Application effect research of the four-dimensional teaching library model in the training of neuroinfection subspecialty continuing physicians_West China Medical Journal

Authors：

WANG Chaofan ¹ ,  ZHANG Jing ²

1. Neurology Department, Beijing Aerospace General Hospital, Beijing 100076, P. R. China;
2. Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, P. R. China;

Corresponding author：

ZHANG Jing, Email: zhangjing0909@163.com

Keywords：

Department of neurology; continuing physicians; continuing medical education; four dimensional teaching library; model

DOI：

10.7507/1002-0179.202404167

Video：

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Objective To explore the application effect of the four-dimensional teaching library model in the training of neuroinfection subspecialty continuing physicians, and compare it with traditional rotational training. Methods Continuing physicians who received training in the Department of Neurology of Xuanwu Hospital, Capital Medical University between March 2021 and February 2023 were selected. The continuing physicians who received traditional rotational training between March 2021 and February 2022 would serve as the control group, and the continuing physicians who received four-dimensional teaching library model training between March 2022 and February 2023 would serve as the experimental group. The Mini-CEX scale was used to evaluate the clinical comprehensive abilities of two groups of continuing physicians. At the same time, self-made questionnaires were used to evaluate the evaluation of two groups of continuing physicians on different teaching modes. Results A total of 55 continuing physicians were included. Among them, there were 27 people in the control group and 28 people in the experimental group. There was no statistically significant difference in the comparison of general information between the two groups (P＞0.05). At the time of graduation, all items on the Mini-CEX scale in the experimental group were higher than those in the control group (P<0.05). The survey questionnaire results showed that the experimental group scored higher than the control group in terms of improving learning interest, improving self-learning ability, improving clinical thinking, improving analysis and problem-solving ability, improving doctor-patient communication ability, and increasing teamwork (P<0.05). Conclusion The application effect of the four-dimensional teaching library model in the training of neuroinfection subspecialty continuing physicians is better than that of traditional rotational training, which can significantly improve the clinical comprehensive ability of continuing physicians and is worth promoting.

Citation： WANG Chaofan, ZHANG Jing. Application effect research of the four-dimensional teaching library model in the training of neuroinfection subspecialty continuing physicians. West China Medical Journal, 2024, 39(5): 788-792. doi: 10.7507/1002-0179.202404167 Copy

1.	张婧, 孟岩, 杨昆, 等. “四维一体”神经内科住院医师规范化培训模式及其实施效果. 华西医学, 2020, 35(6): 688-691.
2.	Schaefer SM, Dominguez M, Moeller JJ. The future of the lecture in neurology education. Semin Neurol, 2018, 38(4): 418-427.
3.	叶珊, 宋红松, 赵海燕, 等. 基于核心胜任力的阶梯式评估反馈模式对神经科住院医师培训的思考. 中国卒中杂志, 2020, 15(10): 1134-1137.
4.	朱正日, 刘婉露, 沙瑞华, 等. 浅谈 Mini-CEX 量表在住院医师规范化培训中的应用. 微量元素与健康研究, 2021, 38(1): 80-81.
5.	李彬寅, 陈施吾, 王刚. 简易临床评估演练(Mini-CEX)在神经病学临床教学师生双向评估中的应用研究. 中华医学教育探索杂志, 2018, 17(10): 1037-1041.
6.	谢颖, 罗轶玮, 徐增光, 等. 迷你临床演练评估在临床实践形成性评价中的应用探索. 中华医学教育探索杂志, 2020, 19(12): 1480-1484.
7.	刘慧慧, 肖国栋. CBL 联合 PBL 教学模式在神经病学住院医师临床规范化培训中的应用. 中国煤炭工业医学杂志, 2018, 21(5): 553-556.
8.	王冬欣, 张志涛, 张婧, 等. 案例教学法结合翻转课堂教学模式在神经感染临床教学中的应用. 中国病案, 2022, 23(11): 100-103.
9.	周玥, 陈建军, 杨江生, 等. 基于案例的“翻转课堂”在肾脏病临床实习教学中的应用. 高校医学教学研究(电子版), 2017, 7(3): 36-39.
10.	薛青, 杨莹雪, 陈佳, 等. CBL 教学法在癫痫亚专科住院医师培养中的应用. 神经疾病与精神卫生, 2020, 20(11): 817-819.
11.	陈佳, 王玉平. 多学科协作教学在癫痫临床教学中的应用. 中华医学教育杂志, 2018, 38(2): 269-271, 310.
12.	吴忧, 徐彬, 张志田, 等. 基于微信平台的翻转课堂在神经病学教学中的应用. 中华医学教育探索杂志, 2020, 19(4): 415-419.
13.	金硕果, 詹华奎, 罗梅, 等. 案例为基础的学习模式在神经内科临床教学中的应用. 中国中医药现代远程教育, 2017, 15(9): 1-2.
14.	蒲丹, 唐怀蓉, 陈相军, 等. 医学模拟联合病案教学在急诊科进修医师培训中的应用. 华西医学, 2015, 30(6): 1039-1041.
15.	夏蕙, 顾鸣敏, 陆斌杰, 等. 国内医学院校 PBL 教学的回顾与展望. 中国高等医学教育, 2012(9): 6-7.
16.	张宗霞, 张铭光. 以问题为基础的教学模式下精细化教学方案在临床教学中的应用. 华西医学, 2017, 32(8): 1289-1291.
17.	印义琼, 刘春娟, 文曰, 等. 以团队为基础的教学与以问题为基础的教学整合教学法在静脉治疗专科护理临床教学中的应用. 华西医学, 2016, 31(4): 768-770.
18.	吕磊, 张正厚. PBL 与 CBL 对翻转课堂教学模式中课前学习质量的影响. 中国高等医学教育, 2018(5): 115-116, 118.

