疫情下翻转课堂与线上互动结合的全科医学课程探索  

Combination of inverted classroom with online interactive method in general practice teaching under COVID-19

作　　者：平陆 徐娜[1,2] 李源杰[1,2] 沙悦[1,2] 曾学军[1,2] PING Lu;XU Na;LI Yuanjie(The 8-year MD Program,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100006,China)

机构地区：[1]中国医学科学院北京协和医学院,北京100006 [2]北京协和医院全科医学科(普通内科)

出　　处：《全科医学临床与教育》2023年第8期722-725,共4页Clinical Education of General Practice

基　　金：北京协和医学院2019年学科建设项目《全科医学人才培养项目》(201920200106);北京协和医学院青年医学教育学者计划(2021zlgc0707,2021zlgc0701)。

摘　　要：目的探究翻转课堂与线上互动相结合的教学方法在全科医学概述课程教学中的应用。方法于2020年3月组织北京协和医学院2015级临床医学八年制及清华大学2014级医学实验班临床医学八年制学生共108名,以翻转课堂与线上互动相结合的教学方式进行全科医学概述(2学时)教学,进行半结构化访谈、问卷调研与情景模拟,探索评估学生的课程满意度、职业发展与对全科医学分级诊疗制度的认知。结果19名学生的半结构化访谈结果显示,新冠疫情后9名(47.37%)更坚定从医。对于108名学生的整体调研显示,学生满意度评分为4.37分(满分5分),超过半数学生表示相比传统课堂更喜欢翻转课堂授课方式。课程后考虑成为全科医学相关专业方向临床医生的学生比例显著升高。课程后愿意在临床实践中整合多级医疗资源,进行全科医学相关宣教的学生比例显著升高。结论翻转课堂教学方法可以有效提升医学生对全科医学概述课程的学习积极性与学习兴趣,对学生的职业选择具有积极的引导作用,同时提升了学生对于全科医学及分级诊疗制度的认知,引发了学生们的热烈讨论。此课程反响良好,可以作为线上教学的有效补充,值得在全科医学教学及其他课程中进行推广。Objective To explore the application of combination of inverted classroom with online interactive method in the teaching of general practice.Methods A total of 108 students from grade 2015 of Peking Union Medical College 8-year MD program and grade 2014 of Tsinghua University medical experimental class were recruited.Inverted classroom and online interactive teaching were combined to carry out general practice teaching.Semi-structured interviews,questionnaire surveys,and scenario simulations were conducted to explore and evaluate students'course satisfaction,career development,and understanding of the graded diagnosis and treatment system in general medicine.Results The semi-structured interview results of 19 students showed that 9(47.37%)of them were more determined to practice medicine after the COVID-19.The overall survey of 108 students showed that the student satisfaction score was 4.37,and more than half of the students preferred inverted classroom teaching method to the traditional teaching method.The proportion of students considering becoming clinical doctors in general medicine related fields after the course significantly increased.The proportion of students who were willing to integrate multi-level medical resources in clinical practice and conduct general practice related education after the course also significantly increased.Conclusion We conclude that inverted classroom can effectively enhance students'enthusiasm and interest in learning.The course had a positive guiding effect on students'career choices and also enhanced their understanding of general practice medicine and graded diagnosis and treatment systems.Thus,inverted classroom can be used as an effective supplement to online teaching.

关 键 词：全科医学 翻转课堂 教学方法 

分 类 号：R-4[医药卫生] G642[文化科学—高等教育学]