基于网络学习平台的翻转课堂教学模式,可以充分调动专科医师的学习主动性,在专科医师规范化培训中逐步开展。本研究以北京大学第三医院放射科接受规范化培训的18名专科医师为研究对象,阐述了基于网络学习平台的翻转课堂教学模式在放射科专科医师培训中的设计和实施,采用理论和病例读片出科考试、问卷调查评估教学效果。结果显示,专科医师理论考试成绩为(86.69±3.20)分、病例读片考试成绩(85.63±2.29)分。专科医师对课程内容的评分为(94.50±2.23)分,对授课教师的评分为(93.11±1.78)分。专科医师对基于网络学习平台的翻转课堂教学模式的主观感受评分中,提高自主学习能力和独立思考能力评分[(17.17±1.43)分]、实际读片能力评分[(17.11±1.37)分](满分均为每项20分)与其理论和病例读片考试成绩均呈正相关(均P<0.05)。基于网络学习平台的翻转课堂教学模式有助于提高专科医师的自主学习能力和独立思考能力,得到了专科医师的认可,培训效果良好。
Flipped classroom teachingsupported by a network learning platform effectively mobilizing the learning initiative of trainees is gradually carried out in standardized training of specialists. In this study, eighteen specialists in department of radiology of Peking University Third Hosptal were selected as the research objects. The design and implementation of the project and evaluation of teaching effects examined by theory test, case reading test and questionnaire survey were reported. The results showed that the score of theory test was (86.69±3.20) and that of case reading test was (85.63±2.29). The average score of specialists on the course content was (94. 50±2.23). The score of teaching effects evaluation by trainees was (93.11±1.78). In the evaluation of the specialist's subjective feeling of the flipped classroom teaching mode supported by the network learning platform, the improvement of autonomous learning capacity, independent thinking (17.17±1.43) and case reading ability (17.11±1.37, the full score was 20) were positively correlated with the scores of theory examination and case reading test (all P<0.05). Flipped classroom teaching mode supported by network learning platform is helpful to improve the capacity of the autonomous learning and independent thinking by specialist trainees, which has been extensively recognized with good training effect.
[1] 马妮娜.我国专科医师规范化培训的现状、问题与对策[J].中国继续医学教育, 2017,9(16):4-6. DOI:10.3969/j.issn.1674-9308.2017.16.002.
[2] 何珂, 刘雪莲,谷圣美,等.专科医师规范化培训阶段性效果调研与思考[J].继续医学教育, 2019,33(11):13-14. DOI: 10.3969/j.issn.1004-6763.2019.11.007.
[3] 宋卫香,郭大静,钟维佳,等. 完善医学影像学网络教学的途径探讨[J].中华医学教育探索杂志, 2016, 15(9):933-935,936. DOI: 10.3760/cma.j.issn.2095-1485.2016.09.016.
[4] 徐迎迎, 朱向明, 赵峰, 等. 基于云平台的医学影像学远程教学系统的开发与应用[J]. 中国医学教育技术,2017, 31(6):662-665. DOI: 10.13566/j.cnki.cmet.cn61-1317/g4.201706012.
[5] 刘颖,郎宁,袁慧书. 放射科住院医师规范化培训基于网络学习平台的过程性评价研究[J]. 中华医学教育杂志, 2018,38(6):916-920. DOI:10.3760/cma.j.issn.1673-677X.2018.06.026.
[6] 刘冰, 彭楠, 郭鹏德. 翻转课堂结合PACS在放射诊断学教学中的应用[J].中华医学教育探索杂志, 2018, 17(5): 484-487. DOI:10.3760/cma.j.issn.2095-1485.2018.05.012.
[7] 谢伟, 赵卫, 李宗芳,等. 翻转课堂联合微信在医学影像学教学中的应用[J].中国继续医学教育, 2019, 11(13):13-15. DOI:10.3969/j.issn.1674-9308.2019.13.006.
[8] 祁英,刘兆玉, 赵鹏飞. 翻转课堂联合小讲课在放射实践教学中的应用[J]. 中国继续医学教育, 2019, 11(34): 40-42. DOI:10.3969/j.issn.1674-9308.2019.34.017.
[9] 任翠, 袁慧书, 郎宁. 基于微课的翻转课堂在医学影像诊断学教学中的应用[J]. 中国医药导报, 2018,15(25): 48-50.