案例学习法结合Seminar在物理治疗实践教学中的应用

doi:10.3969/j.issn.1006-9771.2024.03.016

Abstract

Abstract:

Objective To explore the effect of seminar based on case-based learning (CBL) in practical teaching of physical therapy.

Methods From July, 2021 to June, 2022, 42 rehabilitation therapy students for internships in Rehabilitation Medicine Center, the First Affiliated Hospital of Nanjing Medical University were non-directionally recruited, and randomly divided into control group (n = 21) and experimental group (n = 21). The experimental group received instruction using seminar and CBL, while the control group received CBL alone, for three months. The scores of theoretical and practical assessments were observed, and the satisfaction was investigated using a self-designed questionnaire.

Results The scores of both theoretical and practical assessments were better in the experimental group than in the control group (t > 2.421, P < 0.05); while the satisfaction was better in terms of motivating learning enthusiasm, enhancing learning abilities, cultivating clinical reasoning skills, improving teacher-student communication, promoting teamwork, enhancing overall competence, and satisfying to the teaching in the experimental group than in the control group (χ² > 6.667, P < 0.05).

Conclusion The combination of seminar with CBL would enhance the effect of practical teaching in physical therapy.

Key words: physical therapy, practical teaching, rehabilitation competence, seminar, case-based learning

CLC Number:

R49-4

ZHU Lan, GUO Chuan, HUANG Sisi, JI Panpan, CHENG Yihui, SHEN Ying. Application of seminar in addition to case-based learning in physical therapy practical teaching[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(3): 368-372.

