Application of SPARK image teaching case library in the clinical practice of undergraduate students in medical imaging
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摘要:
目的 将SPARK影像教学案例库应用于医学影像学专业本科生实习教学,探讨其应用效果,为其他教学基地医学影像学实习教学提供借鉴和参考。 方法 选取2017年7月—2023年6月杭州市第一人民医院放射科轮转18周的医学影像学专业本科实习生共71名,依据轮转时间分为试验组34名(2020年7月—2023年6月)和对照组37名(2017年7月—2020年6月)。试验组采取亚专科影像诊断报告书写和SPARK影像教学案例库学习模式,对照组采取亚专科影像诊断报告书写和常规学习模式。比较2组实习生中期考核和出科考核的影像阅片成绩,并通过调查问卷评价教学效果。 结果 试验组和对照组的影像阅片入科考核、中期考核、出科考核成绩分别为60(60,70)分和70(60,70)分(Z=0.817,P>0.05)、80(80,90)分和70(60,80)分(Z=-5.047,P<0.001)、80(80,90)分和70(70,80)分(Z=-4.811,P<0.001);广义估计方程结果显示,相较入科成绩,中期考核成绩平均增加11.127分(P < 0.001),出科成绩平均增加14.085分(P < 0.001), 试验组成绩高于对照组7.443分(P < 0.001)。试验组实习生在知识点的理解和记忆、提高自主学习能力、文献查阅能力、专业兴趣度和临床思维决策能力方面的评分均高于对照组(P<0.05)。 结论 SPARK影像教学案例库能提高医学影像学专业本科实习生的综合学习能力,具有很好的应用价值。 -
关键词:
- 医学影像学 /
- 实习 /
- 阅片技能 /
- SPARK影像教学案例库
Abstract:Objective The SPARK imaging teaching case library was applied to the internship teaching of undergraduates majoring in medical imaging, and its application effect was discussed, so as to provide a reference for the practical teaching of medical imaging in other teaching bases. Methods A total of 71 radiology rotation undergraduates majoring in medical imaging at Hangzhou First People ' Hospital from July 2017 to June 2023, with an 18-week rotation, were selected. They were divided into an experimental group of 34 students (July 2020-June 2023) and a control group of 37 students (July 2017-June 2020) based on rotation time. The experimental group adopted sub-specialty image diagnostic report writing and the SPARK image teaching case library learning model, while the control group adopted sub-specialty image diagnostic report writing and conventional learning methods. The image reading scores of the two groups were compared in mid-term and final assessments, and the teaching effects were also evaluated through questionnaires. Results The scores of image reading in the initial, mid-term, and final assessments for the experimental and the control groups were 60 (60, 70) and 70 (60, 70) (Z=0.817, P > 0.05), 80 (80, 90) and 70 (60, 80) (Z=-5.047, P < 0.001), 80 (80, 90) and 70 (70, 80) (Z=-4.811, P < 0.001), respectively. The results of the generalized estimation equation analysis showed that the mid-term assessment score increased by 11.127 points (P < 0.001), and the final assessment score increased by 14.085 points (P < 0.001) compared with the control group, and the test group increased by 7.443 points (P < 0.001). In terms of understanding and memorizing key points, enhancing self-learning ability, literature research ability, professional interest, and clinical decision-making ability, the experimental group rated the teaching methods higher than the control group (P < 0.05). Conclusion The SPARK image teaching case library can enhance the comprehensive learning ability of undergraduate students majoring in medical imaging and has great application value. -
Key words:
