关键词： Oncology nutrition   Resident physicians   Knowledge and performance   Medical education   Case-based teaching  

摘要： Residents are actively involved in patient assessment and all aspects of patient care, and they are critical in providing nutritional support education and treatment for patients with cancer. This study aims to assess the nutritional knowledge and performance of resident physicians, providing insights into existing gaps in awareness and practices related to cancer nutrition. A total of 300 resident physicians undergoing standardized residency training in China participated in this study. An anonymous online questionnaire covering demographic characteristics, nutritional knowledge, clinical practice, and training requirements was designed and administered through the "Wenjuanxing" platform. Data were collected from June 1, 2023, to July 31, 2023. Among the participants, only 40.00% demonstrated adequate knowledge of cancer nutrition, and merely 32.00% exhibited proficient performance in nutritional care. Socio-demographic analysis revealed that residents without affiliations and those specializing in obstetrics and gynecology had superior knowledge, while surgery specialists showed significantly worse performance. Most participants expressed a lack of exposure to cancer nutrition education during academic and standardized residency training. The study highlights the demand for enhanced education and the preference for case-based teaching methods. The findings underscore an urgent need for comprehensive oncology nutrition education within China's standardized residency training. Targeted interventions and curriculum enhancements are essential to improve medical talent development and enhance patient care outcomes in oncology. The study emphasizes the critical role of practical, case-based teaching methods in addressing identified gaps in nutritional knowledge and practices among resident physicians.

关键词： knowledge   learners   curriculums   pain   medicine  

摘要： Introduction Pain medicine is an advanced medical subspecialty incorporating trainees from diverse primary disciplines. A curriculum that does not assess or promote the trainees' differential expertise developed from their primary specialties may silo instead of promoting collaborative learning in a multidisciplinary *** We created a Kern-guided curriculum for the pain medicine fellowship utilizing case-based modules and a novel note-taking and knowledge-sharing format. Nine faculty-led, case-based modules of increasing complexity were developed based on pain medicine competency content. Pain medicine fellows were instructed to actively designate prior and new knowledge into 4 categories: prior knowledge that is accurate and relevant, inaccurate prior knowledge, new knowledge gained from peers, and new knowledge for all trainees. After each case study, each fellow acknowledged "new knowledge gained from peers" and prepared a brief teach-back of "new knowledge for all trainees" at the beginning of the next session. Fellow participants were assessed for their reactions to the curriculum via anonymized *** The curriculum was implemented at a single institution pain medicine fellowship from 2021 to 2023. At the end of this curriculum, 90% of participants reported improved knowledge retention through participating in this case-based curriculum compared to the traditional didactic format, and 80% of participants reported increased respect for their *** We created a novel note-taking and knowledge-sharing platform, anchored by a well-established case-based educational strategy, to improve the learning environment and knowledge retention for multidisciplinary trainees with heterogeneous baseline knowledge.

关键词： Case Based Learning   Flipped Classroom   Teaching effect   Nephrology   Medical students  

摘要： BackgroundBedside teaching remains a challenging endeavor for clinical doctors and medical students, as the students often encounter difficulties in applying their knowledge to clinical situations. This study aims to evaluate the efficacy of combining case-based learning (CBL) with a flipped classroom (FC) approach in nephrology bedside *** total of 92 medical students were enrolled in this study, including clerks and interns. The students were assigned into two groups. The CBL/FC group students received the combined teaching approach of CBL and FC (CBL/FC). Students who received the traditional lecture-based teaching (LBT) approach were treated as the control group. General knowledge tests, clinical case scenarios, and questionnaires were used to evaluate the teaching ***-two students were included in this study. Overall, 46 students were assigned to the CBL/FC group, while the other 46 students were assigned to the LBT group. The students in both groups showed comparable performance in the knowledge test. However, in clinical case scenarios, students in the CBL/FC group demonstrated superior performance compared to those in the LBT group. Additionally, the analysis of questionnaires revealed that the CBL/FC group students expressed more positive attitudes toward their proficiency in medical history taking, physical examination, medical record documentation, clinical reasoning, and consideration for patients' welfare. Moreover, the students from the CBL/FC group regarded the CBL/FC teaching approach as an effective and satisfying method without increasing the learning *** study reveals that the CBL/FC combined teaching approach shows promise in nephrology education and provides an effective and alternative format for medical teaching.

