基于网络资源的CBL教学在核医学住培教学中的应用  

Application of case-based learning based on network resources in standardized residency training for nuclear medicine

作　　者：张金山[1] 邓咏梅[1] 李园[1] 姚红霞[1] 温戈[1] Zhang Jinshan;Deng Yongmei;Li Yuan;Yao Hongxia;Wen Ge(Department of Nuclear Medicine,The Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,China)

机构地区：[1]广州医科大学附属第三医院核医学科,广州510150

出　　处：《中华医学教育探索杂志》2023年第11期1698-1701,共4页Chinese Journal of Medical Education Research

基　　金：广州医科大学2020年校级教育科学规划课题(2020-152-40)。

摘　　要：目的探讨基于网络资源的以案例为基础的教学(case-based learning,CBL)在核医学专业基地住院医师规范化培训实践中的可行性及初步效果。方法利用既往公开的网络资源CBL课程(共13次),对本专业基地轮训的住院医师共21人进行集中教学(共61人次参加)。课前、课后即时及课后一周(7~10 d)进行客观题测试评分,分析住院医师课前、课后即时及课后一周后学习效果;并于每次课后用教学效果评价表对教学进行评价。采用SPSS 23.0进行单因素方差分析。结果客观题测试成绩:共收到课前、课后和课后一周(7~10 d)有效成绩61份、61份和51份,课前、课后和课后一周平均成绩(满分100分)分别为(49.43±13.37)分、(84.43±14.44)分和(80.88±10.04)分,差异有统计学意义(F=105.80,P<0.01)。教学效果评价:共收回有效评价表61份,对授课总体满意度评价“非常满意,满意,一般,不满意”的评价结果分别为34.4%(21/61)、52.5%(32/61)、9.84%(6/61)、3.28%(2/61),总满意率(非常满意+满意)为86.9%(53/61)。结论充分利用网络资源在住院医师规范化培训中开展CBL教学实践具有可行性,初步教学效果良好。Objective To explore the feasibility and preliminary effectiveness of case-based learning(CBL)teaching based on network resources in standardized residency training for nuclear medicine.Methods Open network resources of CBL curriculum(13 sessions in total)were used to perform the collective teaching of 21 residents who received training in our professional base,with a total of 61 person-times.The residents received the test on objective questions before class,immediately after class,and at 1 week after class(7-10 days)to assess the learning effect of residents at these time points,and an evaluation form of teaching effectiveness was used after each class to assess the teaching effect.SPSS 23.0 was used to perform a one-way analysis of variance.Results As for the test score of objective questions,there were 61 valid scores before class,61 valid scores immediately after class,and 51 valid scores at 1 week after class(7-10 days),with a mean score of(49.43±13.37),(84.43±14.44),and(80.88±10.04),respectively(with 100 points as the total score),which showed a significant difference(F=105.80,P<0.01).As for the evaluation of teaching effectiveness,a total of 61 valid forms were received,and the results of"very satisfied,satisfied,fairly good,and dissatisfied"accounted for 34.4%(21/61),52.5%(32/61),9.84%(6/61),and 3.28%(2/61),respectively,with an overall satisfaction rate(very satisfied+satisfied)of 86.9%(53/61).Conclusion It is feasible and effective to make full use of network resources to carry out CBL teaching in standardized residency training for nuclear medicine,which has achieved a good preliminary effect.

关 键 词：网络 基于案例学习 住院医师规范化培训 核医学 

分 类 号：R33[医药卫生—人体生理学]