- Medical imaging /
- Internship /
- Image reading skills /
- SPARK image teaching case library
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表 1 2组实习生入科、中期、出科考核影像阅片成绩比较[M(P25, P75),分]
Table 1. Comparison of the video reading results of the two groups of interns in the initial, mid-term, and final assessments [M(P25, P75), points]
组别 人数 入科考核 中期考核 出科考核 试验组 34 60(60,70) 80(80,90) 80(80,90) 对照组 37 70(60,70) 70(60,80) 70(70,80) Z值 0.817 -5.047 -4.811 P值 0.399 < 0.001 < 0.001 表 2 2组实习生学习效果满意度问卷调查结果(人)
Table 2. Results of questionnaire survey on satisfaction with learning effectiveness between the two groups of interns (cases)
组别 例数 知识点的理解和记忆 自主学习能力 文献查阅能力 专业兴趣度 临床思维决策能力 3分 4分 5分 3分 4分 5分 3分 4分 5分 3分 4分 5分 3分 4分 5分 试验组 34 3 10 21 2 8 24 5 15 14 1 12 21 3 16 15 对照组 37 11 16 10 12 20 5 10 26 1 10 26 1 11 19 7 Z值 -2.871 -4.454 -2.901 -4.817 -2.509 P值 0.002 < 0.001 0.001 < 0.001 0.006 注:2组实习生均无Likert5级评分中1~2分。 -
[1] 刘爱梅, 李红梅, 仲朝阳. 基于微信雨课堂的大班案例教学实践[J]. 中华医学教育探索杂志, 2022, 21(3): 300-304. doi: 10.3760/cma.j.cn116021-20200706-00788LIU A M, LI H M, ZHONG C Y. Application of case-based learning based on WeChat Rain Classroom in large class teaching[J]. Chinese Journal of Medical Education Research, 2022, 21(3): 300-304. doi: 10.3760/cma.j.cn116021-20200706-00788 [2] 韩冰, 韩志江, 刘学竞, 等. 多种教学方法相结合在临床医学专业学生医学影像学教学中的应用[J]. 中华医学教育杂志, 2023, 43(12): 907-911. doi: 10.3760/cma.j.cn115259-20230224-00180HAN B, HAN Z J, LIU X J, et al. Application of combining multiple teaching methods in medical imaging teaching for undergraduate medical students[J]. Chinese Journal of Medical Education, 2023, 43(12): 907-911. doi: 10.3760/cma.j.cn115259-20230224-00180 [3] 唐茁月, 张丹, 李晓姣, 等. 混合式教学在医学影像诊断专业大学生临床实习中的应用[J]. 中华医学教育探索杂志, 2023, 22(1): 83-86.TANG Z Y, ZHANG D, LI X J, et al. The application of blended learning in clinical practice of college students majoring in medical imaging diagnosis[J]. Chinese Journal of Medical Education Research, 2023, 22(1): 83-86. [4] WHITTAKER J L, ELLIS R, HODGES P W, et al. Imaging with ultrasound in physical therapy: what is the PT ' s scope of practice? A competency-based educational model and training recommendations[J]. Br J Sports Med, 2019, 53(23): 1447-1453. doi: 10.1136/bjsports-2018-100193 [5] 刘念, 黄小华, 刘倩倩, 等. 医学影像技术本科实习基地同质化教学质量的分析与应对[J]. 科教导刊, 2023(1): 146-148.LIU N, HUANG X H, LIU Q Q, et al. Analysis and countermeasures of homogenous teaching quality in the undergraduate practice bases of medical imaging technology[J]. The Guide of Science & Education, 2023(1): 146-148. [6] SCOTTI M R, DAVIS D C, PATEL R, et al. Implementation of ultrasound in preclinical education at osteopathic medical schools: a scoping review[J]. Cureus, 2023, 15(5): e39329. DOI: 10.7759/cureus.39329. [7] 励杨晟, 朱姬莹, 朱湘文, 等. SPARK教学模式在本科生骨肌系统影像教学中的应用[J]. 浙江临床医学, 2023, 25(9): 1420-1422.LI Y S, ZHU J Y, ZHU X W, et al. Application of SPARK mode in the imaging teaching of musculoskeletal system for undergraduates[J]. Zhejiang Clinical Medicine Journal, 2023, 25(9): 1420-1422. [8] 朱湘文, 朱姬莹, 韩志江. SPARK学习平台在培养非影像专业住院医师影像结果判读能力中的价值[J]. 