Application of multimodal fusion technique in clinical practice teaching of neurosurgery
-
摘要:
目的 在神经外科临床实践中,利用多模态融合技术对医学本科生进行临床教学,并探索分析其教学效果。 方法 选取2018年1月—2021年10月在安徽医科大学第一附属医院神经外科进行临床实践的医学本科生126人。按照随机数字表法将入组学员分为多模态融合技术教学组(63人)和传统教学组(63人)。采用随堂测验、临床实践技能操作考试、出科理论考试以及学生满意度问卷调查等方式进行教学检测,并对结果进行统计学分析,评价其教学效果。 结果 学生教学满意度问卷结果显示,多模态融合技术教学组学生对教学形式、教学内容、知识结构、培训过程以及学习效率满意度分别为95.2%、96.8%、93.7%、95.2%、96.8%,均高于传统教学组的55.6%、88.9%、90.5%、42.9%、49.2%,其中教学形式、培训过程以及学习效率满意度差异有统计学意义(均P<0.05),教学内容、知识结构的满意度差异无统计学意义(均P>0.05)。学生成绩显示,多模态融合技术教学组学生随堂测验成绩[(92.8±4.9)分]、出科理论考试成绩[(90.6±5.8)分]、临床实践技能操作成绩[(88.8±5.2)分]、综合平均考试成绩[(90.7±5.3)分]均显著优于传统教学组[(83.6±5.2)分、(81.8±4.6)分、(81.2±4.8)分、(82.2±4.9)分,均P<0.05]。 结论 在医学本科生临床实践教学中,多模态融合技术可显著提高神经外科临床实践教学效率和学生培训效果,这为神经外科本科临床实践教学提供了新的策略。 Abstract:Objective In the clinical practice of neurosurgery, multi-modal fusion technology is used to conduct clinical teaching for medical undergraduates. Its teaching application effect was explored and analysed in this study. Methods A total of 126 medical undergraduates were selected for clinical practice in the Neurosurgery Department of the First Affiliated Hospital of Anhui Medical University from January 2018 to October 2021. The students were randomly divided into the multimodal fusion technology teaching group (63 students) and the traditional teaching group (63 students) via the random number table method. The teaching test was conducted by in-class test, clinical practice operation and theoretical examination. The results of the student satisfaction questionnaire were statistically analysed to evaluate the teaching effect. Results The results of the questionnaire on students'teaching satisfaction showed that students in the multi-modal fusion technology group gave scores of 95.2%, 96.8%, 93.7%, 95.2% and 96.8%, respectively, for the teaching form, teaching content, knowledge structure, training process and learning efficiency; these scores were higher than those in the traditional teaching group (55.6%, 88.9%, 90.5%, 42.9% and 49.2%). Statistically significant differences were found in teaching form, training process and learning efficiency satisfaction (all P < 0.05). There was no significant difference in teaching content and knowledge structure satisfaction (all P>0.05). The results showed that the average score of the students in the multi-modal fusion technology group was (92.8±4.9) points in the in-class test, (90.6±5.8) points in the theory test, (88.8±5.2) points in the clinical practice skill operation and (90.7±5.3) points in the comprehensive test; these scores were significantly better than those in the traditional teaching group [(83.6±5.2) points, (81.8±4.6) points, (81.2±4.8) points, (82.2±4.9) points, all P < 0.05]. Conclusion In neurosurgery clinical practice teaching of medical undergraduates, multi-modal fusion technology can significantly improve the efficiency of clinical practice teaching and student training effect, providing a new strategy for teaching the clinical practice of neurosurgery. -
表 1 2组临床实习的医学本科生对教学方式的满意度评价结果比较[例(%)]
Table 1. Comparison of the satisfaction evaluation results of medical undergraduates in clinical practice on teaching methods [cases (%)]
组别 例数 总体 教学形式 教学内容 知识结构 培训过程 学习效率 多模态融合技术教学组 63 60(95.2) 60(95.2) 61(96.8) 59(93.7) 60(95.2) 61(96.8) 传统教学组 63 41(65.1) 35(55.6) 56(88.9) 57(90.5) 27(42.9) 31(49.2) χ2值 18.010 26.740 2.991 2.206 39.460 31.580 P值 <0.001 <0.001 0.092 0.134 <0.001 <0.001 表 2 2组临床实习的医学本科生考试成绩比较(x±s, 分)
Table 2. Comparison of examination results between two groups of medical undergraduates in clinical practice (x±s, points)
