Department of Anesthesiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, No. 168 Litang Road, Beijing, 102218, China.
Department of Special Care Center, National Clinical Research Center for Cardiovascular Diseases, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, China.
BMC Med Educ. 2021 Dec 9;21(1):609. doi: 10.1186/s12909-021-03047-2.
COVID-19 prevention and control demand a reduction in crowd gathering, which has a significant impact on traditional teaching and offline case-based learning (CBL). In order to mitigate the impact of the COVID-19 outbreak on clinical teaching, we aimed to compare the effects of an online CBL with traditional teaching model on learning outcomes of anesthesia residents.
Residents rotated in the Department of Anesthesiology in Beijing Tsinghua Changgung Hospital from January 2020 to February 2021 were included in Group W (n = 19), which implemented the W-CBL teaching model. The performance of residents was evaluated with theory test and 2 survey questionnaires (A and B) were conducted after 1 month of rotating. All 20 residents rotating in the Department of Anesthesiology at our hospital from January 2018 to December 2019 were included in Group C, which implemented the traditional teaching model. Their examination results were acquired through the teaching files and survey questionnaire (A) were administered through WeChat.
During the 1-month rotation, a total of 10 cases were discussed in Group W. The average score for theory test was higher in Group W than that in Group C (84.57 ± 4.87 vs. 79.35 ± 3.70, P = 0.001). The satisfaction rate was also in favor of Group W regarding to clinical thinking, communication skills, learning interest and self-learning ability (P < 0.05).
Online CBL based on WeChat platform is an effective and acceptable teaching strategy in comparison to lecture-based learning (LBL) among residents embarking on clinical anesthesia courses.
新冠疫情防控要求减少人群聚集,这对传统教学和线下病例讨论式学习(CBL)产生了重大影响。为减轻新冠疫情对临床教学的影响,我们旨在比较在线 CBL 与传统教学模式对麻醉住院医师学习成果的影响。
纳入 2020 年 1 月至 2021 年 2 月在北京清华长庚医院麻醉科轮转的住院医师(W 组,n=19),实施 W-CBL 教学模式。通过理论考试评估住院医师的表现,在轮转 1 个月后进行了 2 项问卷调查(A 和 B)。纳入 2018 年 1 月至 2019 年 12 月在我院麻醉科轮转的所有 20 名住院医师(C 组),实施传统教学模式。通过教学档案获取他们的考试成绩,并通过微信发放问卷调查(A)。
在 1 个月的轮转期间,W 组共讨论了 10 个病例。W 组的理论考试平均得分高于 C 组(84.57±4.87 分比 79.35±3.70 分,P=0.001)。在临床思维、沟通技巧、学习兴趣和自主学习能力方面,W 组的满意度也更高(P<0.05)。
与基于讲座的学习(LBL)相比,基于微信平台的在线 CBL 是一种有效的、可接受的住院医师临床麻醉课程教学策略。