留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

翻转课堂结合MDT模式在产科临床教学中的应用探讨

张燕 陈慧蕾 宣玲 陈家盛 石彦 陆国玉

张燕, 陈慧蕾, 宣玲, 陈家盛, 石彦, 陆国玉. 翻转课堂结合MDT模式在产科临床教学中的应用探讨[J]. 中华全科医学, 2024, 22(5): 874-877. doi: 10.16766/j.cnki.issn.1674-4152.003524
引用本文: 张燕, 陈慧蕾, 宣玲, 陈家盛, 石彦, 陆国玉. 翻转课堂结合MDT模式在产科临床教学中的应用探讨[J]. 中华全科医学, 2024, 22(5): 874-877. doi: 10.16766/j.cnki.issn.1674-4152.003524
ZHANG Yan, CHEN Huilei, XUAN Ling, CHEN Jiasheng, SHI Yan, LU Guoyu. Exploring the application of flipped classroom combined with multidisciplinary teaching model in obstetrics clinical teaching[J]. Chinese Journal of General Practice, 2024, 22(5): 874-877. doi: 10.16766/j.cnki.issn.1674-4152.003524
Citation: ZHANG Yan, CHEN Huilei, XUAN Ling, CHEN Jiasheng, SHI Yan, LU Guoyu. Exploring the application of flipped classroom combined with multidisciplinary teaching model in obstetrics clinical teaching[J]. Chinese Journal of General Practice, 2024, 22(5): 874-877. doi: 10.16766/j.cnki.issn.1674-4152.003524

翻转课堂结合MDT模式在产科临床教学中的应用探讨

doi: 10.16766/j.cnki.issn.1674-4152.003524
基金项目: 

安徽省高等学校省级教学研究项目 2020jyxm1210

详细信息
    通讯作者:

    张燕,E-mail: 1348490851@qq.com

  • 中图分类号: R192 R714

Exploring the application of flipped classroom combined with multidisciplinary teaching model in obstetrics clinical teaching

  • 摘要:   目的  研究翻转课堂结合多学科诊疗(MDT)教学模式在产科实习医生临床教学中的可行性及价值。  方法  选取2021年6月—2022年12月于蚌埠医科大学第一附属医院实习的84名五年制临床医学专业学生为研究对象,学生均来自蚌埠医科大学同一年级。按照随机数字表法将其分为对照组(n=40,传统讲授式教学方法)和实验组(n=44,翻转课堂联合MDT教学模式),对比2组基础理论知识考核、实践技能考核成绩,并通过问卷调查的形式从学习兴趣、自学能力、基础理论掌握、基本操作能力、适应临床能力、提升团队协作能力、活跃课堂气氛、文献检索及分析能力、多学科知识运用能力、愿意继续接受该教学模式10个方面来评估教学效果及教学满意度。  结果  实验组学生理论考核成绩为90.58±2.99,明显高于对照组的83.10±4.34(P<0.001);实验组实践技能考核成绩为90.76±1.78,明显高于对照组的79.03±2.45(P<0.001);实验组教学效果明显优于对照组(P<0.05);实验组教学总满意度为93.18%,高于对照组的55.00%(P<0.001)。  结论  产科临床教学中采用翻转课堂联合MDT教学模式的教学效果显著,可激发学生的积极性及主动性,利于提高学生的理论知识水平与临床实践操作能力。

     

  • 表  1  2组实习生年龄和性别比较

    Table  1.   Comparison of age and gender between two groups of interns

    组别 例数 年龄(x±s,岁) 性别(男/女,例)
    实验组 44 22.50±0.94 21/23
    对照组 40 22.67±0.99 19/21
    统计量 0.807a <0.001b
    P 0.422 0.983
    注:at值,b为χ2值。
    下载: 导出CSV

    表  2  2组实习生考核成绩比较(x±s,分)

    Table  2.   Comparison of assessment scores for two groups of interns (x±s, points)

