目的 探究设计基于小规模限制性在线课程(small private online course,SPOC)的整合教学应用于医学本科生淋巴瘤临床教学的可行性和实践效果。方法 将60名在血液内科进行临床学习的医学生,按入科前基础医学理论考试成绩,随机分入SPOC教学组(n=30)和以问题为基础的学习(problem-based learning,PBL)组(n=30),进行淋巴瘤相关知识点的临床教学和指导。教学活动结束后,采用匿名问卷调查师生对SPOC和PBL教学的主观体验及评价;并通过两组学生出科考试成绩的比较,分析不同方法下教学质量的差异。采用SPSS 19.0对两组学生考试成绩行t检验。结果 调查结果显示,与PBL教学组相比,SPOC教学组师生的教学反馈评价更高、教学体验更好,SPOC得到师生的普遍认可。SPOC教学组学生的出科考试三项成绩均优于PBL教学组,且差异有统计学意义:出科理论成绩[(84.03±7.66) vs.(77.60±8.22),P=0.005],实践技能成绩[(87.83±8.17) vs. (81.97±6.13),P=0.001],病例分析成绩[(88.17±6.53) vs. (80.10±6.91),P=0.000]。结论 基于SPOC的整合教学适宜医学本科生淋巴瘤临床教学,且有助于提升学生的学习兴趣、学习能力、基础理论水平和临床实践能力,为专科疾病临床教学提供了新思路
Abstract
Objective To explore integrated teaching based on small private online course (SPOC) in lymphoma clinical courses for medical undergraduates. Methods A total of 60 medical undergraduates in the department of hematology were randomly allocated to SPOC teaching group (n=30) and problem-based learning (PBL) teaching group (n=30) according to scores of the basic medical theoretical examination for lymphoma clinical courses education. After teaching activities
personal experiences were evaluated by anonymous questionnaires from medical undergraduates and instructors. Besides teaching efficacies assessed by objectively measurable score system including academic examination scores
clinical skill and capabilities in analyzing clinical problems of students
were systematically analyzed and compared between two groups by SPSS 19.0. Results The survey results showed that compared with PBL teaching group
SPOC teaching group had higher teaching feedback evaluation and better teaching experience
and SPOC were widely rec-ognized by teachers and students. The SPOC teaching group's scores of the three items in the exam were better than those of the PBL teaching group
with the academic achievement [(84.03±7.66) vs. (77.60± 8.22)
P=0.005]
the performance of practical skills [(87.83±8.17) vs. (81.97±6.13)
P=0.001]
and case analysis results [(88.17±6.53) vs. (80.10±6.91)
P=0.000]
and the difference was statistically significant. Conclusion Integrated teaching based on SPOC is feasible for lymphoma clinical courses
which can trigger interest of students
enhance learning abilities and their clinical capabilities. Moreover
this novel medical education approach may provide new ideas and theoretical basis in training qualified and talent doctors.
关键词
小规模限制性在线课程 以问题为基础的学习 淋巴瘤 临床教学
Keywords
Small private online course (SPOC) Problem-based learning (PBL) LymphomaClinical teaching
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