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Implementation of a “Flipped Classroom” for Neurosurgery Resident Education

机译:为神经外科居民教育实施“翻转课堂”

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Introduction: Engaging residents across a multiyear training spectrum is challenging given the heterogeneity of experience and limited time available for educational activities. A “flipped classroom” model, in which residents prepare ahead of time for mentored topic discussions, has potential advantages. Methods: We implemented a curriculum consisting of topics distributed across the specialty. Weekly, each resident was randomly assigned to research a specific aspect of an assigned topic appropriate to his or her level of experience: junior residents about what characterizes each clinical entity, midlevel residents about when to intervene, and chief residents about how to administer treatment. Residents completed an anonymous survey 6 months after implementation. Board examination performance was assessed before and after implementation. Results: A total of 12 residents participated in the program. Weekly, 1.75±0.40 hours were spent in preparation, with senior residents reporting less time than junior residents. All residents indicated that the accumulation of experience across 7 years of residency was a major advantage of this program, and all preferred it to lectures. Performance on the board examination significantly increased after implementation (from 316±36 to 468±45, p<0.05). Conclusions: The flipped classroom is a viable approach to resident education and is associated with increased engagement and improved performance using validated knowledge-assessment tools.
机译:导言:鉴于经验的多样性和可用于教育活动的时间有限,跨多年培训范围吸引住院医师是一项挑战。“翻转课堂”模式有潜在的优势,在这种模式中,居民提前准备接受指导的主题讨论。方法:我们实施了一个由分布在整个专业的主题组成的课程。每周一次,每名住院医师被随机分配到与其经验水平相适应的指定主题的特定方面进行研究:初级住院医师了解每个临床实体的特征,中级住院医师了解何时进行干预,主要住院医师了解如何进行治疗。实施6个月后,居民完成了一项匿名调查。在实施前和实施后对董事会考试成绩进行评估。结果:共有12名居民参与了该项目。每周,1.75±0.40小时用于准备,老年居民报告的时间少于年轻居民。所有居民都表示,在7年的住院期间积累经验是该项目的主要优势,而且所有人都喜欢它而不是讲座。实施后,董事会考试成绩显著提高(从316±36提高到468±45,p<0.05)。结论:翻转课堂是一种可行的住院教育方法,与使用经验证的知识评估工具提高参与度和绩效有关。

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