    组别 人数 理论考核 实践技能
    实验组 44 90.58±2.99 90.76±1.78
    对照组 40 83.10±4.34 79.03±2.45
    t 9.268 25.271
    P <0.001 <0.001
    下载: 导出CSV

    表  3  2组实习生教学效果比较[人(%)]

    Table  3.   Comparison of teaching effectiveness between two groups of interns [persons(%)]

    组别 例数 提高学习兴趣 提高自学能力 增强基础理论掌握 提高基本操作能力 提高适应临床能力 提升团队协作能力 课堂气氛活跃 文献检索及分析能力 多学科知识运用能力 愿意继续接受该教学模式
    对照组 40 30(75.00) 30(75.00) 29(72.50) 28(70.00) 28(70.00) 28(70.00) 30(75.00) 28(70.00) 28(70.00) 28(70.00)
    实验组 44 41(93.18) 40(90.91) 39(88.64) 39(88.64) 40(90.91) 40(90.91) 41(93.18) 38(86.36) 39(88.64) 42(95.45)
    χ2 5.295 3.818 3.538 4.508 5.941 5.941 5.295 3.532 4.508 9.775
    P 0.021 0.048 0.049 0.034 0.015 0.015 0.021 0.049 0.034 0.002
    下载: 导出CSV

    表  4  2组实习生教学满意度比较[人(%)]

    Table  4.   Comparison of teaching satisfaction between two groups of interns [persons(%)]

    组别 人数 很满意 满意 不满意 总满意度
    实验组 44 21(47.73) 20(45.45) 3(6.82) 41(93.18)
    对照组 40 1(2.50) 21(52.50) 18(45.00) 22(55.00)
    注:2组总满意度比较,χ2=16.291,P<0.001。
    下载: 导出CSV
  • [1] 汪向海, 潘贤慧, 汪丽静, 等. 基于SPOC的翻转课堂教学模式在呼吸内科实践教学中的运用[J]. 皖南医学院学报, 2020, 39(5): 492-494. doi: 10.3969/j.issn.1002-0217.2020.05.023

    WANG X H, PAN X H, WANG L J, et al. Applying flipped classroom mode based on SPOC to practical teaching of respiratory medicine[J]. Journal of Wannan Medical College, 2020, 39(5): 492-494. doi: 10.3969/j.issn.1002-0217.2020.05.023
    [2] 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. doi: 10.3969/j.issn.1673-5412.2019.04.025

    WANG F, XIAO L MENG X R, et al. Application of the flipped classroom combined with case-based teaching model in the teaching of oncology to master' s degree students[J]. Journal of Basic and Clinical Oncology, 2019, 32(4): 359-361. doi: 10.3969/j.issn.1673-5412.2019.04.025
    [3] 朱琳, 邵岑, 张颖. 基于医学科普视频《深读视频》的翻转课堂教学模式在老年医学课程教学中的应用效果[J]. 中国当代医药, 2021, 28(19): 205-208. doi: 10.3969/j.issn.1674-4721.2021.19.058

    ZHU L SHAO Q, ZHANG Y. Application effect of flipped classroom teaching mode based on medical popular science video ShenDu-Video in geriatrics course teaching[J]. China Modern Medicine, 2021, 28(19): 205-208. doi: 10.3969/j.issn.1674-4721.2021.19.058
    [4] 杨秀华, 孟涛. 毕博平台结合翻转课堂在产科大课教学中的应用[J]. 卫生职业教育, 2019, 37(5): 54-55. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX201905032.htm

    YANG X H, MENG T. Application of Bibo platform combined with flipped classroom in obstetrics teaching[J]. Health Vocational Education, 2019, 37(5): 54-55. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX201905032.htm
    [5] 潘皎, 刘方, 吴卫辉, 等. 微生物生理学课程建设与教学改革体会[J]. 微生物学通报, 2020, 47(4): 1068-1073. https://www.cnki.com.cn/Article/CJFDTOTAL-WSWT202004013.htm

