医学教育

翻转课堂联合案例式教学法在神经系统体格检查教学中的应用及评价

  • 支楠 ,
  • 姚小英 ,
  • 郦忆 ,
  • 潘元美 ,
  • 曹雯炜 ,
  • 王刚
展开
  • 上海交通大学医学院附属仁济医院 a.神经内科;b.上海-渥太华联合医学院,上海 200127
王刚 E-mai:wgneuron@hotmail.com

收稿日期: 2024-05-08

  录用日期: 2024-08-02

  网络出版日期: 2025-02-25

基金资助

2022年度上海高校市级重点课程建设立项项目(省级课题);2022年度上海高校市级重点课程建设立项项目(沪教委高〔2022〕27号)

Application and evaluation of flipped classroom combined with CBL teaching method in the teaching of neurological physical examination

  • ZHI Nan ,
  • YAO Xiaoying ,
  • LI Yi ,
  • PAN Yuangmei ,
  • CAO Wenwei ,
  • WANG Gang
Expand

Received date: 2024-05-08

  Accepted date: 2024-08-02

  Online published: 2025-02-25

摘要

目的:探讨翻转课堂联合案例式教学(case based learning,CBL)与传统教学模式相比,提高神经系统体格检查教学中学生的学习能力和教学的效果。方法:选取2021级交通大学上海渥太华联合医学院临床医学本科生为试验组,采用翻转课堂联合CBL教学;以同院系2020级学生为对照组,采用传统的教学方式。分别从课程考核成绩、教师观察及学生反馈3个层面,比较2组的综合教学效果。结果:试验组在理论知识以及实践操作考核中的成绩均优于对照组(P<0.05),教师观察试验组在课程中的整体表现、医患沟通以及专业知识的掌握程度显著优于对照组(P<0.05),试验组中的学生反馈满意度也更高(P<0.05)。结论:翻转课堂联合CBL的教学方式在神经系统体格检查教学中,较传统讲课模式有显著的优势,采用该教学模式能提高学生的学习能力和教学效果。

本文引用格式

支楠 , 姚小英 , 郦忆 , 潘元美 , 曹雯炜 , 王刚 . 翻转课堂联合案例式教学法在神经系统体格检查教学中的应用及评价[J]. 诊断学理论与实践, 2024 , 23(05) : 557 -560 . DOI: 10.16150/j.1671-2870.2024.05.014

