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临床牙髓病学培训中基于案例学习的新型平台:可行性研究

A Novel Platform for Case-Based Learning in the Clinical Endodontics Training: Feasibility Study.

作者信息

Lin Yuxiu, Zhang Rui, Zhang Wei, Qiao Weiwei, Wang Fushi, Wang Li

机构信息

Department of Cariology and Endodontics, School of Stomatology, Wuhan University, Wuhan, China.

State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, China.

出版信息

J Med Educ Curric Dev. 2025 May 6;12:23821205251334318. doi: 10.1177/23821205251334318. eCollection 2025 Jan-Dec.

DOI:10.1177/23821205251334318
PMID:40342552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12059410/
Abstract

BACKGROUND

Case-based learning (CBL) is currently used in multiple health-care settings around the world. Case Sharing is a WeChat mini-program created by the Chinese Medical Association Publishing House, providing a platform for doctors to record, discover, and discuss clinical cases, allowing cases to be widely disseminated and realize greater value. This research study evaluates, for the first time, the feasibility of utilizing the Case Sharing platform for CBL in our clinical endodontics training.

METHODS

The CBL on Case Sharing consists of 4 modules: (1) Residents upload cases to the Case Sharing platform; (2) All residents independently study the cases in advance, formulate questions related to the cases, and propose potential diagnoses and treatment plans; (3) Online meetings for group discussions are conducted; (4) Teachers in every group provide a summary. The participants in the CBL course were 48 residents (1st-, 2nd-, 3rd-year residents) at the School of Stomatology, Wuhan University, China. Then, a 12-item electronic questionnaire was distributed to 48 residents.

RESULTS

The majority of participants exhibited positive attitudes toward the CBL course on Case Sharing platform, attributing its value to the collaborative learning experience that facilitated a faster acquisition and understanding of common diseases of endodontics.

CONCLUSIONS

The Case Sharing platform, as described, breaks through the spatial and temporal constraints of traditional CBL. Residents can gain insight into others' perspectives, enriching their clinical perspectives from multiple angles. Our experience indicates that the application of Case Sharing on CBL contributed to the authentic practice of the endodontics clinical course.

摘要

背景

基于案例的学习(CBL)目前在世界各地的多种医疗环境中得到应用。病例分享是中华医学会出版社创建的一个微信小程序,为医生提供了一个记录、发现和讨论临床病例的平台,使病例能够广泛传播并实现更大价值。本研究首次评估了在我们的临床牙髓病学培训中利用病例分享平台进行CBL的可行性。

方法

基于病例分享的CBL包括4个模块:(1)住院医师将病例上传至病例分享平台;(2)所有住院医师提前独立研究病例,提出与病例相关的问题,并提出潜在的诊断和治疗方案;(3)进行小组讨论的在线会议;(4)每组教师进行总结。参加CBL课程的是中国武汉大学口腔医学院的48名住院医师(1年级、2年级、3年级住院医师)。然后,向48名住院医师发放了一份12项的电子问卷。

结果

大多数参与者对病例分享平台上的CBL课程持积极态度,将其价值归因于协作学习体验,这种体验有助于更快地获取和理解牙髓病的常见疾病。

结论

如前所述,病例分享平台突破了传统CBL的时空限制。住院医师可以深入了解他人的观点,从多个角度丰富自己的临床视野。我们的经验表明,病例分享在CBL中的应用有助于牙髓病临床课程的真实实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79e/12059410/75f1e6f23f98/10.1177_23821205251334318-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79e/12059410/0c142507f10e/10.1177_23821205251334318-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79e/12059410/d038c4ecce30/10.1177_23821205251334318-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79e/12059410/30f248339fc9/10.1177_23821205251334318-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79e/12059410/75f1e6f23f98/10.1177_23821205251334318-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79e/12059410/0c142507f10e/10.1177_23821205251334318-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79e/12059410/d038c4ecce30/10.1177_23821205251334318-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79e/12059410/30f248339fc9/10.1177_23821205251334318-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79e/12059410/75f1e6f23f98/10.1177_23821205251334318-fig4.jpg

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本文引用的文献

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J Pharm Bioallied Sci. 2024 Apr;16(Suppl 2):S1101-S1103. doi: 10.4103/jpbs.jpbs_1243_23. Epub 2024 Apr 16.
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Exploring Anki Usage Among First-Year Medical Students During an Anatomy & Physiology Course: A Pilot Study.探索解剖学与生理学课程中一年级医学生对Anki的使用情况:一项试点研究。
J Med Educ Curric Dev. 2023 Oct 9;10:23821205231205389. doi: 10.1177/23821205231205389. eCollection 2023 Jan-Dec.
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Application of flipped classroom combined with case-based learning in Introduction to Environmental Health Science.
翻转课堂结合案例学习在《环境健康科学导论》中的应用。
Front Public Health. 2023 Sep 15;11:1264843. doi: 10.3389/fpubh.2023.1264843. eCollection 2023.
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Online case-based learning in medical education: a scoping review.在线病例学习在医学教育中的应用:范围综述。
BMC Med Educ. 2023 Aug 9;23(1):564. doi: 10.1186/s12909-023-04520-w.
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Educating Future Physicians in Artificial Intelligence (AI): An Integrative Review and Proposed Changes.培养未来人工智能领域的医生:一项综合综述及建议变革
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Eur Rev Med Pharmacol Sci. 2021 Apr;25(8):3173-3181. doi: 10.26355/eurrev_202104_25726.
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The effectiveness of the combined problem-based learning (PBL) and case-based learning (CBL) teaching method in the clinical practical teaching of thyroid disease.基于问题的学习(PBL)与基于案例的学习(CBL)相结合的教学方法在甲状腺疾病临床实践教学中的有效性。
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WeChat as a Platform for Problem-Based Learning in a Dental Practical Clerkship: Feasibility Study.微信作为牙科实习中基于问题学习的平台:可行性研究
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