微课结合翻转课堂在住院医师医学人文素养培养中的教学实践

Teaching practice of microteaching combined with flipped classroom in medical humanistic education for residents' medical humanities training

目的 探索“微课+翻转课堂”混合教学模式在老年科住院医师规范化培训(简称规培)中医学人文素养培养的应用效果。方法 选取北京某三甲医院老年科进行规培的住院医师共100名,观察组通过“微课+翻转课堂”教学模式进行医学人文授课,对照组完成传统的医学人文授课,课后两组均完成理论考试、医患沟通模拟考试以及问卷调查,观察两组成绩的差异。结果 对100名规培住院医师进行医学人文知识的理论考核,对照组得分为82.3±7.2分,观察组得分为92.1±6.4分(t=7.321,P<0.001);进行医患沟通考核,对照组得分为83.5±5.3分,观察组得分为89.6±5.3分(t=6.462,P<0.001)。结论 “微课+翻转课堂”混合教学模式可以在理论知识和医患沟通技巧方面更有效地提高内科住院医师医学人文素养。

Objective To explore the application effects of the mixed teaching mode of microteaching combined with flipped classroom in the cultivation of humanistic literacy of medical residents in geriatric department.Methods A total of 100 standardized training residents from the geriatric department of a hospital were selected.The experimental group carried out the microteaching combined with flipped classroom teaching model,and the control group carried out traditional teaching rounds.After 1 year's training,the difference of training effect between the two groups was compared through the examinations,including theory test,doctor-patient communication exam and questionnaire survey.Results The theory test of medical ethics and doctor-patient communication exam were carried out among 100 residents.The score of theory test of observation group was higher than that of control group(92.1±6.4 vs 82.3±7.2,P0.001);The score of doctor-patient communication exam of observation group was higher than that of control group(89.6±5.3 vs 83.5±5.3,P0.001).Conclusion The microteaching combined with flipped classroom method can improve the medical humanistic quality of internal medicine residents more effectively in terms of theoretical knowledge and doctor-patient communication skills.