翻转课堂联合CBL教学法在胰腺外科住培教学中的应用
China Continuing Medical Education(2023)
哈尔滨医科大学第一附属医院
Abstract
目的 探讨翻转课堂联合CBL教学法在胰腺外科住院医师规范化培训中的应用价值.方法 2018年9月—2020 年 8 月,选取来自哈尔滨医科大学附属第一医院胰胆外科的 60 名住院医师规范化培训学员进行研究,使用随机数表法分为试验组(n=30)和对照组(n=30),试验组采用翻转课堂联合CBL教学法,对照组则采用传统讲授为主的教学法(lecture-based learning,LBL).采用出科考试和问卷调查两种方式评估两组住培学员的教学效果.结果 在病例分析、技能操作以及总成绩方面,试验组比对照组更高,差异有统计学意义(P<0.05).基础理论知识成绩在两组之间差异无统计学意义(P=0.352);同时,试验组学员在自主学习、临床实践、临床思维及诊疗、文献检索查阅、语言表达与沟通、分析和解决问题和团队协作等七个方面能力均优于对照组,差异有统计学意义(P<0.05);而在激发学习兴趣和加深理论知识理掌握能力两个方面与对照组差异无统计学意义(P=0.543,P=0.403).此外,试验组对课程所消耗课余时间的调查得分高于对照组,差异有统计学意义(P<0.05).结论 翻转课堂联合CBL在胰腺外科住院医师规范化培训中有着显著的应用价值.
MoreKey words
flipped classroom,CBL teaching method,combined teaching method,pancreatic surgery,standardized training of residents,teaching reform
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