组别 例数 随堂测验 出科理论考试 临床实践技能操作 综合平均考试成绩 多模态融合技术教学组 63 92.8±4.9 90.6±5.8 88.8±5.2 90.7±5.3 传统教学组 63 83.6±5.2 81.8±4.6 81.2±4.8 82.2±4.9 t值 4.422 4.572 4.044 3.738 P值 0.002 0.004 0.002 0.006 -
[1] 斯海波, 叶红霞, 梁明玮, 等. 教学与科研相结合的创新型医学本科人才培养模式研究[J]. 中华医学教育探索杂志, 2020, 19(7): 772-777. doi: 10.3760/cma.j.cn116021-20190904-00172SI H B, YE H X, LIANG M W, et al. Research on innovative training model of medical undergraduate talents combining teaching and research[J]. Chinese Journal of Medical Education Research, 2020, 19(7): 772-777. doi: 10.3760/cma.j.cn116021-20190904-00172 [2] 刘霞, 隋竹欣, 徐明, 等. 案例分析式教学法在病理学实验教学中的应用与探索[J]. 世界最新医学信息文摘, 2018, 18(55): 276. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201855152.htmLIU X, SUI Z X, XU M, et al. Application and exploration of case-based teaching method in pathology experiment teaching[J]. World Latest Medicine Information, 2018, 18(55): 276. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201855152.htm [3] 张杨, 张洪燕, 陈欣, 等. 多模态影像融合在神经外科住院医师规范化培训中的应用[J]. 重庆医学, 2021, 50(14): 2510-2512. doi: 10.3969/j.issn.1671-8348.2021.14.038ZHANG Y, ZHANG H Y, CHEN X, et al. Application of multimodal image fusion in standardized training of neurosurgery residents[J]. Chongqing Medicine, 2021, 50(14): 2510-2512. doi: 10.3969/j.issn.1671-8348.2021.14.038 [4] 张雁, 王亚军, 赵菁, 等. 多元化教学方法在普外科住院医师肿瘤学培训中的应用效果分析[J]. 北京医学, 2020, 42(12): 1258-1259, 1263. https://www.cnki.com.cn/Article/CJFDTOTAL-BJYX202012025.htmZHANG Y, WANG Y J, ZHAO J, et al. Application effect analysis of diversified teaching methods in oncology training of general surgery residents[J]. Beijing Medical Journal, 2020, 42(12): 1258-1259, 1263. https://www.cnki.com.cn/Article/CJFDTOTAL-BJYX202012025.htm [5] 李婷炜, 戴惠如, 廖杰豪, 等. 整合医学教学和传统医学教学在肿瘤科见习带教中的效果比较[J]. 中国医药科学, 2021, 11(23): 94-96. doi: 10.3969/j.issn.2095-0616.2021.23.025LI T W, DAI H R, LIAO J H, et al. Comparison of the effect of integrated medical teaching and traditional medical teaching in the probation teaching of oncology department[J]. China Medicine And Pharmacy, 2021, 11(23): 94-96. doi: 10.3969/j.issn.2095-0616.2021.23.025 [6] 吴静, 蔡成仕, 刘英峰, 等. Sandwich教学法联合微信微格教学法在医学影像实践技能教学中的应用[J]. 现代医药卫生, 2022, 38(3): 511-513. doi: 10.3969/j.issn.1009-5519.2022.03.039WU J, CAI S C, LIU Y F, et al. The application of Sandwich teaching method combined with wechat microteaching method in the teaching of medical imaging practical skills[J]. Journal of Modern Medicine & Health, 2022, 38(3): 511-513. doi: 10.3969/j.issn.1009-5519.2022.03.039 [7] 许嵩翱, 张玲芳, 郁慧杰. 全科门诊接诊桌和带教方式的改进及其在全科规培医师带教中的应用[J]. 中华全科医学, 2020, 18(3): 488-491. doi: 10.16766/j.cnki.issn.1674-4152.001280XU S X, ZHANG L F, YU H J. Improvements on the general practice clinic reception table and the mentoring method as well as its effect on standardized training of general practice[J]. Chinese Journal of General Practice, 2020, 18(3): 488-491. doi: 10.16766/j.cnki.issn.1674-4152.001280 [8] NA'ARA S, KAPTZAN B, GIL Z, et al. Endoscopic septoplasty versus traditional septoplasty for treating deviated nasal septum: A prospective, randomized controlled trial[J]. Ear Nose Throat J, 2021, 100(9): 673-678. doi: 10.1177/0145561320918982 [9] 王琴, 李武志, 刘萍, 等. 中德结合教学模式在妇科医生临床思维及技能培养中的应用研究[J]. 现代医药卫生, 2021, 37(12): 2131-2133. doi: 10.3969/j.issn.1009-5519.2021.12.052WANG Q, LI W Z, LIU P, et al. Research on the application of Sino-German combined teaching model in the training of gynecologists'clinical thinking and skills[J]. Journal of Modern Medicine & Health, 2021, 37(12): 2131-2133. doi: 10.3969/j.issn.1009-5519.2021.12.052 [10] 于磊, 毕娅欣, 陈卫东, 等. 内科学本科教学课程改革和考评体系建设初探[J]. 