    PAN J, LIU F, WU W H, et al. Construction of microbial physiology course and experience in teaching reform[J]. Microbiology China, 2020, 47(4): 1068-1073. https://www.cnki.com.cn/Article/CJFDTOTAL-WSWT202004013.htm
    [6] 赵鸿彦, 盛瑾, 王冬梅. 翻转课堂教学模式在心血管内科实习带教中的意义分析[J]. 中国继续医学教育, 2022, 14(19): 24-27. doi: 10.3969/j.issn.1674-9308.2022.19.007

    ZHAO H Y, SHENG J, WANG D M. Analysis of the significance of flipped classroom teaching mode in practice teaching in cardiovascular department[J]. China Continuing Medical Education, 2022, 14(19): 24-27. doi: 10.3969/j.issn.1674-9308.2022.19.007
    [7] 周蓉, 李迎春, 陈蕾, 等. 翻转课堂结合PBL在生理学教学中的应用[J]. 基础医学教育, 2018, 20(1): 12-14. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYD201801004.htm

    ZHOU R, LI Y C, CHEN L, et al. Flipped classroom combined with PBL in the teaching of physiology[J]. Basic Medical Education, 2018, 20(1): 12-14. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYD201801004.htm
    [8] 杨秀华, 孟涛. 移动学习结合翻转课堂在产科教学中的应用[J]. 中国继续医学教育, 2020, 12(24): 42-44. doi: 10.3969/j.issn.1674-9308.2020.24.018

    YANG X H, MENG T. Application of WeChat mobile learning combined with flipped classroom in obstetrical class teaching[J]. China Continuing Medical Education, 2020, 12(24): 42-44. doi: 10.3969/j.issn.1674-9308.2020.24.018
    [9] 唐桂艳, 李曼, 陈东子, 等. 微信平台翻转式教学在妇产科教学中的应用[J]. 中国继续医学教育, 2022, 14(4): 32-35.

    TANG G Y, LI M, CHEN D Z, et al. Application of WeChat platform flipped teaching in obstetrics and gynecology teaching[J]. China Continuing Medical Education育, 2022, 14(4): 32-35.
    [10] 李凡, 周萍, 杨芳, 等. 情境教学联合CBL在妇产科住院医师规范化培训中的应用[J]. 中国基层医药, 2023, 30(6): 933-936. doi: 10.3760/cma.j.cn341190-20221215-01048

    LI F, ZHOU P, YANG F, et al. Application of situational teaching combined with CBL in standardized training of resident physicians from department of obstetrics and gynecology[J]. Chinese Journal of Primary Medicine and Pharmacy, 2023, 30(6): 933-936. doi: 10.3760/cma.j.cn341190-20221215-01048
    [11] 刘伟, 武红利, 黄煜湘, 等. 产科临床教学中运用翻转课堂结合PBL教学模式的效果[J]. 中文科技期刊数据库(全文版)医药卫生, 2022(12): 243-245. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX202413031.htm

    LIU W, WU H L, HUANG Y X, et al. Effectiveness of flipped classroom with PBL teaching model in obstetrics and gynecology clinical education[J]. Chinese Science and Technology Journal Database (Full-text Version) Medicine and Health, 2022(12): 243-245. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX202413031.htm
    [12] 信文启, 杨晴, 丁涛, 等. 多学科协作教学模式在麻醉科住院医师规范化培训中的应用[J]. 临床麻醉学杂志, 2022, 38(6): 627-630. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202206013.htm

    XIN W Q, YANG Q, DING T, et al. Application of multi-disciplinary team teaching method in the standardized training of residents in the department of anesthesia[J]. Journal of Clinical Anesthesiology, 2022, 38(6): 627-630. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202206013.htm
    [13] 李祚涛, 钟志宏, 刘彦权, 等. 多学科团队协作诊疗引导下的团队教学模式在ICU临床教学中的实践探索[J]. 中华全科医学, 2023, 21(12): 2137-2140. doi: 10.16766/j.cnki.issn.1674-4152.003308

