强化本科生医学教育：虚拟现实与基于案例学习在肩关节医学中的整合
Enhancing medical education for undergraduates: integrating virtual reality and case-based learning for shoulder joint.
机构信息
Department of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Department of Physical Medicine and Rehabilitation, The Second Clinical College, China Medical University, Shenyang, Liaoning, China.
出版信息
BMC Med Educ. 2024 Oct 7;24(1):1103. doi: 10.1186/s12909-024-06103-9.
BACKGROUND
The integration of Virtual Reality (VR) with Case-Based Learning (CBL) has the potential to revolutionise undergraduate medical education, particularly in complex subjects such as the anatomy and rehabilitation of the shoulder joint. This study aimed to explore the effectiveness of this innovative approach in enhancing learning outcomes and knowledge retention.
METHODS
This study employed a parallel-group, assessor-blinded randomised controlled trial (RCT) design. A comprehensive five-week educational programme was developed, combining traditional lecture-based learning with VR-enhanced CBL. The study involved 82 undergraduate students from China Medical University, who were divided into groups receiving different combinations of VR and CBL. Student performance was evaluated through tests and questionnaires.
RESULTS
In the anatomy-related courses, the integration of VR technology with CBL yielded significantly higher results (87.71 ± 5.60) compared to traditional methods (82.59 ± 6.64), with a statistically significant difference (P < 0.05). This provides compelling evidence of VR's potential to enhance student engagement and knowledge retention. In the context of physiotherapy-related courses, however, while the test scores of the VR-combined CBL group (81.85 ± 5.99) were marginally higher than those of the traditional CBL group (79.02 ± 7.57), this difference was not statistically significant (P > 0.05).
CONCLUSION
The present study provides preliminary evidence for the benefits of incorporating VR into medical education, particularly in anatomy. While the results are promising, further research is needed to explore the optimal integration of VR and CBL in rehabilitation studies and to assess their long-term impact on student learning and clinical performance.
TRIAL REGISTRATION
The study was registered with Chinese Clinical Trials Registry (Registration Number: ChiCTR2400089295) on 05/09/2024.
背景
虚拟现实（VR）与基于案例的学习（CBL）的整合有可能彻底改变本科医学教育，特别是在复杂的主题，如肩部的解剖结构和康复。本研究旨在探索这种创新方法在提高学习成果和知识保留方面的有效性。
方法
本研究采用平行组、评估者盲法随机对照试验（RCT）设计。开发了一个综合的五周教育计划，将传统的基于讲座的学习与 VR 增强的 CBL 相结合。该研究涉及中国医科大学的 82 名本科生，他们被分为接受不同 VR 和 CBL 组合的小组。通过测试和问卷评估学生的表现。
结果
在解剖学相关课程中，与传统方法（82.59±6.64）相比，VR 技术与 CBL 的结合产生了显著更高的结果（87.71±5.60），具有统计学意义上的差异（P<0.05）。这有力地证明了 VR 提高学生参与度和知识保留的潜力。然而，在物理治疗相关课程中，虽然 VR 结合 CBL 组的测试分数（81.85±5.99）略高于传统 CBL 组（79.02±7.57），但差异没有统计学意义（P>0.05）。
结论
本研究为将 VR 纳入医学教育，特别是在解剖学方面提供了初步证据。虽然结果很有希望，但需要进一步研究来探索 VR 和 CBL 在康复研究中的最佳整合，并评估它们对学生学习和临床表现的长期影响。
试验注册
该研究于 2024 年 05 月 09 日在中国临床试验注册中心（注册号：ChiCTR2400089295）注册。
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