Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (6): 139-144.doi: 10.6040/j.issn.1673-3770.0.2023.171

• Clinical Study • Previous Articles     Next Articles

Application study of the MDT module combined with a flipped classroom in clinical teaching of pediatric OSA

ZONG Chunlin, LU Jinbiao, YANG Yong, SU Zhongping, YU Bo   

  1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, School of Stomatology, The Fourth Military Medical University, Xi'an 710032, Shaanxi, China
  • Published:2023-12-15

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Abstract: Objective To explore the application effects of the multidisciplinary treatment(MDT)module combined with flipped classroom teaching methodology on the clinical teaching of obstructive sleep apnea(OSA)in children. Methods Students who entered the School of Stomatology, Fourth Military Medical University, for clinical internships in June 2022 were selected as the research subjects and were randomly divided into the traditional teaching group(n=22, those taught via traditional classroom teaching)and the MDT teaching group(n=23, those taught via the MDT module combined with a flipped classroom teaching method). After the course, the satisfaction of teaching methods was evaluated through a questionnaire survey and the degree of knowledge mastering was evaluated by theoretical examinations. The results were statistically analyzed. Results The results showed that the average score of the MDT group's theoretical exam was significantly higher than that of the traditional group(P<0.05). The survey questionnaire results showed that the MDT group scored significantly higher than the traditional group in terms of classroom interest, classroom interaction, knowledge mastery, autonomous learning ability, teamwork enhancement, and teaching mode preference. However, the scores of learning efficiency and teachers' role embodiment displayed no significant difference between the two groups. Conclusion The combination of the MDT mode and flipped classroom teaching method can improve clinical teaching effects of internship students in terms of pediatric OSA.

Key words: Multidisciplinary treatment, Pediatric obstructive sleep apnea, Flipped classroom, Clinical teaching.

CLC Number: 

