依托微信的CBL联合PBL的整合教学模式在骨科临床带教中的应用

Application of Integrated Teaching Model Combining CBL and PBL Supported by WeChat in Orthopedic Clinical Preceptorship

目的:构建依托微信的CBL联合PBL的整合教学模式,并与传统教学方法进行比较,评估该教学模式的效果。方法:将于2022年1月至2022年3月在浙大四院骨科学临床轮训的60名医师随机分为两组,其中试验组采用整合教学模式,对照组采用传统教学方法。通过对入科前后接诊成绩、笔试成绩和总成绩进行比较,评估整合教学模式在骨科临床带教中的效果,并通过满意度调查来评估学生对各自教学方法的满意度。结果:试验组入科后的笔试成绩、接诊成绩及总成绩较入科前均有显著提升(P<0.05),而对照组仅在笔试成绩和总成绩上有一定的提升(P<0.05)。此外,试验组入科后总成绩较对照组提高得更多(P<0.05)。学生对两种教学方式的满意度有差异(P<0.05)。结论:依托微信的CBL联合PBL的整合教学模式可以充分调动学生的主观能动性,锻炼临床思维能力,激发创新精神,全面提升学生的综合能力。

Objective:To construct an integrated teaching model combining CBL and PBL supported by WeChat,and compare its effectiveness with traditional teaching methods in orthopedic clinical preceptorship.Methods:From January 2022 to March 2022,60 physicians undergoing clinical rotations in orthopedics at the Fourth Affiliated Hospital of Zhejiang University were randomly divided into two groups.The experimental group received the integrated teaching model,while the control group received traditional teaching methods.The effectiveness of the integrated teaching model in orthopedic clinical preceptorship was evaluated by comparing pre-and post-rotation scores in patient management,written exams,and overall scores.Additionally,a satisfaction survey assessed students satisfaction with their respective teaching methods.Results:The experimental group showed significant improvements in written exam scores,patient management scores,and overall scores after the rotation(P<0.05),whereas the control group showed modest improvements only in written exam scores and overall scores(P<0.05).Moreover,the experimental group demonstrated greater overall score improvements post-rotation compared to the control group(P<0.05).There was a significant difference in student satisfaction between the two teaching methods(P<0.05).Conclusion:The integrated teaching model combining CBL and PBL supported by WeChat effectively enhances students initiative,clinical reasoning abilities,and innovation spirit,comprehensively improving their overall capabilities in orthopedic clinical preceptorship.