基于网络开放平台的血管神经病学循证医学教学模式探讨

Educational Model of Evidence-based Medicine of Vascular Neurology Based on the Open Network Platform

目的探讨网络开放平台用于血管神经病学循证医学教学工作的效果。方法选取首都医科大学附属北京天坛医院2012级神经病学专业硕士研究生16人参加脑血管病临床实习,随机分为两组,实验组为以问题为基础的学习(problem-based learning,PBL)联合微信平台辅助教学组,对照组为传统教学组。由同一组临床指导教师授课,比较两组学生出科成绩及对教学方法的满意度。结果实验组学生考试平均成绩为(94.6±6.1)分,对照组学生考试平均成绩为(86.7±7.2)分,两组成绩比较,差异有显著性(P<0.05)。实验组对教学方法满意度为100%,对照组对教学方法满意度为75%,两组比较差异具有显著性(P<0.05)。结论在神经内科研究生脑血管病教学中采用以问题为基础学习的教学法,同时应用网络开放平台进行辅助教学取得良好成效,值得推广。

Objective To explore the effect of the open network platform in evidence-based medicine teaching of vascular neurology as the auxiliary teaching method for graduate students majoring in cerebrovascular diseases. Methods A total of 16 graduate students of grade 2012 in Beijing Tiantan Hospital, Capital Medical University majoring in neurology were selected and randomly divided into two groups to participate in the clinical practice of cerebrovascular diseases. The experimental group used problem-based learning combined with the Weixin platform as the auxiliary teaching method and the control group was a traditional teaching group. Taught by the same group of clinical teachers, the two groups were then compared in the given scores and satisfaction degrees toward teaching methods.Results The mean examination score of students in the experimental group was （94.6±6.1）, while it was （86.7±7.2） in the control group, with signiifcant differences. The satisfaction degree toward the teaching method in the experimental group was 100%, while it was 75% in the control group, with signiifcant differences （P〈0.05）. The experimental group had a higher score than that of the control group and was satisifed with the new teaching method （P〈0.05）.Conclusion The application of ＂problem centered＂ method in teaching vascular diseases for graduate students majoring in neurology combined with the auxiliary teaching method using the open network platform has a good result, which is worth promoting.