目的 在产科住院医师规范化培训中采用混合型教学并评估其效果。方法 选取在西安交通大学第一附属医院产科进行住院医师规范化培训的36名住院医师为研究对象,分为混合型教学组和传统教学组,每组18人。混合型教学组在培训期间接受混合型教学培训,包括翻转课堂和MOOC。传统教学组培训期间仅参与患者临床诊疗工作和科室常规培训。根据住院医师规范化培训大纲要求对两组医师进行阶段性考核;采用SPSS 21.0行描述统计、t检验及卡方检验。结果 混合教学组理论平均得分[(93.21±5.40) vs. (81.32±7.10)]、实践操作平均得分[(89.75±4.70) vs. (68.96±8.20)]及临床思辨平均得分[(88.64±9.30) vs. (75.88±9.70)],均高于传统教学组,差异均有统计学意义(P<0.05)。混合教学组规培学员对动手能力提高的满意率高于传统教学组(72.22% vs. 16.76%),差异有统计学意义( χ2=16.74,P=0.003);混合教学组规培学员对带教教师的满意率高于传统教学组(83.30% vs. 11.11%),差异有统计学意义( χ2=21.67,P=0.000)。结论 混合型教学适应教学发展趋势,提高了产科住院医师规范化培训的效果
Abstract
Objective The blending instructional teaching mode was used in the obstetrical resi-dent standardization training course and the effect was evaluated. Methods 36 resident physicians who attended obstetrical resident standardization training were chosen as blending instructional teaching group and traditional teaching group
18 physicians per group. The physicians of blending instructional teaching group received blending instructional teaching mode
which included the obstetrical MOOC and Flipped Class
while the traditional teaching group only took part in the clinical management ruled by the hospital. Staging examination was performed according to the resident physician culture curriculum. Descriptive statistics
t test and chi-square test were performed by SPSS 21.0 lines. Results The average score of theory examination [(93.21±5.40) vs. (81.32±7.10)]
practical skill [(89.75±4.70) vs. (68.96±8.20)] and clinical intellectual [(88.64±9.30) vs. (75.88±9.70)] in the blending instructional teaching group was significantly higher than that in the traditional teaching group (P<0.05). The physicians' satisfaction rate of manipulative ability in the blending instructional teaching group was significantly higher than that in the traditional teaching group (72.22% vs. 16.76%)
which had statistical significance ( χ2=16.74
P=0.003); The physi-cians' satisfaction rate for the tutor in the blending instructional teaching group was significantly higher than that in the traditional teaching group (83.30% vs. 11.11%)
which had statistical significance ( χ2=21.67
P=0.000). Conclusion The blending instructional teaching mode adapts to the development trend of teaching
and improves the effect of obstetrical resident standardization training course.
关键词
产科住院医师规范化培训 MOOC 翻转课堂 混合型教学
Keywords
Obstetrical resident standardization training course MOOC Flipped class Blend-ing instructional teaching mode