Department of Neurology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Med Educ Online. 2021 Dec;26(1):1899642. doi: 10.1080/10872981.2021.1899642.
: During the current COVID-19 pandemic, offline clinical education was mandated to suspend at the neurology department of many teaching hospitals globally, yet there is insufficient evidence regarding the preferred practice and methods for online neurology intern training course.: The investigation aimed to examine whether the online neurology training course based on Small Private Online Course (SPOC) and blending learning mode can achieve a good effect and cater for interns from different medical programs and whether the learning group size affects the teaching effect.: The subjects were 92 students enrolled in the neurology internship at the Second Xiangya Hospital of China from 9 March to 9 August 2020. After completing the online course, the final scores and evaluation results were compared among different groups of interns, and their preference to distinct contents of the course was analyzed. Statistical analysis was performed using the SPSS program (version 22.0).: Our online course received consistent positive recognition from the interns. Ninety-nine percent of the interns recommended incorporating the online course into the conventional offline training program after the pandemic. There was no significant difference between interns from different programs concerning the final scores and course evaluation. A smaller learning group size (<15 students) could achieve a better teaching effect than a larger group size (p < 0.05). The interns preferred interactive discussions, and course contents that they can get practice and feedback from, rather than video watching and didactic lectures.: The online neurology intern training course based on SPOC and blending learning mode is worthy of popularization in a large student base. The teaching effect of an online intern training program may be improved by limiting the group size to less than 15 students and encouraging more interactive discussion, more practice and feedback.
在当前 COVID-19 大流行期间，许多教学医院的神经科都被强制暂停线下临床教育，但关于在线神经科实习培训课程的首选实践和方法，仍缺乏足够的证据。
本研究旨在考察基于小规模限制性在线课程（SPOC）和混合学习模式的在线神经科实习培训课程是否能够取得良好效果，并适合不同医学项目的实习生，以及学习小组的规模是否会影响教学效果。
研究对象为 2020 年 3 月 9 日至 8 月 9 日在中国湘雅二医院参加神经科实习的 92 名学生。完成在线课程后，比较不同组实习生的最终成绩和评估结果，并分析他们对课程不同内容的偏好。统计分析采用 SPSS 程序（版本 22.0）。
我们的在线课程得到了实习生的一致好评。99%的实习生建议在大流行后将在线课程纳入传统的线下培训计划。来自不同项目的实习生在最终成绩和课程评估方面没有显著差异。较小的学习小组规模（<15 名学生）比较大的学习小组规模（p<0.05）能够取得更好的教学效果。实习生更喜欢互动讨论，以及他们可以从中获得实践和反馈的课程内容，而不是观看视频和接受讲座式教学。
基于 SPOC 和混合学习模式的在线神经科实习培训课程值得在更大的学生群体中推广。通过将小组规模限制在 15 名学生以下，并鼓励更多的互动讨论、更多的实践和反馈，可以提高在线实习培训课程的教学效果。
