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[在线考试课程取代课堂教学：新冠疫情期间医学生教学的适应性调整]

[Online examination course instead of classroom teaching: adaptation of medical student teaching during the COVID-19 pandemic].

作者信息

Wiedenmann Cornelius, Wacker Katrin, Böhringer Daniel, Maier Philip, Reinhard Thomas

机构信息

Klinik für Augenheilkunde, Universitätsklinikum Freiburg, Killianstr. 5, 79106, Freiburg, Deutschland.

出版信息

Ophthalmologe. 2022 Jan;119(Suppl 1):11-18. doi: 10.1007/s00347-021-01372-x. Epub 2021 Apr 6.

DOI:10.1007/s00347-021-01372-x
PMID:33825052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8023559/
Abstract

BACKGROUND

The coronavirus disease 2019 (COVID-19) pandemic restricted face-to-face interactions of medical students and teachers.

OBJECTIVE

To develop and evaluate an online course for ophthalmology examination techniques for medical students and to determine the impact of the course on the practical objective structured clinical examination (OSCE).

MATERIAL AND METHODS

The online examination course was developed as a video-based tutorial according to the SMART (specific, measurable, activating, reasonable, time-bound) principle covering all topics of the National Competency-based Catalogue of Learning Objectives for Medical Education and made available to medical students in the ophthalmology course. At the end of the semester the students graded the online examination course on an ordinal scale from 1 (strongly agree) to 6 (strongly disagree) anonymously and were asked for comments. The grades of the OSCE (range 1-5) were compared with the OSCE results of the previous semester.

RESULTS

Of the 164 students 67 participated in the online evaluation (41%). The students reported to be well-prepared for the OSCE (mean grade 2.0; SD 1.0). In the future, 70% of the students would prefer combined online and on-site teaching (47 out of 67 students). Among all 164 students, the mean OSCE results were excellent (mean grade 1.1; SD 0.2) and comparable to the previous semester (mean grade among 166 students, 1.1; SD 0.2; two-sided t-test, p = 0.86).

CONCLUSION

The online course on ophthalmology examination techniques allowed medical students to prepare for the OSCE. Beyond the COVID-19 pandemic, online teaching options can support on-site teaching.

摘要

背景

2019年冠状病毒病（COVID-19）大流行限制了医学生和教师的面对面互动。

目的

为医学生开发并评估一门眼科检查技术在线课程，并确定该课程对实践客观结构化临床考试（OSCE）的影响。

材料与方法

根据SMART（具体、可衡量、有激励性、合理、有时限）原则，将在线考试课程开发为基于视频的教程，涵盖医学教育国家能力本位学习目标目录的所有主题，并提供给眼科课程的医学生。学期末，学生们以1（强烈同意）至6（强烈不同意）的顺序量表对在线考试课程进行匿名评分，并被要求发表评论。将OSCE成绩（范围为1-5）与上一学期的OSCE结果进行比较。

结果

164名学生中有67名参与了在线评估（41%）。学生们报告说为OSCE做好了充分准备（平均成绩2.0；标准差1.0）。未来，70%的学生更喜欢在线和现场相结合的教学方式（67名学生中有47名）。在所有164名学生中，OSCE的平均成绩优异（平均成绩1.1；标准差0.2），与上一学期相当（166名学生的平均成绩为1.1；标准差0.2；双侧t检验，p = 0.86）。

结论

眼科检查技术在线课程使医学生能够为OSCE做好准备。在COVID-19大流行之外，在线教学选项可以支持现场教学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03a/8763772/9301fbae3724/347_2021_1372_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03a/8763772/aa8ce776ea4a/347_2021_1372_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03a/8763772/8b4a94faece2/347_2021_1372_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03a/8763772/2fb26c48f393/347_2021_1372_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03a/8763772/9301fbae3724/347_2021_1372_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03a/8763772/aa8ce776ea4a/347_2021_1372_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03a/8763772/8b4a94faece2/347_2021_1372_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03a/8763772/2fb26c48f393/347_2021_1372_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03a/8763772/9301fbae3724/347_2021_1372_Fig4_HTML.jpg

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本文引用的文献

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["Flipped classroom"-A future concept for student teaching in ophthalmology?].["翻转课堂"——眼科学生教学的未来概念？]
Ophthalmologe. 2021 Jul;118(7):691-696. doi: 10.1007/s00347-020-01225-z. Epub 2020 Oct 2.
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Remote corneal suturing wet lab: microsurgical education during the COVID-19 pandemic.远程角膜缝合湿实验室：COVID-19 大流行期间的显微外科研教
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