翻转课堂结合CBL联合模式在高原性心脑损伤教学中的实践

Application of flipped classroom combined with case-based learning in instruction of high altitude cardio-cerebral lesions

目的探讨翻转课堂教学方法结合以病例为基础的教学法(CBL)在高原性心脑损伤教学中的效果。方法选取军事医学专业五年制学生80名作为研究对象。随机分为对照组(A班,40人)和试验组(B班,40人),A班(5组,8人/组)接受传统方式的授课,B班(5组,8人/组)接受翻转课堂结合CBL联合模式的授课。课程结束后,以试卷考试,统计分析考试分数,同时用问卷调查评价教学效果。评价以百分比来表示。结果试验组的总成绩明显高于对照组(P<0.05)。学生对翻转课堂结合CBL联合模式教学法的效果评价明显优于传统的授课方式,翻转课堂结合CBL联合模式教学法在高原性心脑损伤教学中的应用明显提高了学生的学习兴趣、独立思考能力和加深对理论知识的理解能力。结论翻转课堂结合CBL联合模式教学法在高原性心脑损伤教学中的应用可有效提高教学效果,加深理论知识的理解,提高学生的各种技能,而且可推广应用到其他军事卫生课程。

AIM To investigate the application of flipped classroom combined with case-based learning in instruction of high altitude cardio-cerebral lesions. METHODS A total of 80 medical students enrolled in the 5-year program were chosen as objects of analysis. They were randomly divided into control group （Class A, 40 students） in which students were divided into five groups （8/group） with traditional teaching model and experimental group （Class B, 40 students） in which the students were also divided into five groups （8/group） with flipped classroom combined with case-based learning model. At the end of the course, examinations were administered and the scores of the exams were analyzed. At the same time, a questionnaire survey was conducted for instruction evaluation. RESULTS Examination scores of class B were significantly higher than those of class A （P〈0.05）. The questionnaire results revealed that the flipped classroom combined with the case-based learning model was superior to the traditional teaching model. The flipped classroom combined with case-based learning was obviously better than the traditional teaching model in improving students＇ learning interests and independent thinking ability and enhancing their knowledge-acquiring ability. CONCLUSION The application of flipped classroom combined with the case-based learning model is not only feasible and effective in instruction of high altitude cardio-cerebral lesions but also deepens the understanding of theoretical knowledge and improves a variety of student abilities.