    LI Z T, ZHONG Z H, LIU Y Q, et al. The practical exploration of the team-based learning model in ICU clinical teaching under the guidance of multidisciplinary team collaboration[J]. Chinese Journal of General Practice, 2023, 21(12): 2137-2140. doi: 10.16766/j.cnki.issn.1674-4152.003308
    [14] 赵敏, 包凌云, 徐陈柯, 等. 超声专业多模态教学方式在住院医师规范化培训教学中的应用[J]. 浙江临床医学, 2020, 22(2): 307-308. https://www.cnki.com.cn/Article/CJFDTOTAL-LICX202002065.htm

    ZHAO M, BAO L Y, XU C K, et al. Application of multi-modal teaching methods in the standardized training of resident physicians in the ultrasound specialty[J]. Zhejiang Clinical Medical Journal, 2020, 22(2): 307-308. https://www.cnki.com.cn/Article/CJFDTOTAL-LICX202002065.htm
    [15] 徐阳阳, 李京淑, 顾欣. XR-MDT-PBL融合教学模式在教学医院临床教学管理中的应用探讨[J]. 中国医院管理, 2021, 41(8): 94-96. https://www.cnki.com.cn/Article/CJFDTOTAL-YYGL202108035.htm

    XU Y Y, LI J S, GU X. Discussion of XR-MDT-PBL Integrated teaching mode in clinical teaching management of teaching hospitals[J]. Chinese Hospital Management, 2021, 41(8): 94-96. https://www.cnki.com.cn/Article/CJFDTOTAL-YYGL202108035.htm
    [16] 李雪, 张岩君, 金木兰. MDT教学模式在临床病理住院医师规范化培训中的应用[J]. 中国病案, 2022, 23(9): 94-96. doi: 10.3969/j.issn.1672-2566.2022.09.034

    LI X, ZHANG Y J, JIN M L. Application of MDT teaching mode in the standardized training of clinical pathology residency[J]. Chinese Medical Record, 2022, 23(9): 94-96. doi: 10.3969/j.issn.1672-2566.2022.09.034
    [17] 曾会会, 丁楠楠, 胡婷, 等. MDT联合CBL-TBL教学法在肿瘤学临床教学中的应用[J]. 淮海医药, 2023, 41(2): 200-202. https://www.cnki.com.cn/Article/CJFDTOTAL-HHYY202302024.htm

    ZENG H H, DING N N, HU T, et al. Application of MDT combined with CBL-TBL teaching method in clinical oncology teaching[J]. Journal of Huaihai Medicine, 2023, 41(2): 200-202. https://www.cnki.com.cn/Article/CJFDTOTAL-HHYY202302024.htm
    [18] 宗春琳, 陆金标, 杨勇, 等. MDT联合翻转课堂在儿童OSA临床教学中的应用研究[J]. 山东大学耳鼻喉眼学报, 2023, 37(6): 139-144, 152. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYU202306020.htm

    ZONG C L, LU J B, YANG Y, et al. Application study of the MDT module combined with a flipped classroom in clinical teaching of pediatric OSA[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(6): 139-144, 152. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYU202306020.htm
    [19] 张立芳, 张宇迪. 基于微课和翻转课堂在临床妇产科学教学中的启示[J]. 中国临床医生杂志, 2019, 47(6): 755-756. doi: 10.3969/j.issn.2095-8552.2019.06.044

    ZHANG L F, ZHANG Y D. Insights from Micro-Lectures and flipped classrooms in the teaching of clinical obstetrics and gynecology[J]. Chinese Journal For Clinicians, 2019, 47(6): 755-756. doi: 10.3969/j.issn.2095-8552.2019.06.044
  • 加载中
表(4)
计量
  • 文章访问数:  38
  • HTML全文浏览量:  22
  • PDF下载量:  2
  • 被引次数: 0
出版历程
  • 收稿日期:  2023-05-03
  • 网络出版日期:  2024-07-20

目录

    /

    返回文章
    返回