摘要
目的探讨以医学影像学在线教学案例库为基础,融合基于问题教学(problem-based learning,PBL)、基于案例教学(case-based learning,CBL)、翻转课堂、微课等多种模式的教学活动在放射科住院医师规范化培训中的应用效果。方法纳入2016年至2022年在中山大学孙逸仙纪念医院放射科完成住院医师规范化培训的医师65人为研究对象,分为对照组32人、试验组33人。对照组按传统方法进行教学;试验组则以案例库为基础,采用PBL、CBL、翻转课堂和微课等混合模式进行教学活动。比较两组住院医师结业时临床思维与决策站考核成绩,及其对教学方法的评价及反馈。采用SPSS 22.0进行t检验及卡方检验。结果试验组住培医师在临床思维与决策站考核中,客观论述题成绩、主观论述题成绩及总成绩分别为(49.83±1.27)分、(39.57±1.75)分和(89.40±1.54)分,均高于对照组成绩(48.74±1.64)分、(36.02±1.81)分和(84.76±1.93),两组比较差异有统计学意义(P<0.05)。试验组对教学方法的评价和反馈均优于对照组(P<0.05)。结论融合医学影像学在线教学案例库与PBL、CBL、翻转课堂、微课等的混合模式进行教学活动,能有效提高住院医师规范化培训医师的临床思维与决策考核成绩,激发其对医学影像学的学习自主性和参与热情,增强临床诊断综合能力。
Objective To investigate the teaching activity based on an online radiological teaching case library that integrates various teaching models including problem-based learning(PBL),case-based learning(CBL),flipped classroom,and microclass,as well as its application effect in standardized residency training in department of radiology.Methods A total of 65 physicians who completed standardized residency training in Department of Radiology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University,from 2016 to 2022 were enrolled as subjects and were divided into control group with 32 physicians and experimental group with 33 physicians.The physicians in the control group received traditional teaching,and those in the experimental group received blended teaching with PBL,CBL,flipped classroom,and microclass based on a teaching case library.The two groups were compared in terms of the test scores of clinical thinking and decision making at the end of the course and their assessment and feedback for the teaching method.SPSS 22.0 was used to perform the t-test and the chi-square test.Results For the assessment of clinical thinking and decision making,compared with the control group,the experimental group had significantly higher score of objective essay questions(49.83±1.27 vs.48.74±1.64,P<0.05),score of subjective essay questions(39.57±1.75 vs.36.02±1.81,P<0.05),and total score(89.40±1.54 vs.84.76±1.93,P<0.05).The experimental group had significantly better assessment and feedback for the teaching method than the control group(P<0.05).Conclusions For physicians participating in standardized residency training,the blended teaching model based on teaching case library that integrates PBL,CBL,flipped classroom,and microclass can effectively improve the test scores of clinical thinking and decision making,stimulate their learning initiative and participation enthusiasm in medical imaging,and enhance their comprehensive ability for clinical diagnosis.
作者
曹明慧
王东烨
毛家骥
张翔
郑楚珊
石广滋
崔皓圆
沈君
Cao Minghui;Wang Dongye;Mao Jiaji;Zhang Xiang;Zheng Chushan;Shi Guangzi;Cui Haoyuan;Shen Jun(Department of Radiology,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China)
出处
《中华医学教育探索杂志》
2024年第10期1436-1440,共5页
Chinese Journal of Medical Education Research
基金
广东省专业学位教学案例库建设项目(2022ANLK003)。
关键词
放射科
住院医师规范化培训
在线教学案例库
混合教学模式
临床思维与决策能力
Radiology
Standardized residency training
Teaching case library
Blended teaching model
Clinical thinking and decision-making abilities