关键词： active learning   case-based learning   physiology   role-playing situational teaching method   undergraduate medical education  

摘要： Embedding clinically relevant learning experience in basic science subjects is desired for the preclinical phase of undergraduate medical education. The present study aimed to modify case-based learning (CBL) with a role-playing situational teaching method and assess the student feedback and learning effect. One hundred seventy-six sophomore students majoring in clinical medicine from Harbin Medical University were randomly divided into two groups: the control group (n = 90), who received traditional hybrid teaching, and the experimental group (n = 86), who received the role-playing situational teaching. Students in the experimental group were given a 1-wk preclass preparation to dramatize a hyperthyroidism scenario through online autonomous learning of thyroid physiology and performed the patient's consultation process in class, followed by a student presentation about key points of lecture content and a question-driven discussion. A posttest and questionnaire survey were conducted after class. The test scores of the two groups had no statistical differences, whereas the rate of excellence (high scores) of the experimental group was significantly higher than that of the control group. Furthermore, the record of online self-directed learning engagements was significantly improved in the experimental group. In the questionnaire, >70% of the students showed positive attitudes toward the role-playing situational teaching method and were willing to participate in other chapters of the physiology course. Such results show that CBL supported by a role-playing situational teaching method encourages active learning and improves the application of basic knowledge of physiology, which can be incorporated in the preclinical curricula to bridge the gap between theory and practice. NEW & NOTEWORTHY Formal application through structured role-play is often overlooked in physiology education. In traditional case-based learning (CBL), clinical cases are the subject and unfocused dis

关键词： 信息技术   设计思维   STEM项目   教学实践  

摘要： 利用信息技术作为核心工具来促进跨学科整合、项目驱动学习、制作原型和模型等,在开展项目和解决问题的过程中,突出信息技术在STEM设计思维的项目和实践中的重要作用,旨在培养学生的信息技术应用能力和数字化解决问题的技能。

关键词： 产出导向法   CiteSpace   对外汉语教学  

摘要： 产出导向法应用在对外汉语教学领域,能够促进二语教学理念的本土化发展,提升对外汉语教学的质量。文章以中国知网、万方和维普三个数据库为研究对象,基于主题“产出导向法”并含“对外汉语教学”,对2016-2023年间的相关文献进行可视化分析。其研究的主题主要有教学设计、线上教学、口语教学、驱动环节等,研究前沿转变为行动研究、偏误分析等,对POA的实证研究不断优化,但从教材资源编纂、教师课程设计及教学方法实践来看,仍有不足。

关键词： 人工智能   机器学习   可视化教学   TensorFlow Playground   Jupyter Notebook  

摘要： 目的:随着人工智能技术的飞速发展,机器学习被视为其中的核心领域之一,这无疑对教育领域提出了新的挑战。因此,必须加快提高机器学习导论教学质量,以保证相关领域专业人才的平衡。方法:文章通过分析现有的教学方法,明确机器学习在人工智能领域的重要性,并阐述实施可视化案例教学的现实需求。同时,在传统教学的基础上结合TensorFlow Playground和Jupyter Notebook等现代化工具,提出一种结合理论与实践、直观与互动的教学模式,借助可视化案例教学的创新方式,开展机器学习导论教学研究,以期提升学生的学习兴趣和实际应用能力。结果:可视化案例教学的设计与应用,可以强化机器学习导论课程的教学效果,特别是在针对非专业学生的教学中,可以借助可视化案例教学直观、形象、动态的呈现方式,将复杂的代码及问题进行转化和简化,以便学生能够更好地理解与分析。其中,分别对TensorFlow Playground和Jupyter Notebook等工具开展实践,通过可视化案例的全方位展现,为学生创造出优质、直观的学习环境,使机器学习导论课程教学呈现出良好的效果。结论:使用可视化案例教学方法及工具,能够使学生更直观地理解机器学习的概念和原理,借助简单、直观的呈现方式,提升学生的理解和实践能力。同时,可视化教学不仅能够激发学生的学习兴趣,还能培养学生解决实际问题的能力。

