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

doi:10.3760/cma.j.cn115259-20211115-01401

Abstract

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

CLC Number:

R-05

Zhang Haihua, Tang Di, Gao Guizhou, Su Xuan, Zhang Yanda, Zhang Tao. Application of hybrid SPOC plus RBL teaching method in internship training of surgery[J]. Chinese Journal of Medical Education, 2022, 42(8): 717-720, DOI: 10.3760/cma.j.cn115259-20211115-01401.

References

[1] 孙爱华, 李信欣. 新型冠状病毒肺炎疫情防控期间医学生学习拖延现状及其影响因素调查[J].中华医学教育杂志,2021,41(11):986-989. DOI: 10.3760/cma.j.cn115259-20201118-01602.
[2] Fox,A. From MOOCs to SPOCs[DB/OL].(2013-12-16). http://cacm.acm.org/ magazines/2013/12/169931-from-moocs-to-spocs/fulltext.
[3] 郭峰, 王煜. 基于SPOC的CBL联合情景模拟微课在住培医患沟通教学中的应用[J].中国医学教育技术,2020,34(1):36-40. DOI: 10.13566/j.cnki.cmet.cn61-1317/g4.202001009.
[4] 王芳, 郑丹莉, 王磊, 等. 基于SPOC的急救仪器培训模式的设计及实践[J].中西医结合护理(中英文),2019,5(10):176-178. DOI: 10.11997/nitcwm.201910051.
[5] 于浩然, 张柳蕙, 刘威, 等. RBL教学对临床医学本科生综合能力培养的作用[J].中华医学教育探索杂志,2016,15(10):1034-1038. DOI: 10.3760/cma.j.issn.2095-1485.2016.10.015.
[6] Coughlan S. Harvard plans to boldly go with “SPOCs” (Online)[EB/OL]. (2013-09-24)[2021-11-10].https://cacm.acm.org/news/168214-harvard-plans-to-boldly-go-with-spocs/fulltext#comments.
[7] 郑方方, 陈素云. “MOOC+SPOC”模式在国内高校教学中的应用[J].柳州职业技术学院学报,2020,20(1):57-61. DOI: 10.16221/j.cnki.issn1671-1084.2020.01.012.
[8] 梁红妮. MOOC、SPOC和传统课堂混合教学模式的构建研究——以信息检索课为例[J].情报探索,2017(5):26-31. DOI: 10.3969/j.issn.1005-8095.2017.05.006.
[9] 杨兴鑫, 李维熙, 张美, 等. LBL-CBL-PBL-RBL四轨模式在药物分析课程教学中的整合与应用[J].中南药学,2018,(4)DOI: 10.7539/j.issn.1672-2981.2018.04.030.
[10] 陈晓芸, 林鸿生, 朱慧, 等. RBL教学理念在减数分裂课堂教学中的应用[J].科教导刊,2019(35):103-104. DOI: 10.16400/j.cnki.kjdkz.2019.12.048.
[11] 马志强, 苏佳璐. 基于ARCS理论的全科医生技能培训学习动机激励机制研究[J].中国卫生事业管理,2020,37(11):837-840.
[12] 王小婷, 陈沁, 伍娟. SPOC+任务驱动教学模式在临床技能实训教学中的应用[J].中国中医药现代远程教育,2022,20(1):45-47,68. DOI: 10.3969/j.issn.1672-2779.2022.01.016.

[1]	Yu Hongyan, Ye Yan, Zhang Li, Zhao Xueyan,Hu Chunyan, Chen Shaohua. Impact of community medicine internship on medical students′ cognition of primary healthcare, learning interest and willingness to work in primary healthcare [J]. Chinese Journal of Medical Education, 2026, 46(4): 280-283.
[2]	Bai Wei, Sang Tian, Liu Lili, Yu Guo, Qi Jianguang. Research on the reform of a competency-based education and assessment system of clinical internship in pediatrics [J]. Chinese Journal of Medical Education, 2026, 46(3): 206-211.
[3]	Huang Jinling, Zhao Yuzi, Wang Jing, Zhou Yun, Wang Liyan, Li Wei, Wu Debin, Xia Liangbin. Development and implementation of the preoperative video preview teaching method in gynecology internship [J]. Chinese Journal of Medical Education, 2026, 46(3): 212-217.
[4]	Sang Jianfeng, Dai Linghui, Shi Xianbiao, Zhang Guang, Sang yiran, Li Xiu. Design and application of small private online courses (SPOC) combined with knowledge graph in surgical operative medicine teaching [J]. Chinese Journal of Medical Education, 2026, 46(1): 42-46.
[5]	Tan Mengmeng, Gao Yu, Zhu Jiaye, Deng Weiwei. Application of a modified Peyton teaching method based on SOAP assessment record in pediatric development evaluation instruction [J]. Chinese Journal of Medical Education, 2025, 45(9): 656-660.
[6]	Fan Cong, Liu Ying, Liu Yingjun, Zhang Yi, An Na. The application of comprehensive oral examination and treatment planning form in general dental practice [J]. Chinese Journal of Medical Education, 2025, 45(9): 686-690.
[7]	Wang Jingchao, Li Haichao, Jiang Zhehan, Liu Hong, Qi Xin. Exploring the application of entrustable professional activities in self-assessed clinical internship effectiveness [J]. Chinese Journal of Medical Education, 2025, 45(8): 625-629.
[8]	Xie Yi, Wang Guangyong, Jia Yangduoji, La Buxiaga, Li Zhe, Yu Feifei. Exploration of teaching laparoscopic cholecystectomy based on SPOC inprimary hospitals in extremely high-altitude areas [J]. Chinese Journal of Medical Education, 2025, 45(7): 547-552.
[9]	Liu Ganwei, Jiang Guanchao. Application of high-fidelity lung model in simulation training of thoracoscopic skills [J]. Chinese Journal of Medical Education, 2025, 45(4): 279-282.
[10]	Liang yao, Zhao Baiwei, Li Tang, Liu Zhuowei. The application and value of virtual surgery in surgical practice teaching [J]. Chinese Journal of Medical Education, 2025, 45(3): 198-203.
[11]	Chen Xingyu, Li Nan, Zhao Tiandi, Sun Bo, Wang Jidong, Wang Hao, Xu Fei, Wang Junjie, Jiang Ping. Construction and application of internship training for three-year undergraduate of radiation therapy technology [J]. Chinese Journal of Medical Education, 2025, 45(3): 225-229.
[12]	Cui Ying, Shi Xiangyu. The application of the hierarchical comprehensive training system in the teaching of primary surgery for open globe injuries [J]. Chinese Journal of Medical Education, 2025, 45(2): 121-124.
[13]	Lei Yonghong, Wang Ren, Zhang Lijing, Chen Youbai, Shu Jun, Li Xue. The application of simulated medicine combined with problem-based learning to improve the teaching effects of standardized residency training for wound repair [J]. Chinese Journal of Medical Education, 2025, 45(2): 125-129.
[14]	Wang Yadong, Liu Fengyue, Liu Mingkun, Jin Bin, Zhu Min, Liu Chongzhong, Fu Chunli, Zhang Yuankai, Xu Qianqian. Bibliometric analysis of teaching and research literature in hepatobiliary surgery in China [J]. Chinese Journal of Medical Education, 2025, 45(10): 763-767.
[15]	Lin Guozhong , Liu Bin , Ma Changcheng , Wang Guan, Li Aiwei, Chang Qing, Pang Chaonan, Yang Jun. Construction of a competency-based assessment index system for the completion of neurosurgery specialist training [J]. Chinese Journal of Medical Education, 2024, 44(9): 707-712.