Figures/Tables 2

References 26

[1]	谢凌锋, 许涛, 刘雅丽, 等. 国内康复治疗教育现状的研究[J]. 中国康复, 2019, 34(10): 557-560.
[2]	JONES A Y M, SKINNER M A, DEAN E. 中国物理治疗教育的发展[J]. 康复学报, 2018, 28(3): 1-5.
	JONES A Y M, SKINNER M A, DEAN E. Evolution of physical therapy education in China and use of simulation-based learning to maximize clinical placement outcomes[J]. Rehabil Med, 2018, 28(3): 1-5.
[3]	王伟铭, 王亚飞, 林武剑, 等. 物理治疗从业人员现状调查分析[J]. 中国康复医学杂志, 2022, 37(3): 361-365.
[4]	张振发, 张桂芳, 韩秀兰, 等. 自主式查房教学方式对康复治疗专业实习生临床带教的效果[J]. 中国康复医学杂志, 2023, 38(10): 1432-1435.
[5]	王凤怡, 钟雨希, 宗慧燕, 等. 基于岗位胜任力的康复治疗专业临床实习教学改革实践[J]. 卫生职业教育, 2023, 41(19): 64-67.
	WANG F Y, ZHONG Y X, ZONG H Y, et al. Reform and practice of clinical internship teaching in rehabilitation therapy specialty based on post competency[J]. Health Vocation Educ, 2023, 41(19): 64-67.
[6]	邱卓英, 郭键勋, 孙宏伟, 等. 世界卫生组织康复胜任力架构及其在康复领域的系统应用:理论架构、方法和应用领域[J]. 中国康复理论与实践, 2022, 28(3): 265-274. doi: 10.3969/j.issn.1006-9771.2022.03.002
	QIU Z Y, KWOK J K F, SUN H W, et al. Systematic implementation of World Health Organization rehabilitation competency framework in rehabilitation: conceptual framework, approaches and application[J]. Chin J Rehabil Theory Pract, 2022, 28(3): 265-274.
[7]	张艳明, 杨翠翠, 宋为群, 等. 以问题为基础的教学法结合循证医学在康复治疗专业临床带教中的应用研究[J]. 中国康复医学杂志, 2022, 37(5): 671-673.
[8]	张向华, 陈芙. Seminar的哲学、心理学和教育学理论基础分析[J]. 东北农业大学学报(社会科学版), 2014, 12(6): 78-82.
[9]	李菊花. 布鲁纳认知发现理论对教育教学的启示[J]. 延边教育学院学报, 2022, 36(1): 134-135, 138.
[10]	许凤娟, 穆景颂, 黄炎, 等. 基于互联网的Seminar教学法在康复医学科临床带教中的应用[J]. 中国康复医学杂志, 2023, 38(4): 516-518.
[11]	ZENG H L, CHEN D X, LI Q, et al. Effects of Seminar teaching method versus lecture-based learning in medical education: a meta-analysis of randomized controlled trials[J]. Med Teacher, 2020, 42(12): 1343-1349. doi: 10.1080/0142159X.2020.1805100
[12]	王飞, 王安庆. 以问题为基础的学习法结合案例学习法在康复治疗学骨科见习教学中的应用[J]. 中国康复理论与实践, 2018, 24(10): 1237-1240. doi: 10.3969/j.issn.1006-9771.2018.10.021
	WANG F, WANG A Q. Application of case-based learning combined with problem-based learning in teaching of orthopedic practice for rehabilitation therapy[J]. Chin J Rehabil Theory Pract, 2018, 24(10): 1237-1240.
[13]	王熠钊, 罗璨, 李倩, 等. 基于临床情景模拟的康复医学TBL教学设计效果分析[J]. 中国康复医学杂志, 2021, 36(4): 466-468.
[14]	周蕴弢, 林枫, 杨云, 等. 康复治疗学本科生岗位胜任力现况调查研究:以南京医科大学为例[J]. 中国康复医学杂志, 2023, 38(3): 373-376.
[15]	林诚, 潘燕霞, 陈秀云, 等. 以胜任力和创新力为导向的康复治疗学专业多元化实训教学体系的构建及实践[J]. 中国康复医学杂志, 2022, 37(6): 813-815.
[16]	张菁, 黄燕, 秦凯, 等. Seminar教学法联合CBL在肿瘤康复教学中的应用[J]. 中国康复, 2020, 35(4): 221-224.
	ZHANG J, HUANG Y, QIN K, et al. Application of Seminar teaching method combined with case-based learning in cancer rehabilitation teaching[J]. Chin J Rehabil, 2020, 35(4): 221-224.
[17]	孟晓丽, 高丽华, 米博驰, 等. Seminar教学法在神经内科临床实习教学模式中的改革初探[J]. 中国实验诊断学, 2018, 22(9): 1675-1677.
[18]	LI P, ZENG B, CHEN X, et al. Seminar-case learning model improves clinical teaching: a prospective randomized controlled trial[J]. Peer J, 2021, 9: e11487. doi: 10.7717/peerj.11487
[19]	吕海丽, 张名霞, 曹连杰, 等. Seminar联合病案导入式教学法在耳鼻咽喉科临床见习中的应用[J]. 中国耳鼻咽喉颅底外科杂志, 2019, 25(6): 683-686.
	LÜ H L, ZHANG M X, CAO L J, et al. Application of Seminar teaching combined with case-based learning in clinical teaching of otolaryngology[J]. Chin J Otorhinolaryngol Skull Base Surgery, 2019, 25(6): 683-686.
[20]	张磊, 姜勇, 刘微, 等. Seminar教学法结合案例教学在医学遗传学教学中的应用[J]. 吉林医药学院学报, 2023, 44(2): 153-154.
[21]	孟凡萍, 张娟, 周一心, 等. 基于ICF框架下CBL教学模式在住培医师神经康复临床教学中的探索[J]. 贵州中医药大学学报, 2023, 45(3): 88-93.
	MENG F P, ZHANG J, ZHOU Y X, et al. An investigation on CBL teaching model in clinical teaching of neurorehabilitation for resident physicians based on ICF framework[J]. J Guizhou Univ Tradit Chin Med, 2023, 45(3): 88-93.
[22]	YANG Y, YAO J, XU L, et al. A comparative study of Seminars combined with case-based learning versus lecture-based learning for cancer pain teaching in medical oncology internship[J]. J Pain Res, 2021, 14: 2665-2675. doi: 10.2147/JPR.S320498 pmid: 34483686
[23]	王明, 薛秋红. Seminar结合CBL教学模式在康复治疗学本科临床实习教学中的应用[J]. 西南军医, 2020, 22(6): 595-597.
[24]	唐乐天, 刘妤姝, 马可, 等. 基于世界卫生组织康复胜任力架构构建我国康复核心专业本科教学内容体系[J]. 中国康复理论与实践, 2023, 29(11): 1276-1285. doi: 10.3969/j.issn.1006-9771.2023.11.005
	TANG L T, LIU Y S, MA K, et al. Systematic construction of undergraduate curriculum for rehabilitation based on WHO rehabilitation competency framework[J]. Chin J Rehabil Theory Pract, 2023, 29(11): 1276-1285.
[25]	YOUNG A, SKUDUTYTE-RYSSTAD R, TORGERSEN G, et al. Teaching radiographic caries detection and treatment planning: a Seminar using an audience response system[J]. Caries Res, 2022, 56(3): 226-233. doi: 10.1159/000526109
[26]	CHANG W, ZHU L, WEN L, et al. Effectiveness of Seminar-case learning for use in practice teaching of statistics for undergraduates majoring in preventive medicine: a prospective cluster-randomized controlled trial[J]. BMC Med Educ, 2022, 22(1): 1-7. doi: 10.1186/s12909-021-03037-4

组别	n	性别(男/女)/n	年龄/岁	学历(本科/非本科)/n	入科考核成绩/分
对照组	21	8/13	20.57±3.82	10/11	63.29±4.74
试验组	21	7/14	21.52±1.40	9/12	62.71±4.78
χ²/t值		0.104	1.074	0.096	-0.389
P值		0.747	0.289	0.757	0.700

组别	n	非常好	较好	一般	差	χ²值	P值
调动学习积极性						11.556	0.003
对照组	21	5	8	8	0
试验组	21	13	8	0	0
提高学习能力						14.478	0.005
对照组	21	3	14	4	0
试验组	21	12	9	0	0
培养临床推理思维						26.914	0.001
对照组	21	3	2	16	0
试验组	21	17	4	0	0
提高师生互动沟通能力						6.667	0.036
对照组	21	8	12	1	0
试验组	21	16	4	1	0
提高医患沟通能力						0.104	0.747
对照组	21	7	14	0	0
试验组	21	8	13	0	0
加强理论与实践更好结合						5.325	0.070
对照组	21	5	8	8	0
试验组	21	10	9	2	0
提高团队协作能力						11.877	0.003
对照组	21	4	6	11	0
试验组	21	14	5	2	0
提高自身整体水平						11.897	0.003
对照组	21	2	14	5	0
试验组	21	11	10	0	0
对此教学方法的满意度						9.545	0.002
对照组	21	5	16	0	0
试验组	21	15	6	0	0

Application of seminar in addition to case-based learning in physical therapy practical teaching

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