目的 探讨应用网络信息化平台的全国多中心基于案例学习(case-based learning, CBL)教学方法的实施效果。方法 本研究采用问卷调查方法。2017年6月至2019年10月,选取全国11个省份的51家医院参加基于网络信息化平台的CBL教学方法的201名神经内科住院医师为研究对象。在教学开始前和结束后分别对住院医师发放问卷,以进行教学效果评估和满意度调查。结果 住院医师对电生理和神经系统变性病知识的学习效果评分均较教学前有所提高,分别为(8.16±1.21) 分比(3.76±1.59) 分,t= 30.02;(6.29±1.41)分比(3.72±0.81)分,t=22.19;其差异均具有统计学意义(均P<0.05)。参与评估的神经内科住院医师均认可CBL教学方法,满意度达到95.5%(200/201,缺项1人),其中,评价较好的是学习内容适当、个人能力提高和团队能力提高,其平均分分别为(12.46±1.36)分、(3.71±0.80)分、(3.70±1.00)分。结论 基于网络信息化平台的CBL教学效果较好,可以解决因空间不同所导致的教学问题。

Objective To investigate the effectiveness of the national multi-center CBL teaching method based on a network platform. Methods From June 2017 to October 2019, 51 hospitals and 201 neurology residents from 11 provinces were organized to join a case-based learning (CBL) training on the network platform. The outcomes were evaluated by questionnaire survey. Results The scores of neurology residents for electrophysiology and neurodegenerative diseases were significantly higher than those obtained before the training,[(8.16±1.21) vs. (3.76±1.59) , t=30.02] and [(6.29±1.41) vs. (3.72±0.81) , t=22.19], all P<0.05. All neurology residents accepted the CBL teaching method, and their satisfaction reached 95.5%. Among them, the items with good evaluations were the appropriate learning content, the improvement of personal capacity for team cooperating, and their mean scores were (12.46±1.36), (3.71±0.80) and (3.70±1.00) respectively. Conclusions Network-based online CBL training functions as a more convenient and intuitive way of communication, overcome the barrier of spatial distinctions and significantly improve the satisfaction of residents.