中文摘要：

以问题为向导教学法PBL在病理学教学中已广泛开展,但其在实施中仍然存在局限性,而整合医学理念可以在很大程度上提高PBL的教学效果。本文通过分析整合医学思维在病理PBL教学中应用的必要性,提出了以整合医学思维为指导的PBL教学优化原则,包括整体化与网络化原则、解包和拓扑原则及在实践中完善＂典型病例选择与PBL机制的不足＂。文章最后提出通过深入理解整合医学与PBL相辅相成的关系,建立易于理解、可操作、易于把握的医学场景,从而促进病理教学改革的不断前进。

英文摘要：

Problem-based leaning（ PBL） teaching method has been widely carried out in pathology teaching,but it still have limitations in the implementation,and integrated medicine concepts could improve the effect of PBL teaching to a great extent. In this paper,by analyzing the necessity of integrated medicine concepts in the pathological PBL teaching,some principles are put forward to optimizing PBL teaching,including the principle of integration and the networking,unpack and topology,and optimizing the ＂typical case selection and the shortage of PBL mechanism＂. Finally,the paper indicates that deep understanding of complementary relationship between integrated medicine and PBL could help to establish medical scenario,which is easier to understand,operate and grasp,thus to promote the pathological teaching reform.