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.	張婧, 孟巖, 楊昆, 等. “四維一體”神經內科住院醫師規范化培訓模式及其實施效果. 華西醫學, 2020, 35(6): 688-691.
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3.	葉珊, 宋紅松, 趙海燕, 等. 基于核心勝任力的階梯式評估反饋模式對神經科住院醫師培訓的思考. 中國卒中雜志, 2020, 15(10): 1134-1137.
4.	朱正日, 劉婉露, 沙瑞華, 等. 淺談 Mini-CEX 量表在住院醫師規范化培訓中的應用. 微量元素與健康研究, 2021, 38(1): 80-81.
5.	李彬寅, 陳施吾, 王剛. 簡易臨床評估演練(Mini-CEX)在神經病學臨床教學師生雙向評估中的應用研究. 中華醫學教育探索雜志, 2018, 17(10): 1037-1041.
6.	謝穎, 羅軼瑋, 徐增光, 等. 迷你臨床演練評估在臨床實踐形成性評價中的應用探索. 中華醫學教育探索雜志, 2020, 19(12): 1480-1484.
7.	劉慧慧, 肖國棟. CBL 聯合 PBL 教學模式在神經病學住院醫師臨床規范化培訓中的應用. 中國煤炭工業醫學雜志, 2018, 21(5): 553-556.
8.	王冬欣, 張志濤, 張婧, 等. 案例教學法結合翻轉課堂教學模式在神經感染臨床教學中的應用. 中國病案, 2022, 23(11): 100-103.
9.	周玥, 陳建軍, 楊江生, 等. 基于案例的“翻轉課堂”在腎臟病臨床實習教學中的應用. 高校醫學教學研究(電子版), 2017, 7(3): 36-39.
10.	薛青, 楊瑩雪, 陳佳, 等. CBL 教學法在癲癇亞專科住院醫師培養中的應用. 神經疾病與精神衛生, 2020, 20(11): 817-819.
11.	陳佳, 王玉平. 多學科協作教學在癲癇臨床教學中的應用. 中華醫學教育雜志, 2018, 38(2): 269-271, 310.
12.	吳憂, 徐彬, 張志田, 等. 基于微信平臺的翻轉課堂在神經病學教學中的應用. 中華醫學教育探索雜志, 2020, 19(4): 415-419.
13.	金碩果, 詹華奎, 羅梅, 等. 案例為基礎的學習模式在神經內科臨床教學中的應用. 中國中醫藥現代遠程教育, 2017, 15(9): 1-2.
14.	蒲丹, 唐懷蓉, 陳相軍, 等. 醫學模擬聯合病案教學在急診科進修醫師培訓中的應用. 華西醫學, 2015, 30(6): 1039-1041.
15.	夏蕙, 顧鳴敏, 陸斌杰, 等. 國內醫學院校 PBL 教學的回顧與展望. 中國高等醫學教育, 2012(9): 6-7.
16.	張宗霞, 張銘光. 以問題為基礎的教學模式下精細化教學方案在臨床教學中的應用. 華西醫學, 2017, 32(8): 1289-1291.
17.	印義瓊, 劉春娟, 文曰, 等. 以團隊為基礎的教學與以問題為基礎的教學整合教學法在靜脈治療專科護理臨床教學中的應用. 華西醫學, 2016, 31(4): 768-770.
18.	呂磊, 張正厚. PBL 與 CBL 對翻轉課堂教學模式中課前學習質量的影響. 中國高等醫學教育, 2018(5): 115-116, 118.

1. 張婧, 孟巖, 楊昆, 等. “四維一體”神經內科住院醫師規范化培訓模式及其實施效果. 華西醫學, 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. 葉珊, 宋紅松, 趙海燕, 等. 基于核心勝任力的階梯式評估反饋模式對神經科住院醫師培訓的思考. 中國卒中雜志, 2020, 15(10): 1134-1137.
4. 朱正日, 劉婉露, 沙瑞華, 等. 淺談 Mini-CEX 量表在住院醫師規范化培訓中的應用. 微量元素與健康研究, 2021, 38(1): 80-81.
5. 李彬寅, 陳施吾, 王剛. 簡易臨床評估演練(Mini-CEX)在神經病學臨床教學師生雙向評估中的應用研究. 中華醫學教育探索雜志, 2018, 17(10): 1037-1041.
6. 謝穎, 羅軼瑋, 徐增光, 等. 迷你臨床演練評估在臨床實踐形成性評價中的應用探索. 中華醫學教育探索雜志, 2020, 19(12): 1480-1484.
7. 劉慧慧, 肖國棟. CBL 聯合 PBL 教學模式在神經病學住院醫師臨床規范化培訓中的應用. 中國煤炭工業醫學雜志, 2018, 21(5): 553-556.
8. 王冬欣, 張志濤, 張婧, 等. 案例教學法結合翻轉課堂教學模式在神經感染臨床教學中的應用. 中國病案, 2022, 23(11): 100-103.
9. 周玥, 陳建軍, 楊江生, 等. 基于案例的“翻轉課堂”在腎臟病臨床實習教學中的應用. 高校醫學教學研究(電子版), 2017, 7(3): 36-39.
10. 薛青, 楊瑩雪, 陳佳, 等. CBL 教學法在癲癇亞專科住院醫師培養中的應用. 神經疾病與精神衛生, 2020, 20(11): 817-819.
11. 陳佳, 王玉平. 多學科協作教學在癲癇臨床教學中的應用. 中華醫學教育雜志, 2018, 38(2): 269-271, 310.
12. 吳憂, 徐彬, 張志田, 等. 基于微信平臺的翻轉課堂在神經病學教學中的應用. 中華醫學教育探索雜志, 2020, 19(4): 415-419.
13. 金碩果, 詹華奎, 羅梅, 等. 案例為基礎的學習模式在神經內科臨床教學中的應用. 中國中醫藥現代遠程教育, 2017, 15(9): 1-2.
14. 蒲丹, 唐懷蓉, 陳相軍, 等. 醫學模擬聯合病案教學在急診科進修醫師培訓中的應用. 華西醫學, 2015, 30(6): 1039-1041.
15. 夏蕙, 顧鳴敏, 陸斌杰, 等. 國內醫學院校 PBL 教學的回顧與展望. 中國高等醫學教育, 2012(9): 6-7.
16. 張宗霞, 張銘光. 以問題為基礎的教學模式下精細化教學方案在臨床教學中的應用. 華西醫學, 2017, 32(8): 1289-1291.
17. 印義瓊, 劉春娟, 文曰, 等. 以團隊為基礎的教學與以問題為基礎的教學整合教學法在靜脈治療專科護理臨床教學中的應用. 華西醫學, 2016, 31(4): 768-770.
18. 呂磊, 張正厚. PBL 與 CBL 對翻轉課堂教學模式中課前學習質量的影響. 中國高等醫學教育, 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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