参考文献

[1] 褚敬申, 王刚. 我国神经病学医学教育发展的历史机遇及挑战[J]. 中华医学教育探索杂志, 2024, 23(10):1308-1313.
  CHU J S, WANG G. Development of neurological medical education in China: historical opportunities and challenges[J]. Chin J Med Edu Res, 2024, 23(10):1308-1313.
[2] 赵红东, 姜建东, 陆敏. 神经系统体格检查教学体会[J]. 医学教育探索, 2008, 7(1):39-40.
  ZHAO H D, JIANG J D, LU M. A Brief Discussion on Our Teaching Experience of Physical Examinations of the Nervous System[J]. Chin J Med Edu Res, 2008, 7(1):39-40.
[3] PERSKY A M, MCLAUGHLIN J E. The flipped classroom-from theory to practice in health professional education[J]. Am J Pharm Educ, 2017, 81(6):118.
[4] RAMNANAN C J, POUND L D. Advances in medical education and practice: student perceptions of the flipped classroom[J]. Adv Med Educ Pract, 2017,8:63-73.
[5] HAN E, KLEIN K C. Pre-class learning methods for flipped classrooms[J]. Am J Pharm Educ, 2019, 83(1):6922.
[6] MCLEAN S F. Case-based learning and its application in medical and health-care fields: a review of worldwide literature[J]. J Med Educ Curric Dev, 2016,3:JMECD.S20377.
[7] SHRIVASTAVA S R, SHRIVASTAVA P S, BORKAR S, et al. Transforming medical training through online case-based learning: brief review[J]. J Pharm Bioallied Sci, 2024, 16(Suppl 2):S1101-S1103.
[8] CHéRON M, ADEMI M, KRAFT F, et al. Case-based learning and multiple choice questioning methods favored by students[J]. BMC Med Educ, 2016,16:41.
[9] 张翠翠, 刘海艳, 许静. 基于微信的翻转课堂在神经查体教学中的应用[J]. 中国继续医学教育, 2019, 11(30):10-12.
  ZHANG C C, LIU H Y, XU J. Application of flipped classroom based on WeChat platform in teaching of neurological examination[J]. Chin Contin Med Educ, 2019, 11(30):10-12.
[10] 巩珊珊, 路璐, 刘亚龙, 等. 基于微信公众平台的"创客式翻转课堂"教学设计与实践:以"Med Show医学英语视听秀"为例[J]. 中华医学教育探索杂志, 2022, 21(11):1462-1467.
  GONG S S, LU L, LIU Y L, et al. Teaching design and implementation of "maker-oriented flipped classroom" based on WeChat Official Platform---Taking "Med Show" as an example[J]. Chin J Med Edu Res, 2022, 21(11):1462-1467.
[11] 吴鹏, 程敏, 蒋莉. 翻转课堂模式下CBL、PBL两种教学法临床教学效果的思考[J]. 中国继续医学教育, 2018, 10(8):33-35.
  WU P, CHENG M, JIANG L, et al. The effect of CBL and PBL teaching methods on the clinical teaching quality under the flipped classroom teaching mode[J]. Chin Contin Med Educ, 2018, 10(8):33-35.
[12] 刘嘉佳, 聂慧, 田嵘榛, 等. CBL教学模式在神经系统体格检查教学中的应用评价[J]. 中国继续医学教育, 2021, 13(20):10-13.
  LIU J J, NIE H, TIAN R Z, et al. Application of CBL teaching model in physical examination in the nervous system[J]. Chin Contin Med Educ, 2021, 13(20):10-13.
[13] 白小曦, 张立欧, 黄丽萍. 基于PACS系统的CBL教学结合翻转课堂在超声医师规范化培训中的应用价值[J]. 临床超声医学杂志, 2019, 21(4):312-314.
  BAI X X, ZHANG L O, HUANG L P. Application value of CBL teaching and flipping class based on PACS system in standardized training for doctors in ultrasound[J]. J Clin Ultrasound Med, 2019, 21(4):312-314.
[14] 刘彦权, 沈建箴, 刘庭波, 等. MDT联合TBL+CBL模式在血液内科亚专科建设及临床教学应用中的探索与思考[J]. 中国继续医学教育, 2019, 11(35):67-71.
  LIU Y Q, SHEN J Z, LIU T B, et al. Application and reflection of MDT combined with TBL+CBL mode in the subspecialty construction and clinical teaching in the department of hematology[J]. Chin Contin Med Educ, 2019, 11(35):67-71.
[15] 王峰, 肖琳, 孟祥瑞, 等. “翻转课堂”联合以案例为基础的教学模式在硕士研究生肿瘤学教学中的应用[J]. 肿瘤基础与临床, 2019, 32(4):359-361.
  WANG F, XRAO L, MENG X R, et al. The application of the flipped classroom combined with case-based teaching mode in the teaching of oncology for master's students[J]. J Bases Clin Oncol, 2019, 32(4):359-361.
[16] 白蕊, 陈文辉, 陈睿, 等. 翻转课堂结合CBL教学模式在中西医结合妇科内分泌疾病临床实习带教中的应用[J]. 教育观察, 2020, 9(2)79-80,92.
  BAI R, CHEN W H, CHEN R, et al. Application of flipped classroom combined with CBL teaching mode in clinical internship teaching of gynecological endocrine diseases in integrated traditional Chinese and Western medicine[J]. Educ Observation, 2020, 9(2)79-80,92.
[17] 金甦晗, 管晓燕, 肖琳琳, 等. 翻转课堂联合CBL教学在口腔正畸学X线头影测量分析实验教学中的应用[J]. 中华医学教育探索杂志, 2022, 21(2):160-163.
  JIN S H, GUAN X Y, XIAO L L, et al. Application of flipped classroom combined with CBL teaching mode in experimental teaching of X-ray cephalometric analysis of orthodontics[J]. Chin J Med Edu Res, 2022, 21(2):160-163.
文章导航

/