中华全科医学, 2021, 19(3): 486-489. doi: 10.16766/j.cnki.issn.1674-4152.001842YU L, BI Y X, CHEN W D, et al. A preliminary study on curriculum reform and evaluation system construction of internal medicine undergraduate course[J]. Chinese Journal of General Practice, 2021, 19(3): 486-489. doi: 10.16766/j.cnki.issn.1674-4152.001842 [11] 李毅. SimMan模拟人在住院医师规范化培训心肺复苏教学中的应用[J]. 中国继续医学教育, 2021, 13(35): 45-48. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202135013.htmLI Y. The application of SimMan senior simulator in the standardized training of cardiopulmonary resuscitation for residents[J]. China Continuing Medical Education, 2021, 13(35): 45-48. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202135013.htm [12] 张婷, 魏志玄, 张峰. 3D打印技术在神经外科教学中的应用研究[J]. 中国继续医学教育, 2022, 14(5): 127-131. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202205034.htmZHANG T, WEI Z X, ZHANG F. Application of 3D printing technology in neurosurgery teaching[J]. China Continuing Medical Education, 2022, 14(5): 127-131. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202205034.htm [13] 刘涛, 牛国旗, 陈辉, 等. 3D打印结合VR技术在经皮椎弓根穿刺教学中的应用效果[J]. 安徽医学, 2021, 42(6): 692-695. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX202106028.htmLIU T, NIU G Q, CHEN H, et al. The application effect of 3D printing combined virtual reality (VR) technology in teaching of percutaneous pedicle puncture[J]. Anhui Medical Journal, 2021, 42(6): 692-695. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX202106028.htm [14] 熊树鸿, 陈思, 李宁, 等. CT扫描三维重建联合3D打印辅助内固定治疗髋臼骨折的临床效果分析[J]. 河北医学, 2020, 26(9): 1536-1540. https://www.cnki.com.cn/Article/CJFDTOTAL-HCYX202009030.htmXIONG S H, CHEN S, LI N, et al. Clinical analysis of 3D CT reconstruction combined with 3d printing to assist internal fixation in the treatment of acetabular fractures[J]. Hebei Medicine, 2020, 26(9): 1536-1540. https://www.cnki.com.cn/Article/CJFDTOTAL-HCYX202009030.htm [15] 王跃华, 李永鹏, 孙博文, 等. 3D打印模型在神经外科住培技能教学中的应用[J]. 中国继续医学教育, 2022, 14(1): 118-123. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202201031.htmWANG Y H, LI Y P, SUN B W, et al. Application of 3D printing model in standardized training skills teaching of neurosurgical residents[J]. China Continuing Medical Education, 2022, 14(1): 118-123. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202201031.htm [16] 杨学, 周赤忠, 张雪梅, 等. 颅内动脉瘤3D打印模型构建及临床研究[J]. 中国医学装备, 2020, 17(3): 92-95. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZB202003025.htmYANG X, ZHOU C Z, ZHANG X M, et al. Study on the construction and application of 3D printing model of intracranial aneurysm[J]. China Medical Equipment, 2020, 17(3): 92-95. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZB202003025.htm [17] 王越, 孙怀宇, 于世海, 等. 颅内多发动脉瘤显微外科手术治疗体会[J]. 临床神经外科杂志, 2022, 19(1): 17-21. https://www.cnki.com.cn/Article/CJFDTOTAL-LCSW202201003.htmWANG Y, SUN H Y, YU S H, et al. Experience in microsurgery of multiple intracranial aneurysms[J]. Journal of Clinical Neurosurgery, 2022, 19(1): 17-21. https://www.cnki.com.cn/Article/CJFDTOTAL-LCSW202201003.htm [18] 韩志桐, 张瑞剑. 神经导航技术在神经外科规陪医师解剖教学中的应用[J]. 中国当代医药, 2021, 28(22): 229-231. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD202122063.htmHAN Z T, ZHANG R J. Application of neuronavigation technology in anatomy teaching of neurosurgery[J]. China Modern Medicine, 2021, 28(22): 229-231. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD202122063.htm [19] 郑夏林, 石士奎, 姜之全, 等. 多模态影像智能系统联合以病例为基础教学法在神经外科规培生教学中的应用研究[J]. 中华全科医学, 2020, 18(11): 1933-1935. doi: 10.16766/j.cnki.issn.1674-4152.001657ZHENG X L, SHI S K, JIANG Z Q, et al. Application of case-based teaching method combined with multi-modality imaging intelligent system in neurosurgery regulatory education[J]. Chinese Journal of General Practice, 2020, 18(11): 1933-1935. doi: 10.16766/j.cnki.issn.1674-4152.001657