Chinese Journal of Medical Education ›› 2022, Vol. 42 ›› Issue (11): 991-995.DOI: 10.3760/cma.j.cn115259-20220408-00441

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Application of PDSA cycle combined with online and offline teaching methods in internal medicine clerkship rotation

Ge Ziji1, Chen Liling2, Feng Huimin2, Yu Rongbin3   

  1. 1School of Health Policy & Management, Nanjing Medical University, Nanjing 211166, China;
    2Teaching Management Office, The First Clinical Medical College, Nanjing Medical University, Nanjing 210029, China;
    3Office of Academic Affairs, Nanjing Medical University, Nanjing 211166, China
  • Received:2022-04-08 Online:2022-11-01 Published:2022-10-28
  • Contact: Yu Rongbin, Email: 124833883@qq.com
  • Supported by:
    Major Research Projects of Philosophy and Social Sciences in Colleges and Universities in 2020(2020SJZDAWT07); Major Bidding Project of Education Research of Nanjing Medical University in 2019(ZDZB201903); Educational Research Project of Nanjing Medical University in 2019(2019ZC018)

Abstract: Objective To explore the application of PDSA cycle combined with online and offline teaching methods in internal medicine clerkship rotation. Methods Experimental control method was used in this study. Students enrolled in internal medicine department of the First Affiliated Hospital of Nanjing Medical University from September 2020 to June 2021 were selected as research subjects, and randomly divided into experimental group (n=31) and control group (n=33) according to their classes. The experimental group adopted PDSA cycle combined with online and offline teaching methods, while the control group adopted traditional teaching method. After teaching, the two groups were compared for the examination results, as well as the total score of clerkship rotation questionnaire and the scores of each dimension of communication ability, critical thinking, scientific research ability and autonomous learning ability, for which χ2 test and t test were used to compare the differences between the two groups of students' test scores and grades. Results The score of test group was (73.65±12.60), which was higher than that of control group (67.27±11.52), the difference was statistically significant (t=-2.11,P=0.039); total score of clerkship rotation questionnaire of the experimental group (85.71±19.27) was higher than that of the control group (72.52±24.38); communication ability, critical thinking, scientific research ability and self-directed learning ability of the experimental group were (20.45±4.68),(28.90±6.26),(16.29±3.63) and (20.06±4.83) respectively, which were also higher than the control group of (17.64±5.61),(24.52±8.01),(13.58±4.77) and (16.79±6.07). The differences were all statistically significant (all P<0.05). Conclusions The application of PDSA cycle combined with online and offline teaching methods in clinical clerkship rotation of internal medicine can effectively improve learning effectiveness of medical students, and has good promotion and application value.

Key words: Internal medicine, Clinical clerkship rotation, PDSA cycle, Online and offline teaching methods, Effect evaluation

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