对分课堂结合案例教学在空勤科先心病临床实习教学中的应用

    Application of case-based teaching combined with the PAD class in clinical practice teaching of congenital heart disease in Department of Aviation Medicine

      摘要
    • 摘要:
      目的 评价对分课堂结合案例教学在空勤科先心病临床实习教学中的应用效果。
      方法 选取2023年在空勤科轮转实习的空军军医大学2017级八年制和2018级五年制航空医学专业24名学员，采用对分课堂结合案例教学方式进行先心病临床实习教学，利用理论测试、病例分析和调查问卷对授课效果进行评价，并与2022年入科实习学员进入临床实习前后的理论考核成绩相比较，进一步分析对分课堂结合案例教学方法在先心病实习教学中的优劣性。
      结果 与授课前测试比较，授课后学员的理论测试和病例分析成绩均有显著提高（P<0.01）。调查问卷显示，学员对课程的总体满意度和对分课堂结合案例教学方法的满意度均为91.67%。与传统实习教学对比分析，两组学员临床实习前的航空航天临床医学课程理论成绩组间比较无明显差异；在空勤科实习结束后的出科考核中，接受对分课堂结合案例教学的学员涉及心血管相关知识的测试成绩显著高于接受传统实习教学的学员成绩（P<0.05）。
      结论 对分课堂结合案例教学能够有效提升空勤科先心病临床实习教学效果，且学员对这种课程教学设计的接受满意度较高。

       

      Abstract:
      AIM To evaluate the application effect of case-based teaching combined with presentation-assimilation-discussion (PAD) class in the clinical practice teaching of congenital heart disease in the Department of Aviation Medicine.
      METHODS In 2023, a total of 24 students from the 2017 eight-year program of aerospace medicine and the 2018 five-year program of aerospace medicine in the Air Force Medical University were selected for the clinical practice course of congenital heart disease and the teaching mode of case-based teaching combined with PAD class was adopted. The evaluation of teaching effectiveness included theoretical tests, case analysis and survey questionnaires. The study further analyzed the advantages and disadvantages of the combination of PAD class and case-based teaching methods used in current congenital heart disease internship education by comparing the theoretical assessment scores of the interns before and after their clinical internship in 2022.
      RESULTS Compared with those before the course, the theoretical test and case analysis scores of the students after the course were significantly improved (P<0.01). The questionnaire results showed that the overall satisfaction of the students with the course and the satisfaction with the mode of case-based teaching combined with PAD class were both 91.67%. There were no significant differences in the theoretical scores of aerospace clinical medicine between the two groups prior to clinical internships. However, in the assessment following the completion of their flight service internship, the students of the case-based teaching combined with PAD class achieved significantly higher scores in tests related to cardiovascular knowledge than the students of the traditional internship course (P<0.05).
      CONCLUSION The combination of PAD class and case-based teaching effectively enhances the teaching effect of the clinical practice of congenital heart disease in the Department of Aviation Medicine and students show high satisfaction with the teaching design of the course.

       

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