【摘要】 目的 探索岗位胜任力指导的翻转课堂(FC)在中枢神经系统病原微生物感染性疾病教学中应用的效果。方法 选择2023年4月至2023年8月在本院神经内科规培的78名学员为教学对象，教学内容为中枢神经系统病感染相关知识。将规培生随机分成传统组(n=39)和FC组(n=39),分别采取传统教学、岗位胜任力指导的FC式教学。比较两组考核成绩、职业能力[采用迷你临床演练(Mini-CEX)评分表评定]、批判性思维能力[采用批判性思维能力检测表(CTDI-CV)评定]及规培生对教学的评价。结果 FC组授课后理论知识、技能考核得分和传统组相比均更高(P<0.05);授课后，FC组Mini-CEX中7项评分均高于授课前及同期传统组(P<0.05);FC组CTDI-CV中7项评分及总分和传统组相比均更高(P<0.05),对教学满意度的评分和传统组相比亦更高(P<0.05)。结论 在中枢神经系统感染性疾病教学中应用岗位胜任力指导的FC式教学法，其教学成效优于传统教学法，可增强规培生职业能力及批判性思维能力，提高规培生对教学的好评度。更多还原

【Abstract】 Objective To explore the application effect of flipped classroom(FC) guided by job competence in the teaching of pathogenic microorganisms infectious diseases in the central nervous system. Methods From April 2023 to August 2023,78 students who were trained in the Department of Neurology at our hospital were regarded as the teaching subjects, and the teaching content covered knowledge related to central nervous system infections. The trainees were randomly separated into a traditional group(n=39) and an FC group(n=39),respectively, using traditional teaching and job competency guidance in FC style teaching. The assessment scores, professional abilities [assessed using the Mini Clinical Exercise(Mini CEX) scoring table],critical thinking abilities [assessed using the Critical Thinking Ability Test(CTDI-CV)],and the evaluation of teaching by trainees in the two groups were compared. Results The theoretical knowledge and skill assessment scores of the FC group after teaching were higher than those of the traditional group(P<0.05),after teaching, the scores of 7 items in the Mini CEX of the FC group were higher than before teaching and than those of the traditional group during the same period(P<0.05). The scores of 7 items and total score in the CTDI-CV of the FC group were higher than those of the traditional group(P<0.05),and the scores of teaching satisfaction were also higher than those of the traditional group(P<0.05). Conclusion The FC teaching method guided by job competence in the teaching of infectious diseases in the central nervous system is better than the traditional teaching method, which can enhance the professional ability and critical thinking ability of the trainees and improve their praise for teaching.更多还原