Application of streamlined modular teaching guided by the ARCS motivational design model in the standardized training of anesthesiology residents

Sun Zhaochu; Shen Jian

doi:10.3760/cma.j.cn116021-20240911-02079

您当前的位置：

首页 >

文章列表页 >

Application of streamlined modular teaching guided by the ARCS motivational design model in the standardized training of anesthesiology residents

Standardized Residency Training | 更新时间：2025-08-08

- Application of streamlined modular teaching guided by the ARCS motivational design model in the standardized training of anesthesiology residents
- Chinese Journal of Medical Education Research Vol. 24, Issue 7, Pages: 969-975(2025)
- 作者机构：
  
  南京医科大学第一附属医院麻醉与围术期医学科，南京 210029
- 作者简介：
  
  Shen Jian, Email: dongxie820323@126.com
- 基金信息：
  
  The 2023 Educational Research Project of Kangda College, Nanjing Medical University(KDJYYJYB202307);The 2023 Educational Research Project of Nanjing Medical University(2023LX071)
- DOI：10.3760/cma.j.cn116021-20240911-02079
  CLC： R614
- Received：11 September 2024，
  
  Published：20 July 2025
- 稿件说明：
移动端阅览
孙兆楚, 沈健. ARCS动机设计模式指导下的精简模块化教学在麻醉科住院医师规范化培训教学中的应用[J]. 中华医学教育探索杂志, 2025, 24(7): 969-975.

Sun Zhaochu, Shen Jian. Application of streamlined modular teaching guided by the ARCS motivational design model in the standardized training of anesthesiology residents[J]. Chinese journal of medical education research, 2025, 24(7): 969-975.
孙兆楚, 沈健. ARCS动机设计模式指导下的精简模块化教学在麻醉科住院医师规范化培训教学中的应用[J]. 中华医学教育探索杂志, 2025, 24(7): 969-975. DOI： 10.3760/cma.j.cn116021-20240911-02079.

Sun Zhaochu, Shen Jian. Application of streamlined modular teaching guided by the ARCS motivational design model in the standardized training of anesthesiology residents[J]. Chinese journal of medical education research, 2025, 24(7): 969-975. DOI： 10.3760/cma.j.cn116021-20240911-02079.

摘要

目的

探讨ARCS[注意（attention）、关联（relevance）、信心（confidence）、满足（satisfaction）]动机设计模式指导下的精简模块化教学在麻醉科住院医师规范化培训中的应用效果。

方法

选取2022年6月至2024年6月南京医科大学第一附属医院60名麻醉科住院医师，随机分为试验组（

=30）和常规组（

=30）。常规组采用传统理论授课与技能训练，包括专题讲座、病例讨论和模拟演练；试验组实施ARCS精简模块化教学，将内容划分为8个高频临床模块（如困难气道管理、术中过敏性休克处理等），每个模块围绕ARCS四要素设计。通过考核成绩、学习动机评价、教学反馈评价教学效果。采用SPSS 26.0进行

检验和

检验。

结果

试验组学员理论考核总分高于常规组[（84.20±1.40）vs. （79.13±1.67），

0.001

]

，其中临床应用题和综合分析题提升尤为显著。实践操作成绩试验组亦优于常规组（均

0.001）。学习动机方面，试验组学员内生动机[如挑战性：（13.04±2.11） vs. （10.29±2.05）

]

和外生动机[如人际竞争：（24.10±2.35） vs. （22.92±2.12）

]

得分均更高（均

0.05）。教学反馈中，试验组在“激发求知欲”和“团队协作能力”方面评分更高。

结论

ARCS动机设计模式联合精简模块化教学能有效提升麻醉科住院医师的理论水平、操作技能及学习动机，且教学满意度更高，为规范化培训提供了创新方案。未来需扩大样本并优化技术依赖性，以进一步验证其普适性。

Abstract

Objective

To evaluate the effectiveness of streamlined modular teaching guided by the ARCS (attention

relevance

confidence

and satisfaction) motivational design model in standardized training of anesthesiology residents.

Methods

Sixty anesthesiology residents who underwent standardized training at The First Affiliated Hospital of Nanjing Medical University between June 2022 and June 2024 were randomly assigned to an experimental group (

=30) or a conventional group (

=30). The conventional group received traditional theoretical instruction and skill training

including thematic lectures

case discussions

and simulation-based skills training. The experimental group received streamlined modular teaching based on ARCS

with training content divided into eight high-frequency clinical modules (e.g.

difficult airway management and intraoperative anaphylactic shock management) and each module designed according to the four ARCS components. Teaching effectiveness was evaluated through examination scores

assessments of learning motivation

and teaching feedback. SPSS 26.0 was used for

test and

test.

Results

The experimental group scored significantly higher in theoretical examinations compared to the conventional group [(84.20±1.40) vs. (79.13±1.67)

0.001

]

with particularly notable improvements in clinical application and integrative analysis questions. Practical skill scores were also higher in the experimental group compared to the conventional group (all

0.001). In terms of learning motivation

the experimental group showed higher scores in both intrinsic motivation [e.g.

challenge

(13.04±2.11) vs. (10.29±2.05)

]

and extrinsic motivation

[e.g.

interpersonal competition

(24.10±2.35) vs. (22.92±2.12)

]

(all

0.05). Teaching feedback indicated that the experimental group rated higher in stimulating curiosity and enhancing teamwork skills.

