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重症监护病房教学的“翻转课堂”模式

The "Flipped Classroom" Model for Teaching in the Intensive Care Unit.

作者信息

Tainter Christopher R, Wong Nelson L, Cudemus-Deseda Gaston A, Bittner Edward A

机构信息

1 University of California, San Diego, San Diego, CA, USA.

2 Massachusetts General Hospital, Boston, MA, USA.

出版信息

J Intensive Care Med. 2017 Mar;32(3):187-196. doi: 10.1177/0885066616632156. Epub 2016 Jul 7.

Abstract

INTRODUCTION

The intensive care unit (ICU) is a dynamic and complex learning environment. The wide range in trainee's experience, specialty training, fluctuations in patient acuity and volume, limitations in trainee duty hours, and additional responsibilities of the faculty contribute to the challenge in providing a consistent experience with traditional educational strategies. The "flipped classroom" is an educational model with the potential to improve the learning environment. In this paradigm, students gain exposure to new material outside class and then use class time to assimilate the knowledge through problem-solving exercises or discussion. The rationale and pedagogical foundations for the flipped classroom are reviewed, practical considerations are discussed, and an example of successful implementation is provided.

METHODS

An education curriculum was devised and evaluated prospectively for teaching point-of-care echocardiography to residents rotating in the surgical ICU.

RESULTS

Preintervention and postintervention scores of knowledge, confidence, perceived usefulness, and likelihood of use the skills improved for each module. The quality of the experience was rated highly for each of the sessions.

CONCLUSION

The flipped classroom education curriculum has many advantages. This pilot study was well received, and learners showed improvement in all areas evaluated, across several demographic subgroups and self-identified learning styles.

摘要

引言

重症监护病房(ICU)是一个充满活力且复杂的学习环境。学员经验范围广泛、专业培训各异、患者病情严重程度和数量波动、学员值班时间有限以及教员的额外职责,这些因素使得采用传统教育策略提供一致的学习体验面临挑战。“翻转课堂”是一种有潜力改善学习环境的教育模式。在这种模式下,学生在课外接触新材料,然后利用课堂时间通过解决问题练习或讨论来吸收知识。本文回顾了翻转课堂的基本原理和教学基础,讨论了实际考量因素,并提供了一个成功实施的例子。

方法

前瞻性地设计并评估了一个教育课程,用于向在外科ICU轮转的住院医师教授床旁超声心动图。

结果

每个模块的知识、信心、感知有用性以及使用这些技能的可能性在干预前和干预后的得分均有所提高。每次课程的体验质量都得到了高度评价。

结论

翻转课堂教育课程有诸多优点。这项试点研究受到了好评,学习者在所有评估领域都有进步,涵盖多个不同人口统计学亚组和自我认定的学习风格。

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