juni P, Altman DG, Egger M. Systematic reviews in health care: Assessing the quality of controlled clinical trials. BMJ, 2001, 323(7303): 42-46.
3.	Zhang Y, Chen G, Fang X, et al. Problem-based learning in oral and maxillofacial surgery education: The Shanghai Hybrid. J Oral Maxillofac Surg, 2012, 70(1): e7-e11.
4.	张国伟, 靳瑾, 周杰. PBL+LBL 教学模式在八年制肝胆外科实习带教的应用. 山西医科大学学报: 基础医学教育版, 2010, 12(3): 301-303.
5.	王光春, 薛云云, 郑军华, 等. 泌尿外科学教学中应用以问题为基础学习教学模式的效果评价. 中华医学教育杂志, 2011, 3(3): 400-402.
6.	罗前颖, 卢东文, 黄丽芳, 等. PBL教学法在神经外科临床见习教学中的应用. 右江医学, 2007, 35(1): 99-100.
7.	王岩峰, 常晓晗, 梁庆威, 等. PBL与LBL 结合在骨外科教学中的应用. 中国现代医学杂志, 2009, 19(6): 943-946.
8.	邱学德, 万伟明, 陈韬, 等. PBL教学模式在泌尿外科临床见习中的应用体会. 昆明医学院学报, 2011, (4): 160-163.
9.	王宇, 蒋晓青. PBL+LBL教学模式在肝胆外科实习带教中的应用. 中国高等医学教育, 2011(12): 108-109.
10.	徐鉷, 闫小龙, 李小飞, 等. PBL教学模式在胸外科学教学中的应用. 山西医科大学学报: 基础医学教育版, 2010, 12(11): 1112-1114.
11.	曾晓华, 刘长安, 王亚旭, 等.PBL教学法在普外科临床见习中的应用. 医学教育探索, 2010, 9(11): 1471-1473.
12.	王荃, 李自良, 刘彦. 口腔颌面外科学PBL教学实践与研究. 吉林医学, 2010, 31(24): 4223-4224.
13.	林晓铭. PBL教学法在胸外科学教学中的优势探讨. 中国高等医学教育, 2011(1): 111,140.
14.	魏波, 卫洪波, 郑宗珩, 等. 以问题为基础学习结合病案讨论教学法在普通外科学见习教学中的应用. 中华医学教育杂志, 2010, 30(1): 85-87.
15.	秦长江, 任学群, 傅侃达, 等. PBL教学法在普通外科临床实习教学中的应用. 中国高等医学教育, 2011, (5): 91-92.
16.	连树林, 郑炜. PBL模式在中医院校外科学带教中的应用. 长春中医药大学学报, 2010, 26(2): 310-311.
17.	张谊, 张启瑜, 廖毅, 等. PBL教学法在五年制普通外科临床教学中应用的调查研究. 中国高等医学教育, 2010(12): 88-89.
18.	Qin XJ, Kong J, Lu L, et al. Application of problem-based learning in a large class in stomatology course. J Oral Maxillofac Surg, 2010, 68(4):739-43.
19.	Neville AJ. Problem-based learning and medical education forty years on. A review of its effects on knowledge and clinical performance. Med Princ Pract, 2009, 18(1): 1-9.
20.	Walker A, Leary H. A Problem based learning meta analysis: Differences across problem types, implementation types, disciplines, and assessment levels. Interdisciplinary Journal of Problem-based Learning, 2009, 3(1): 11-43.
21.	李俊杰. CBL联合PBL教学模式在普通外科教学中的应用. 基础医学教育, 2013, 15(4): 410-413.

1. Mcparland M, Noble LM, Livingston G. The effectiveness of problem based learning compared to traditional teaching in undergraduate psychiatry. Med Educ, 2004, 38(8): 859-867.
2. Juni P, Altman DG, Egger M. Systematic reviews in health care: Assessing the quality of controlled clinical trials. BMJ, 2001, 323(7303): 42-46.
3. Zhang Y, Chen G, Fang X, et al. Problem-based learning in oral and maxillofacial surgery education: The Shanghai Hybrid. J Oral Maxillofac Surg, 2012, 70(1): e7-e11.
4. 张国伟, 靳瑾, 周杰. PBL+LBL 教学模式在八年制肝胆外科实习带教的应用. 山西医科大学学报: 基础医学教育版, 2010, 12(3): 301-303.
5. 王光春, 薛云云, 郑军华, 等. 泌尿外科学教学中应用以问题为基础学习教学模式的效果评价. 中华医学教育杂志, 2011, 3(3): 400-402.
6. 罗前颖, 卢东文, 黄丽芳, 等. PBL教学法在神经外科临床见习教学中的应用. 右江医学, 2007, 35(1): 99-100.
7. 王岩峰, 常晓晗, 梁庆威, 等. PBL与LBL 结合在骨外科教学中的应用. 中国现代医学杂志, 2009, 19(6): 943-946.
8. 邱学德, 万伟明, 陈韬, 等. PBL教学模式在泌尿外科临床见习中的应用体会. 昆明医学院学报, 2011, (4): 160-163.
9. 王宇, 蒋晓青. PBL+LBL教学模式在肝胆外科实习带教中的应用. 中国高等医学教育, 2011(12): 108-109.
10. 徐鉷, 闫小龙, 李小飞, 等. PBL教学模式在胸外科学教学中的应用. 山西医科大学学报: 基础医学教育版, 2010, 12(11): 1112-1114.
11. 曾晓华, 刘长安, 王亚旭, 等.PBL教学法在普外科临床见习中的应用. 医学教育探索, 2010, 9(11): 1471-1473.
12. 王荃, 李自良, 刘彦. 口腔颌面外科学PBL教学实践与研究. 吉林医学, 2010, 31(24): 4223-4224.
13. 林晓铭. PBL教学法在胸外科学教学中的优势探讨. 中国高等医学教育, 2011(1): 111,140.
14. 魏波, 卫洪波, 郑宗珩, 等. 以问题为基础学习结合病案讨论教学法在普通外科学见习教学中的应用. 中华医学教育杂志, 2010, 30(1): 85-87.
15. 秦长江, 任学群, 傅侃达, 等. PBL教学法在普通外科临床实习教学中的应用. 中国高等医学教育, 2011, (5): 91-92.
16. 连树林, 郑炜. PBL模式在中医院校外科学带教中的应用. 长春中医药大学学报, 2010, 26(2): 310-311.
17. 张谊, 张启瑜, 廖毅, 等. PBL教学法在五年制普通外科临床教学中应用的调查研究. 中国高等医学教育, 2010(12): 88-89.
18. Qin XJ, Kong J, Lu L, et al. Application of problem-based learning in a large class in stomatology course. J Oral Maxillofac Surg, 2010, 68(4):739-43.
19. Neville AJ. Problem-based learning and medical education forty years on. A review of its effects on knowledge and clinical performance. Med Princ Pract, 2009, 18(1): 1-9.
20. Walker A, Leary H. A Problem based learning meta analysis: Differences across problem types, implementation types, disciplines, and assessment levels. Interdisciplinary Journal of Problem-based Learning, 2009, 3(1): 11-43.
21. 李俊杰. CBL联合PBL教学模式在普通外科教学中的应用. 基础医学教育, 2013, 15(4): 410-413.

Chinese Journal of Evidence-Based Medicine

Effects of Problem-Based Learning versus Lecture-Based Learning in Surgery Education in China: A Meta-Analysis

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