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Received:April 01, 2023 Published Online:October 20, 2023
Received:April 01, 2023 Published Online:October 20, 2023
中文摘要: 目的 探讨“基于影像存档与通信系统(PACS)导入临床真实案例”在医学影像学课堂教学改革中的实践效果。
方法 以南京中医药大学中医学专业八年制学生的教学方式为研究对象，依托附属医院远程PACS导入临床真实案例，采用多平面重建(MPR)、容积重建(VR)呈现三维立体图像，实施案例式教学、动态教学、翻转课堂等线上线下多种教学模式。通过课堂测试、阶段性测验、师生互动、问卷调查实时记录形成性评价中的所需项目，及时反馈教学评价，构建医学影像学课程教学的综合教学评价体系。
结果 中医八年制19级学生医学影像学综合能力测试均分为（87.2±4.8）分；问卷调查结果显示学生、教师对各单项评分的平均值均在8.9分以上，反映出教学双方对“基于PACS导入临床真实案例医教融合模式”均有较高评价。
结论 基于精准医疗时代背景下，借助互联网移动教学平台，提供多元化的教学资源，打造“以学生为中心”的智慧课堂，创新医学影像学医教融合新模式，即课前（知识回顾、新课预习）—课中（真实案例引导、PACS进课堂、小组讨论、教师总结）—课后（知识巩固、课外拓展），有效推动了临床课程教学体系的优化，有利于切实提升中医本科人才的临床实践能力。
Abstract:Objective To explore the practical effect of “importing clinical real cases based on picture archiving and communication system (PACS)”in the classroom teaching reform of medical imaging.
Methods The teaching methods of eight-year students majoring in Chinese medicine at Nanjing University of Chinese Medicine were selected as the research objects, relying on the remote PACS of the affiliated hospital to import real clinical cases. MPR and VR were used to present three-dimensional images, and various online and offline teaching modes such as case-based teaching, dynamic teaching and flipping classrooms were implemented. The required items in formative evaluation were recorded in real time through classroom tests, periodic tests, teacher-student interaction and questionnaire survey, and teaching evaluation was timely feedback to construct a comprehensive teaching evaluation system for medical imaging course teaching.
Results The average score of the comprehensive ability test of medical imaging for students in an eight-year program of traditional Chinese medicine (enrolled in 2019) was (87.2±4.8) points. The results of the questionnaire survey showed that the mean values of scores of students and teachers were all above 8.9 points, which reflected that both teachers and students had a high evaluation on “the medical education integration model of importing clinical real case based on PACS”.
Conclusion Based on the background of precision medicine era, with the help of the internet mobile teaching platform, this teaching reform provides diversified teaching resources, creates a student-centered smart classroom, and innovates a new model of medical imaging medical education integration, that is, before class (knowledge review, new lesson preview)—during class (real case guidance, PACS entering the classroom, group discussion, teacher summary)—after class (knowledge consolidation, extracurricular expansion), which actively promotes the optimization of clinical curriculum teaching system and improves the clinical practice ability of Chinese medicine undergraduate talents.
keywords: Medical imaging Image archiving and communication system Real cases Integration of medical education
文章编号： 中图分类号：G642.0 R445 文献标志码：B
基金项目:江苏省教育科学“十四五”规划2021年度高教重点课题 (B/2021/01/44)；江苏高校优势学科建设工程三期项目（苏政办发［2018］87）；南京中医药大学中医学优势学科教育教学改革研究课题（ZYX03JG015）
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