摘要
目的探讨基于产出导向法(production-oriented approach,POA)理论的翻转课堂在关节与运动医学科规范化培训教学中的应用。方法选取2019年1月至2019年12月在武汉大学中南医院关节与运动医学科轮转的37名规培医师作为对照组,采取传统带教;另选取2020年4月至2021年3月轮转的39名规培医师作为研究组,采取基于POA理论的翻转课堂教学。对比出科时理论知识、实践操作技能考核成绩,比较迷你临床评估练习(mini-clinical evaluation exercise,Mini-CEX)评分,以及比较教学满意度。采用SPSS 22.0进行t检验和卡方检验。结果研究组出科时理论知识、实践操作技能考核中各项内容分数与总成绩均高于对照组(P<0.05)。两组入科时Mini-CEX各项评分及总评分比较差异无统计学意义(P>0.05);两组出科时各项评分及总评分均高于入科时(P<0.05),且研究组各项评分及总评分均高于对照组(P<0.05)。研究组教学总满意率高于对照组(P<0.05)。结论在关节与运动医学科规培带教中采用基于POA理论的翻转课堂,可提高教学效果与质量,提高规培医师临床综合能力及对教学的满意度,值得推广应用。
Objective To explore the application of the flipped classroom based on the production-oriented approach(POA)theory in the teaching of standardized training in the Department of Joint and Sports Medicine.Methods A total of 37 standardized training physicians who rotated in the Department of Joint and Sports Medicine in Zhongnan Hospital of Wuhan University from January 2019 to December 2019 were selected as the control group,and the traditional teaching was adopted.Another 39 standardized training physicians who rotated from April 2020 to March 2021 were selected as the study group,and the flipped classroom based on POA theory was adopted.At the end of the rotation,the scores of theoretical knowledge and practical operation skills,the scores of mini-clinical evaluation exercise(Mini-CEX)and the teaching satisfaction were compared.SPSS 22.0 was used for t-test and Chi-square test.Results The various scores and total score of theoretical knowledge and practical operation skills in the study group at the end of rotation were significantly higher than those in the control group(P<0.05).There was no significant difference in the various scores and total score of Mini-CEX between the two groups at the time of admission(P>0.05).The above scores in the two groups at the end of rotation were significantly higher than those at the time of admission(P<0.05),and the above scores of the study group were significantly higher than those of the control group(P<0.05).The overall teaching satisfaction rate of the study group was higher than that of the control group(P<0.05).Conclusion The application of the flipped classroom based on POA theory in the teaching of standardized training in the Department of Joint and Sports Medicine can significantly improve the teaching effect and quality,and improve the clinical comprehensive ability and teaching satisfaction of the standardized training physicians,which is worthy of popularization and application.
作者
沈端端
陈彪
陈珺
Shen Duanduan;Chen Biao;Chen Jun(Department of Joint and Sports Medicine,Zhongnan Hospital of Wuhan University,Wuhan 430062,China)
出处
《中华医学教育探索杂志》
2022年第10期1380-1384,共5页
Chinese Journal of Medical Education Research
关键词
产出导向法
翻转课堂
关节与运动医学科
规培医师
临床教学
Production-oriented approach
Flipped classroom
Department of Joint and Sports Medicine
Standardized training physician
Clinical teaching
作者简介
通信作者:陈珺,Email:2785083633@qq.com
