目的 探讨基于以结果为导向教育(outcome-based education,OBE)理念的混合式教学方式在急诊医学见习教学中的作用。方法 本研究采用试验对照方法。选择2018年至2020年在中南大学湘雅三医院急诊见习的中南大学八年制临床医学专业74名学生为研究对象。其中,2015级39名学生为试验组,实行基于OBE理念的混合式教学方式;2014级35名学生为对照组,采用传统教学方式。评估和比较两组学生的教学效果。结果 试验组学生比对照组学生的期末临床操作考核成绩[(85.85±8.93)分比(81.69±8.27)分]、课堂举手发言率[79.5% (31/39)比54.3% (19/35)]、学习平台点击率[79.5 % (31/39)比57.1% (20/35)]均高,且差异均具有统计学意义(均P＜0.05)。结论在急诊医学见习教学中,运用基于OBE理念的混合式教学方式,对于提高学生操作能力、课堂学习参与度和课后主动学习方面有积极意义。

Objective To evaluate the application of blended teaching mode based on the outcome-based education(OBE) in internship training of emergency medicine.Methods Experimental control method was used. Totally 74 eight-year program undergraduates who participated in the internship of emergency medicine in the Third Xiangya Hospital of Central South University from 2018 to 2020 were selected. Experimental group with 39 students from Grade 2015 received the blended teaching mode based on OBE. Control group with 35 students from Grade 2014 were trained by traditional teaching model. The teaching effect was evaluated and compared between the two groups.Results The students in the experimental group showed a better performance on the clinical practice assessment [(85.85±8.93) vs. (81.69±8.27)];class participation performance[79.5% (31/39) vs. 54.3% (19/35)] and the click ratio of learning platform[79.5 % (31/39) vs.57.1% (20/35)] than the control group(all P＜0.05).Conclusions A blended teaching model based OBE have an active effect on students' clinical practice, classroom learning enthusiasm and learning initiative after class.