康复治疗师继续教育病例库联合案例学习法的设计与运用效果OA

Objective To investigate the demand and the application outcomes of case-based learning(CBL)combined with teach-ing case library in continuing education courses for rehabilitation therapists. Methods A convergent mixed-methods research design was adopted,involving 51 rehabilitation therapists and 31 in-structors who participated in the advanced training program at the Department of Rehabilitation Medicine,Pe-king University Third Hospital between October,2022 and October,2024.Self-developed questionnaires were used to collect data on the perceived needs of teachers and students regarding CBL and teaching case library.Dif-ferences between CBL+teaching case library and traditional lecturing in student evaluations,classroom partici-pation and interaction were compared using Student Evaluation of Teaching in Medical Lectures,Classroom Par-ticipation Scale and Flanders Interaction Analysis System.Semi-structured interviews were conducted to obtain evaluations and attitudes towards this method from both instructors and students'perspectives. Results The survey showed that 91.4%of participating teachers and students supported the use of CBL in the courses,and 82.7%advocated that the teaching case library should include typical cases.Significant differences were ob-served in teaching preference between teachers and students(χ²=17.597,P<0.01).Application effects demon-strated that CBL+teaching library significantly outperformed traditional teaching methods in student previewing behaviors,classroom interaction and learning outcomes(|Z|≥2.646,P<0.01).Flanders Interaction Analysis indi-cated that CBL+teaching library was superior to traditional teaching in terms of students'motivation to speak and autonomous learning.Qualitative Research generated four positive themes including cultivating clinical reason-ing,being close to clinical practice,deepening knowledge understanding and improving teaching quality;and three negative themes including increasing teaching burden,high software and hardware requirements and posing great challenges to students were generated. Conclusion Compared with traditional teaching methods,CBL combined with teaching case library is closely linked to clinical practice,facilitating students'clinical reasoning,enhancing teaching effectiveness and satisfaction,and therefore aligning with the goals and needs of continuing education for rehabilitation therapists,which is highly recognized by both instructors and students.