关键词： 案例式教学法   中医老年病   中医老年医学研究生   临床带教   教学效果  

摘要： 目的探讨案例式教学法在中医老年医学研究生中的教学效果,为提高教学质量提供参考依据。方法以2022年9月16日-2022年10月15日期间在某三甲医院老年病科学习的100名专业型研究生为研究对象,随机分为对照组和实验组,对照组(n=50)采用传统教学方法,实验组(n=50)采用案例式教学法。通过使用考试成绩和问卷调查相结合的方式,比较2组学生的中医老年病学理论成绩、实践操作成绩、学生的自我评价、对教学法的评价和对教师的评价方面的差异,对2种教学模式的教学效果进行评价。结果实验组理论成绩和实践技能操作成绩分别为(85.78±6.08)分和(89.12±6.40)分,高于对照组,差异有统计学意义;学生的自我评价方面,实验组调查问卷各项结果均显著优于对照组,差异有统计学意义;对教学法的评价方面,实验组在教学引起好奇心、教学文本内容符合兴趣、教学能加深对老年病的理解和掌握、能从中学到一些意料之外的知识、努力得到肯定、教学有关于如何运用理论知识的说明方面的调查问卷分数均显著高于对照组,差异有统计学意义,在文本内容比想象中困难、讨论难度太大、教学模式增加了学习负担方面实验组的调查问卷分数均显著低于对照组,差异均有统计学意义;对教师的评价方面,实验组在教学开始前教师能适当引导学生收集资料、教学过程中教师能进行有针对性的引导、教学过程中教师能深入了解学生想法、教学过程中教师能补充讲解最新进展、整体上教师的角色扮演是称职的方面的调查问卷分数均显著高于对照组,差异均有统计学意义;实验组在教学过程中教师没有过多表达他自己的意见调查问卷分数显著低于对照组,差异有统计学意义。结论案例式教学法在中医老年医学研究生临床教学中应用,可提高学生的理论成绩和操作成绩,提高学生对自我及带教老师的满意度,引起学生的好奇心及培养创新性思维,加深学生对中医老年病学的理解和掌握,这种带教模式值得进一步研究和推广。

关键词： 康复胜任力   作业治疗   本科教学   基于案例学习法   循证实践  

摘要： 目的 探讨基于案例学习法(CBL)结合PICOS在作业治疗本科教学中的效果。方法 2023年2月至2024年6月,对南京医科大学康复医学院43名作业治疗本科大三学生开展CBL结合循证实践PICOS的作业治疗核心课程教学,在学期初和学期末采用循证实践能力评估量表进行评估。结果 学期末,学生的文献质量评价、找出最佳科学证据、评价论文质量、对研究进行实用性分析、应用PICOS提出临床问题、评价研究结果的主要关联测量法、了解不同证据级别以及常用循证实践数据库方面的自我评价改善(χ^(2)> 4.778,P <0.05),对不知道采用决策程序或健康干预的不同推荐强度(χ^(2)=7.938,P <0.01)的自我评价低于学期初。循证实践态度、技能水平和知识水平均改善。结论 CBL与PICOS联合应用能够提升作业治疗本科教学效果,提高学生循证实践能力。

关键词： 呼吸内科   以问题为导向的教学模式   以病例为导向的教学模式  

摘要： 目的:分析以问题为导向(PBL)的教学模式联合以病例为导向(CBL)的教学模式在呼吸内科临床教学中的应用效果。方法:选取2020年1—12月于成都市第二人民医院接受呼吸内科临床教学的临床医学专业学生68例作为研究对象,随机分为参照组(n=34)与研究组(n=34)。参照组实施传统教学模式,研究组实施CBL联合PBL教学模式。比较两组临床成绩、教学满意度。结果:两组基础知识成绩比较,无统计学差异(P>0.05);研究组基础知识成绩、临床操作成绩、总成绩高于参照组(P<0.05)。研究组教学总满意度高于参照组(P=0.046)。结论:CBL联合PBL教学模式在呼吸内科临床教学中的应用效果显著,可提高学生临床成绩和教学满意度。