1. 张婧, 孟岩, 杨昆, 等. “四维一体”神经内科住院医师规范化培训模式及其实施效果. 华西医学, 2020, 35(6): 688-691.
2. Schaefer SM, Dominguez M, Moeller JJ. The future of the lecture in neurology education. Semin Neurol, 2018, 38(4): 418-427.
3. 叶珊, 宋红松, 赵海燕, 等. 基于核心胜任力的阶梯式评估反馈模式对神经科住院医师培训的思考. 中国卒中杂志, 2020, 15(10): 1134-1137.
4. 朱正日, 刘婉露, 沙瑞华, 等. 浅谈 Mini-CEX 量表在住院医师规范化培训中的应用. 微量元素与健康研究, 2021, 38(1): 80-81.
5. 李彬寅, 陈施吾, 王刚. 简易临床评估演练(Mini-CEX)在神经病学临床教学师生双向评估中的应用研究. 中华医学教育探索杂志, 2018, 17(10): 1037-1041.
6. 谢颖, 罗轶玮, 徐增光, 等. 迷你临床演练评估在临床实践形成性评价中的应用探索. 中华医学教育探索杂志, 2020, 19(12): 1480-1484.
7. 刘慧慧, 肖国栋. CBL 联合 PBL 教学模式在神经病学住院医师临床规范化培训中的应用. 中国煤炭工业医学杂志, 2018, 21(5): 553-556.
8. 王冬欣, 张志涛, 张婧, 等. 案例教学法结合翻转课堂教学模式在神经感染临床教学中的应用. 中国病案, 2022, 23(11): 100-103.
9. 周玥, 陈建军, 杨江生, 等. 基于案例的“翻转课堂”在肾脏病临床实习教学中的应用. 高校医学教学研究(电子版), 2017, 7(3): 36-39.
10. 薛青, 杨莹雪, 陈佳, 等. CBL 教学法在癫痫亚专科住院医师培养中的应用. 神经疾病与精神卫生, 2020, 20(11): 817-819.
11. 陈佳, 王玉平. 多学科协作教学在癫痫临床教学中的应用. 中华医学教育杂志, 2018, 38(2): 269-271, 310.
12. 吴忧, 徐彬, 张志田, 等. 基于微信平台的翻转课堂在神经病学教学中的应用. 中华医学教育探索杂志, 2020, 19(4): 415-419.
13. 金硕果, 詹华奎, 罗梅, 等. 案例为基础的学习模式在神经内科临床教学中的应用. 中国中医药现代远程教育, 2017, 15(9): 1-2.
14. 蒲丹, 唐怀蓉, 陈相军, 等. 医学模拟联合病案教学在急诊科进修医师培训中的应用. 华西医学, 2015, 30(6): 1039-1041.
15. 夏蕙, 顾鸣敏, 陆斌杰, 等. 国内医学院校 PBL 教学的回顾与展望. 中国高等医学教育, 2012(9): 6-7.
16. 张宗霞, 张铭光. 以问题为基础的教学模式下精细化教学方案在临床教学中的应用. 华西医学, 2017, 32(8): 1289-1291.
17. 印义琼, 刘春娟, 文曰, 等. 以团队为基础的教学与以问题为基础的教学整合教学法在静脉治疗专科护理临床教学中的应用. 华西医学, 2016, 31(4): 768-770.
18. 吕磊, 张正厚. PBL 与 CBL 对翻转课堂教学模式中课前学习质量的影响. 中国高等医学教育, 2018(5): 115-116, 118.

West China Medical Journal

Application effect research of the four-dimensional teaching library model in the training of neuroinfection subspecialty continuing physicians

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