Conclusions

The ARCS motivational design model combined with streamlined modular teaching effectively improved the theoretical knowledge

practical skills

and learning motivation of residents in the Department of Anesthesiology. This approach also enhanced teaching satisfaction and provided an innovative scheme for standardized residency training. Future studies should expand sample size and optimize technological dependencies to further validate the generalizability of this teaching method.

关键词

Keywords

references

Sun X , Ding M , Luo X , et al . A case study: a continuous improvement project of lecturing skills for clinical teachers in Chinese residency standardized training [J ] . BMC Med Educ , 2022 , 22 ( 1 ): 265 . DOI: 10.1186/s12909-022-03311-z http://dx.doi.org/10.1186/s12909-022-03311-z .

李强，王思思，王诙译，等 . 信息化助力医疗联合体模式下的儿科毕业后医学教育实践与思考 [J ] . 中华医学教育探索杂志， 2024 ， 23 （ 3 ）： 299 - 304 . DOI: 10.3760/cma.j.cn116021-20231027-01644 http://dx.doi.org/10.3760/cma.j.cn116021-20231027-01644 .

中国医师协会麻醉学医师分会住院医师规范化培训重点专业基地（麻醉学）师资队伍的现状调查工作组 . 住院医师规范化培训重点专业基地(麻醉学)师资队伍的现状调查 [J ] . 中华麻醉学杂志， 2023 ， 43 （ 7 ）： 836 - 839 .

Li J , Yang C , Yang L , et al . Teaching of anesthesia for patients with COVID-19 in the standardized training of anesthesiology residents [J ] . Asian J Surg , 2023 , 46 ( 2 ): 884 - 885 . DOI: 10.1016/j.asjsur.2022.10.071 http://dx.doi.org/10.1016/j.asjsur.2022.10.071 .

McLeod G , Chuan A , McKendrick M . Attaining expertise in regional anaesthesia training using a multifactorial approach incorporating deliberate practice [J ] . Br J Anaesth , 2024 , 133 ( 3 ): 494 - 499 . DOI : 10.1016/j.bja.2024.06.003 http://dx.doi.org/10.1016/j.bja.2024.06.003 .

Son D , Kawamura K , Utsumi M , et al . The development and evaluation of the interprofessional education facilitation program for health professionals using the attention, relevance, confidence, and satisfaction (ARCS) model of instructional design [J ] . Cureus , 2023 , 15 ( 4 ): e37496 . DOI: 10.7759/cureus.37496 http://dx.doi.org/10.7759/cureus.37496 .

朱宏涛，吴萌 . ARCS视角下的智慧课堂教学模式建构与实践研究 [J ] . 东华理工大学学报（社会科学版）， 2020 ， 39 （ 5 ）： 478 - 482 . DOI: 10.3969/j.issn.1674-3512.2020.05.015 http://dx.doi.org/10.3969/j.issn.1674-3512.2020.05.015 .

刘妍妍，王然，王秀丽，等 . 同伴教育结合知识模块化教学在生理学中的应用 [J ] . 中华医学教育探索杂志， 2024 ， 23 （ 6 ）： 777 - 781 . DOI: 10.3760/cma.j.cn116021-20230216-01589 http://dx.doi.org/10.3760/cma.j.cn116021-20230216-01589 .

沈王琴 . 自我导向学习评定量表的汉化及在护理学生中的应用研究 [D ] . 上海：复旦大学， 2012 .

廖品亮，张志辉，李华康，等 . 仿真模拟结合PBL整合式教学在心电图临床技能教学中的应用 [J ] . 中华全科医学， 2024 ， 22 （ 6 ）： 1055 - 1058 . DOI: 10.16766/j.cnki.issn.1674-4152.003565 http://dx.doi.org/10.16766/j.cnki.issn.1674-4152.003565 .

王高祥，吴明胜，徐广文，等 . 朋辈联合CBL导入情境模拟教学在胸心外科住院医师规范化培训中的应用 [J ] . 中华全科医学， 2024 ， 22 （ 2 ）： 308 - 311 . DOI: 10.16766/j.cnki.issn.1674-4152.003391 http://dx.doi.org/10.16766/j.cnki.issn.1674-4152.003391 .

王胥人，王冬霞，桂莉 . ARCS动机模型视角下海军战现场急救技术教学视频的设计策略 [J ] . 中国急救复苏与灾害医学杂志， 2022 ， 17 （ 5 ）： 681 - 684 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Research advances in application of the Milestones Evaluation System in training of resident anesthesiologists

Streamlined modular teaching based on organ system in standardized residency training in emergency department

Current status investigation and strategy optimization for standardized residency training teaching activities based on multi-source data from digital-intelligent course selection platform and resident questionnaire survey

Application effect of problem-based learning-clinical teaching unit teaching rounds in standardized residency training for anesthesiology

儿科住院医师规范化培训入轮转科室教育体系的建设及效果评价

Related Author

Ruan Xia

Xu Xiaohan

Pei Lijian

Yi Jie

Tan Gang

Huang Yuguang

Fang Yu

Yu Shanshan

Related Institution

Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College

Department of Emergency/Critical Care Medicine, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology

Department of Neurology, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology

Department of Rheumatology, Zhongshan Hospital, Fudan University

Department of Education, Zhongshan Hospital, Fudan University

⁰