互动网络教学查房的教学模式研究

Teaching mode of interactive network teaching rounds

摘要

目的　探究互动网络教学查房的教学模式可行性，并评估其教学效果。方法　纳入2021年2月-2022年2月参加线上线下同步教学查房的临床医学专业研究生及住院医师规范化培训医生（简称规培生），共计学员185人。互动网络教学查房包括互动直播查房、学生病历准备、虚拟床旁教学查房。完成教学查房后，通过问卷调查法收集参与学员对查房效果的评价。完成全部教学查房后，就教学内容对全部学员进行考核，并统计通过率及优秀率。线下教学查房与网络教学查房同步进行，即学员于线下同步参与前述内容并进行统一考核。结果　线上线下的研究生或规培生，其对教学查房的准备、指导、方法、效果及指导老师的印象评分差异均无统计学意义（P＞0.05）；在教学后考核中，线上参与学员通过比例与线下参与学员通过比例不具有统计学差异（P=0.484）；线上参与学员较优秀比例高于线下学员（29% vs. 16%，χ²=5.102，P=0.024 ）。结论　与线下教学模式下学员相较，互动网络教学查房模式下学员有着相近的通过比例与更高的优秀比例，这表明互动网络查房教学模式有着更好的教学效果。

Abstract

Objective　To explore the feasibility of the interactive network teaching round mode and to evaluate its effect. Methods　This study included 185 medical postgraduate students and standardized training residents who participated in online and offline synchronous teaching rounds from February 2021 to February 2022. The online rounds were designed in three steps including interactive live rounds, medical record preparation, and virtual bedside teaching rounds. After completing the teaching rounds, participants evaluated the effect of the rounds by questionnaire survey method. Eventually, all students were assessed on the teaching content, and the pass rate and excellent rate would be counted. Students in the offline rounds participated the same programs simultaneously when the online rounds were carried out.Results　There was no significant difference in the impression scores of online and offline graduate students or residents on the preparation, guidance, methods, effects and impressions of teaching rounds (P>0.05); there was also no statistical difference in pass rate between the online participants and the offline participants (P=0.484), while the excellent rate of online participants is higher than that of offline participants (29% vs. 16%, χ²=5.102, P=0.024).Conclusion　Compared with students in the offline rounds, participants in the interactive network teaching round mode have a similar pass rate and a higher excellent rate, which indicates that the interactive network teaching round mode has a better teaching effect.

关键词

互动 / 网络 / 教学模式 / 临床

Key words

interaction / network / teaching mode / clinical