中华医学教育杂志

中华医学教育杂志 ›› 2022, Vol. 42 ›› Issue (8): 717-720.DOI: 10.3760/cma.j.cn115259-20211115-01401

• 教学方法 • 上一篇    下一篇

SPOC联合RBL教学方式在外科学临床见习教学中的应用

张海华1, 唐笛2, 高贵洲1, 苏旋3, 张艳达4, 张涛1   

  1. 1空军军医大学第二附属医院胸外科,西安 710032;
    2空军军医大学基础医学院二大队七队,西安 710032;
    3西安医学院公共卫生学院卫生学教研室,西安 710021;
    4陆军第八十集团军医院心内科,潍坊 261021
  • 收稿日期:2021-11-15 发布日期:2022-08-01
  • 通讯作者: 张涛, Email: zhangtaofmmu@126.com

Application of hybrid SPOC plus RBL teaching method in internship training of surgery

Zhang Haihua1, Tang Di2, Gao Guizhou1, Su Xuan1, Zhang Yanda3, Zhang Tao1   

  1. 1Department of Thoracic Surgery, Tangdu Hospital, Air Force Medical University, Xi'an 710038, China;
    2Seventh Battallion, Second Cadet Regiment, Air Force Medical University, Xi'an 710038, China;
    3Department of Hygiene, School of Public Health, Xi'an Medical College, Xi'an 710021, China;
    4Department of Cardiology, Hospital of the 80th Group Army of PLA, Weifang 261021, China
  • Received:2021-11-15 Published:2022-08-01
  • Contact: Zhang Tao, Email: zhangtaofmmu@126.com

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摘要： 目的 探讨小规模限制性在线课程(small private online course,SPOC)联合基于研究学习(research-based learning,RBL)在外科学临床见习教学课程中的应用效果。方法 选取2020年5月和2021年8月在空军军医大学第二附属医院胸腔外科进行临床见习的空军军医大学2017级与2018级临床医学专业194名学员作为研究对象。2018级学员作为试验组,实施SPOC联合RBL教学方式;2017级学员作为对照组,实施传统教学方式。见习结束后对两组学员进行理论考试和问卷调查。考核评分组间比较采用t检验,问卷调查组间比较采用χ2检验。结果 试验组学员优良率理论考核成绩高于对照组学员[35.4%(34/96)比22.4%(22/98)],其差异具有统计学意义(P=0.047)。试验组学员主观案例分析题成绩高于对照组学员[(52.5±19.8)分比(47.9±8.6)分],其差异具有统计学意义(P=0.037)。问卷调查结果显示,试验组学员在提高学习兴趣、提高创新能力等方面评价优于对照组学员[87.5%(84/96)比56.1%(55/98), 69.8%(67/96)比32.7%(32/98)] ,其差异均具有统计学意义(均P<0.001)。结论 SPOC联合RBL教学方式能够有效提升教学效果与质量,有助于提升学员主动探索能力。   

关键词: 外科学, 见习教学, 小规模限制性在线课程, 基于研究学习

Abstract: Objective To explore the application of SPOC (small private online course) combined with RBL (research-based learning) in surgical internship training during the COVID-19 pandemic. Methods In May 2020 and August 2021,a total of 194 students in the 2017 and 2018 clinical medicine majors of Air Force Military Medical University who received clinical training in the Department of Thoracic Surgery of the Second Affiliated Hospital of Air Force Military Medical University were selected as the research objects.Students in the 2018 class were used as the experimental group to implement the SPOC combined RBL teaching method; 2017 students were used as the control group and implemented the traditional teaching method. After the probation, the two groups of students were given theoretical examinations and questionnaires. The t-test was used to compare the scores between the two groups and χ2 test was used to compare the results of questionnaire survey from the groups. Results Compared with the results from classic teaching group, the scores of theory test from SPOC plus RBL group are better (P=0.047). In subjective case study questions, the scores of SPOC plus RBL group are significantly higher than those from the classic teaching group (P=0.037). The results of the questionnaire survey showed that the students in the experimental group were better than those in the control group in terms of learning interest and innovation ability [87.5% (84/96) vs. 56.1% (55/98), 69.8% (67/96) vs. 32.7% (32/98), all P<0.001]. Conclusions The hybrid model of SPOC plus RBL can effectively improve the learning outcomes and stimulate students' learning enthusiasm and attitude of active study.

Key words: Surgery, Internship, Small private online course, Research-based learning

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