基于微信平台的翻转课堂在神经病学教学中的应用

目的探讨基于微信平台的翻转课堂在神经病学教学中的应用及其效果。方法以浙江中医药大学滨江学院2014级临床医学专业学生为教学对象,设一班、三班共74名学生为实验组,二班38名学生为对照组。选择周围神经病、神经肌肉-接头疾病为教学内容,实验组采用翻转课堂教学,并利用微信平台进行课前预习、课后复习和互动交流;对照组采用传统教学。两组学生课前和课后分别进行微测试、不记名问卷调查;课程结束后统一进行期末考试,其中包含病例分析题,记录并分析每组学生期末考试和病例分析题成绩。所有数据用SPSS 20.0处理,行t检验或卡方检验。结果实验组学生的课后微测试成绩明显高于对照组(P=0.038);期末考试成绩高于对照组(P=0.046),且期末考试中病例分析题得分高于对照组(P=0.026)。课前问卷调查显示,在学习内容了解程度和预习情况的评价上,实验组选择"良"的学生比例高于对照组(P<0.05)。课后问卷调查显示,实验组在学习兴趣的评价中选择"优""良"的学生比例均高于对照组(P<0.05);自学能力评价中选择"良"的学生比例、临床思维能力和教学满意度评价中选择"优"的学生比例均高于对照组(P<0.05);且实验组在所有项目评价中选择"优""良"的学生总体比例均高于对照组(P<0.05)。课后实验组学习兴趣评价中选择"优""良"的学生总体比例高于课前(P<0.01)。结论基于微信平台的翻转课堂在神经病学教学中的应用可行且有效,可弥补传统教学的不足,有助于提高学生的学习兴趣和自主学习能力、锻炼学生的临床思维,值得推广。

Application of flipped classroom based on Wechat platform in the neurology teaching

Objective To discuss the application and effectiveness of the flipped classroom based on Wechat platform in the teaching of neurology.Methods clinical students of grade 2014 of binjiang college of Zhejiang Chinese Medical University were selected as teaching subject.The students were divided into experimental group which contained a total of 74 students in class one and class three and the control group which contained a total of 38 students in class two.Peripheral neuropathy and neuromuscular-junction disease were selected as teaching contents.The experimental group adopted flipped classroom as the teaching mode and Wechat platform for pre-class preparation,after-school review and interactive communication.The control group was taught by traditional teaching mode.Before and after class,students in the two groups had a small-scale test and were surveyed by questionnaire,respectively.Students in the two groups took the same final exam which included case analysis when the course was over.The scores of the final exam and the results of the case analysis of each group were recorded and analyzed.All data were processed with statistical software SPSS 20.0,and t-test or chi-square test was used.Results Students in the experimental group had significantly higher test scores in the after-class small-scale test than those in the control group(P=0.038).Their final exam scores were higher than those in the control group(P=0.046),and their scores of case analysis in the final exam were higher than those in the control group(P=0.026).The results of pre-class questionnaire survey showed that the proportion of students who chose"good"in the experimental group was higher than that in the control group on the understanding of the learning content and the preparation(P<0.05).In the after-class questionnaire survey,the proportion of students who chose"excellent"and"good"in the evaluation of learning interest in the experimental group was higher than those in the control group(P<0.05),the proportion of students in the experimental chose"good"in evaluating their self-learning ability was higher than that in the control group(P<0.05),the proportion of"excellent"on clinical thinking ability and teaching satisfaction was higher in the experimental group than that in the control group(P<0.05),and the overall proportion of students who chose"excellent"and"good"in all items in the experimental group were higher than that in the control group(P<0.05).In the experimental group,the overall proportion of students who selected"excellent"and"good"in on the evaluation of their learning interest was significantly increased in the after-class questionnaire survey compared with the pre-class questionnaire survey(P<0.01).Conclusions The application of flipped classroom based on Wechat platform is feasible and effective in the teaching of neurology.It can make up for the deficiency of traditional teaching methods.It is helpful to improve students'learning interest and self-learning ability,and is also helpful to exercise their clinical thinking ability.Thus this method deserves further popularization.