全科医学临床与教育, 2022, 20(11): 1013-1016.ZHU X W, ZHU J Y, HAN Z J. The value of SPARK learning platform in training residents of non-imaging major to interpret medical images[J]. Clinical Education of General Practice, 2022, 20(11): 1013-1016. [9] LI Y, GAO C, ZHU X, et al. Application of SPARK teaching in acute abdomen radiography teaching for undergraduate medical students[J]. BMC Med Educ, 2022, 22(1): 881. doi: 10.1186/s12909-022-03957-9 [10] 夏倩倩, 朱姬莹, 朱湘文, 等. SPARK教学模式在非医学影像科住院医师放射科专业基地轮转教学中的应用[J]. 中华医学教育杂志, 2021, 41(8): 699-702. doi: 10.3760/cma.j.cn115259-20210201-00148XIA Q Q, ZHU J Y, ZHU X W, et al. Application of SPARK mode in the training of non-medical imaging residents at department of radiology[J]. Chinese Journal of Medical Education, 2021, 41(8): 699-702. doi: 10.3760/cma.j.cn115259-20210201-00148 [11] 于小明, 刘启, 赵莹, 等. 基于鉴别诊断的PBL教学法在影像实习教学中的应用[J]. 继续医学教育, 2023, 37(7): 49-52.YU X M, LIU Q, ZHAO Y, et al. Application of PBL teaching method focusing on differentiation in clinical teaching of medical imaging diagnosis[J]. Continuing Medical Education, 2023, 37(7): 49-52. [12] 瞿色华, 张阵, 武玉猛, 等. 情景模拟PBL教学法在儿科实习生岗位胜任能力中的应用价值[J]. 中华全科医学, 2023, 21(2): 316-319. doi: 10.16766/j.cnki.issn.1674-4152.002872QU S H, ZHANG Z, WU Y M, et al. The application value of scenario simulation PBL teaching method in improving the competence of pediatric interns[J]. Chinese Journal of General Practice, 2023, 21(2): 316-319. doi: 10.16766/j.cnki.issn.1674-4152.002872 [13] 方正, 郭大静, 何晓静, 等. 影像学云平台在医学影像学实习教学中的应用与价值[J]. 中华医学教育探索杂志, 2022, 21(12): 1709-1712.FANG Z, GUO D J, HE X J, et al. The application and value of imaging cloud platform in medical imaging practice teaching[J]. Chinese Journal of Medical Education Research, 2022, 21(12): 1709-1712. [14] 曾真, 林岷. 雨课堂教学方式在病理生理学教学中的应用[J]. 中华医学教育杂志, 2020, 40(8): 602-605.ZENG Z, LIN M. Application of wisdom teaching tool rain classroom in pathophysiology teaching[J]. Chinese Journal of Medical Education, 2020, 40(8): 602-605. [15] AKINLUYI E A, GREENOUGH A, ISON K, et al. Applying a participatory systems and value approach in a transdisciplinary exercise: on assessing the impact of training and education initiatives[J]. Health Syst (Basingstoke), 2023, 12(4): 446-460. [16] ALKHULAIFAT D, RAFFUL P, KHALKHALI V, et al. Implications of pediatric artificial intelligence challenges for artificial intelligence education and curriculum development[J]. J Am Coll Radiol, 2023, 20(8): 724-729. [17] 贡会源, 李小军, 杨晓松, 等. 基于胸部高分辨率CT的三维重建联合PBL教学法在胸外科临床教学中的应用[J]. 中华全科医学, 2022, 20(8): 1400-1402, 1407. doi: 10.16766/j.cnki.issn.1674-4152.002607GONG H Y, LI X J, YANG X S, et al. The application of 3D reconstruction technology based on high-resolution CT and PBL teaching model in thoracic surgery clinical teaching[J]. Chinese Journal of General Practice, 2022, 20(8): 1400-1402, 1407. doi: 10.16766/j.cnki.issn.1674-4152.002607
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