Abstract:

Objective To evaluate the effectiveness of online training of coronavirus disease 2019 (COVID-19) control for cerebrovascular disease (CVD) residents, summarize the online teaching processes during the pandemic, and offer reference for normalized online teaching. Methods Online training was conducted for all CVD residents in our hospital during the pandemic, with the training contents including the following aspects: clinical skills, clinical knowledge, COVID-19 prevention and control, diagnosis and treatment, patients visit and treatment workflow. The effectiveness of online training was evaluated by comparing the test scores before and after the training. Results A total of 189 residents were trained through online courses and evaluated. The evaluation results showed that the total score and the scores of the above aspects after the training were all higher than that before the training (all P <0.001). The generalized equation model analysis result showed the total score after the training was 9.14 (95%CI 7.22-11.06) points higher than that before the training (P <0.001), after adjusting for education, degree and etc. Conclusions The online courses for CVD residents contributed to improving response to the COVID-19. The educators should balance the benefits and shortcomings of online courses to guarantee the quality of medical teaching.

Key words: Online teaching; Cerebrovascular disease; Residence; Teaching effectiveness;Medical education

摘要：

目的 本研究对疫情期间通过网络教学实施的新型冠状病毒相关内容培训进行效果评价，并对网 络教学实践过程进行总结分析，为脑血管病住院医师规范化培训网络教学的开展及教学质量提高 提供参考。 方法 组织2017-2019级脑血管病住院医师进行新型冠状病毒相关内容网络教学培训，培训内容 包括操作规范、病毒知识与防控要点、诊断与治疗、诊疗流程等。采用自身对照研究的方法，通过对 比住院医师培训前后两次考核成绩对实施的网络教学进行效果评价。 结果 共189名脑血管病住院医师参加培训及考核。根据培训前后考试成绩的差异性分析结果，培 训后辅助检查、院感、诊断与治疗、防控、诊疗流程五项内容分数及总分均高于培训前（均P＜0.001）。 根据广义方程模型分析结果，校正学历和规培年限等因素后，培训后考试总分较培训前高9.14分 （95%CI 7.22～11.06，P＜0.001）。 结论 脑血管病住院医师网络教学培训效果较好，教学管理者需要充分发挥网络教学的优势，规 避劣势，将网络教学纳入脑血管病住院医师常态化教学活动。

关键词: 网络教学; 脑血管病; 住院医师; 教学效果; 医学教育