模擬人情境式之問題導向學習

Mannequin Scenario-Based Problem-Based Learning

為比較利用模擬人情境案例與傳統紙本案立，進行問題導向學習（problem-based learning, PBL）課程的不同學習效果，在醫學系三年級開學前一週舉行「模擬人情境式PBL體驗營」，在連續五次的半天課程，先接受傳統紙本案例的PBL學習兩次，之後再以模擬人情境案例的PBL學習兩次。自2010年開辦迄今五年共已有40位同學參與此體驗營。課後回饋中，整體滿意度在1-5分量表中達4.5分。學生肯定模擬人情境進行PBL學習時，可以加深學習印象及增加學習興趣，激發主動學習及次激關鍵思考。至於強化自我信心部分，應該事情境學習最大的挑戰。大部分學生推薦將「模擬人情境教學」納入學校現行「臨床技術教學」或「PBL學制」中，置於倒入現行「臨床技術考試」則較保留。代表「模擬人情境教學」對學生雖然頗有收穫，但是自信心不足下，如放進臨床技術考試中壓力過大，以致學生推薦度稍偏低。制於要將此體驗營變成正式課程全面推動仍有賴師資與硬體進一步提升。

To compare the learning effect of problem-based learning (PBL) curriculum using mannequin scenario with that of traditional paper case, we set up an Mannequin Scenario-based PBL Camp (MSPC) in the last week before the beginning of the semester of the third grade. Through five consecutive half-day sessions, students run the PBL program using the traditional paper case twice followed by the second PBL practice using mannequin scenario twice. A total of 40 students have participated this camp since 2010. In general, the overall satisfaction scores were as high as 4.5 points based on the post-camp 5-point Likert scale questionnaire. They felt the PBL program using mannequin scenario is superior to paper case counterpart in terms of the increase of learning impact, the enhancement of learning interest, the opportunity for active learning and the promotion of critical thinking. The biggest challenge for this MSPC seems to be the build-up of self-confidence for most students. Most students recommended this ＂MSPC module＂ into the formal curriculum of ＂clinical skills＂ or ＂PBL＂ and hesitated to implement this module into ＂clinical skills test＂, which might be related to lack of confidence for normal performance under pressured testing environment. Faculty recruitment and hardware investment is the key to the implementation of this pilot camp to become a formal curriculum in the future.