张利伟 禹晶 王文斌 张秉全 翟婷婷

摘  要：本研究“互联网+实践见习教学”的线上、线下混合式教学改革，解决传统实践教学模式单一、无法有效承担学生临床思维、无法有效使学生进入“早临床、多临床、反复临床”模式等问题。将2018级临床医学专业本科学生作为研究对象，随机分配将其学生分成两个组，每组学生数为50名。全部学生自愿参加本次教学研究，与授课教师共同完成医生与病人见习课的全部教学内容。提高自主学习能力的程度为92%，提高动手能力的程度为93%等。线上线下融合模式的教学改革， 学生学习的主动性、积极性和创造性得到调动，不断提高临床实践教学质量， 使“互联网+”的教学改革模式发生质的变化，大幅度提升教育教学改革的品质，适应新时代教学理念。

关键词：“互联网+”  现场实践  翻转课堂  实践课程  医生与患者

中图分类号：G642                            文献标识码：A文章编号：1674-098X（2021）04（b）-0206-03

Research on the Application of Online and Offline Mixed Teaching Mode in the Doctor and Patient Internship

ZHANG Liwei  YU Jing  WANG Wenbin  ZHANG Bingquan  ZHAI Tingting

（The Second Affiliated Hospital of Qiqihar Medical University， Qiqihar， Heilongjiang Province，

160000  China）

Abstract： This study is a mixed teaching reform of "Internet+ Practice Teaching" online and offline teaching. To solve the problems of single traditional practice teaching mode， unable to effectively undertake students' clinical thinking， unable to effectively enable students to enter the "early clinical， multi clinical， repeated clinical" mode. 2018 clinical medicine undergraduate students were randomly divided into two groups with 50 students in each group. All the students volunteered to participate in the teaching research， and completed all the teaching contents of the doctor and patient internship together with the teachers. The degree of improving self-learning ability was 92%， and the degree of improving hands-on ability was 93%. The online and offline fusion mode of teaching reform， students' learning initiative， enthusiasm and creativity are stimulated， and constantly improve the quality of clinical practice teaching， so that the "Internet plus" teaching reform mode will change qualitatively， greatly improve the quality of education and teaching reform， and adapt to the new era of teaching philosophy.

Key Words： "Internet+"; On-site practice; Flip classroom; Practice curriculum; Doctors and patients

MOOC課、SPOC课、微课等网络在线教学模式兴起了一场突飞猛进的“互联网+”的新时代教育教学革命， 这场革命带来了教学新模式、学生学习方式、医学人才培养模式、教学管理模式和教学评价等全面的教学变革[1-2]。如何正确迎接这一新时期的网络变革时代是每位教学工作者所接受的新改革课题。通过本文的研究发现，网络教学可以实现在线课程内容与传统课堂内容的互补优势， 网络教学克服传统教学课堂和在线教学课堂的不足之处，它既发挥教师的启发、引导、监控教学的主要作用，又可实现充分调动了学生在线学习课程中的互动性、主动性的“混合式教学模式”创新教学模式。……