  • R766
[1] 中国儿童OSA诊断与治疗指南制订工作组,中华医学会耳鼻咽喉头颈外科学分会小儿学组,中华医学会儿科学分会呼吸学组,等.中国儿童阻塞性睡眠呼吸暂停诊断与治疗指南(2020)[J]. 中国循证医学杂志, 2020, 20(8): 883-900. doi: 10.3760/cma.j.cn115330-20200521-00431
[2] Redline S, Azarbarzin A, Peker Y. Obstructive sleep apnoea heterogeneity and cardiovascular disease[J]. Nat Rev Cardiol, 2023, 20(8): 560-573. doi:10.1038/s41569-023-00846-6
[3] Ersu R, Chen ML, Ehsan Z, et al. Persistent obstructive sleep apnoea in children: treatment options and management considerations[J]. Lancet Respir Med, 2023, 11(3): 283-296. doi:10.1016/S2213-2600(22)00262-4
[4] 金霄雪, 韩莹莹, 郭瑞祥, 等. 替牙期扁桃体伴腺样体肥大患儿过敏因素与颌面畸形的相关性[J]. 山东大学耳鼻喉眼学报, 2022, 36(2): 45-50. doi: 10.6040/j.issn.1673-3770.0.2021.531 JIN Xiaoxue, HAN Yingying, GUO Ruixiang, et al. Correlation between allergy factors and maxillofacial malformation in children with tonsil and adenoid hypertrophy in denture replacement period[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 45-50. doi: 10.6040/j.issn.1673-3770.0.2021.531
[5] 李青松,卢书明,吕秀鹏,等. MDT模式在放疗相关肿瘤心脏病教学中的应用与思考[J]. 中国继续医学教育, 2019, 11(34): 57-59. doi:10.3969/j.issn.1674-9308.2019.34.023 LI Qingsong, LU Shuming, LÜ Xiupeng, et al. Application and thinking of MDT model in radiotherapy-related cardio-oncology teaching[J]. China Continuing Medical Education, 2019, 11(34): 57-59. doi: 10.3969/j.issn.1674-9308.2019.34.023
[6] 陶丽婵,王婷婷,徐佳妮, 等. MDT教学法在糖尿病并发症中的应用[J]. 中国继续医学教育, 2022, 14(17): 74-77. doi:10.3969/j.issn.1674-9308.2022.17.019 TAO Lichan,WANG Tingting, XU Jiani, et al. Application of MDT teaching mode in diabetic complications[J]. China Continuing Medical Education, 2022, 14(17): 74-77. doi:10.3969/j.issn.1674-9308.2022.17.019
[7] 张一彤,刘海琴,任晓勇.儿童阻塞性睡眠呼吸暂停相关认知障碍的研究现状、问题与展望[J].山东大学耳鼻喉眼学报, 2021, 35(2): 119-124. doi: 10.6040/j.issn.1673-3770.0.2020.187 ZHANG Yitong, LIU Haiqin, REN Xiaoyong. Cognitive and behavioral dysfunction related to obstructive sleep apnea in children: current status, problems, and prospects[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 119-124. doi: 10.6040/j.issn.1673-3770.0.2020.187
[8] Marshall AM, Conroy ZE. Effective and time-efficient implementation of a flipped-classroom in preclinical medical education[J]. Med Sci Educ, 2022, 32(4): 811-817. doi:10.1007/s40670-022-01572-3
[9] 刘燕,魏萍,寇巍,等.儿童腺样体肥大与耳鼻咽喉科常见疾病关系的研究进展[J].山东大学耳鼻喉眼学报, 2019, 33(4): 149-154. doi:10.6040/j.issn.1673-3770.0.2018.266 LIU Yan, WEI Ping, KOU Wei,et al.Research of the relationship between adenoid hypertrophy and the common diseases of pediatric otolaryngology[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 149-154. doi:10.6040/j.issn.1673-3770.0.2018.266
[10] 顾伟, 樊悦, 霍红, 等. 小耳畸形-颌面发育不全儿童的阻塞性睡眠呼吸暂停[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(4): 371-374, 379. doi:10.13201/j.issn.2096-7993.2021.04.020 GU Wei, FAN Yue, HUO Hong, et al. Obstructive sleep apnea in children with microtia-maxillofacial dysplasia[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2021, 35(4): 371-374. doi:10.13201/j.issn.2096-7993.2021.04.020
[11] 梁迎香, 张智勇. 颅面短小畸形患者睡眠呼吸暂停综合征的诊疗进展[J]. 中国美容整形外科杂志, 2023, 34(4): 239-242. doi:10.3969/j.issn.1673-7040.2023.04.013
[12] 刘少锋, 黄桂亮, 黄振云, 等. 扁桃体部分切除术治疗儿童阻梗性睡眠呼吸暂停综合征86例[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 50-54. doi: 10.6040/j.issn.1673-3770.1.2020.093 LIU Shaofeng, HUANG Guiliang, HUANG Zhenyun, et al. Partial tonsillectomy for 86 cases of obstructive sleep apnea syndrome in children[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 50-54. doi: 10.6040/j.issn.1673-3770.1.2020.093
[13] 臧艳姿, 娄颖, 李靖, 等.口面肌功能训练联合肌功能矫治器在儿童OSA术后康复治疗中的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2022(6): 457-462. doi: 10.13201/j.issn.2096-7993.2022.06.010 ZANG Yanzi, LOU Ying, LI Jing, et al. Clinical application of orofacial myofunctional therapy combined with muscle functionnal appliance in postoperative rehabilitation of children with OSA[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2022(6): 457-462. doi: 10.13201/j.issn.2096-7993.2022.06.010
[14] 李玉杰, 韩伟, 黄炜, 等.加速康复外科在44例悬雍垂腭咽成形术中的应用[J]. 山东大学学报(医学版), 2020, 58(11): 92-97. doi:10.6040/j.issn.1671-7554.0.2020.0908 LI Yujie, HAN Wei, HUANG Wei, et al. Application of enhanced recovery after surgery in 44 cases of uvulopalatopharyngoplasty[J]. Journal of Shandong University(Health Science), 2020, 58(11): 92-97. doi:10.6040/j.issn.1671-7554.0.2020.0908
[15] 吴云肖, 万真, 孔凡颖, 等. 睡眠呼吸障碍儿童注意缺陷、多动-冲动的特征分析[J]. 中国全科医学, 2022(2): 180-184. doi:10.12114/j.issn.1007-9572.2021.01.036 WU Yunxiao, WAN Zhen, KONG Fanying, et al. Characteristics of attention deficit and hyperactivity disorder in children with sleep-disordered breathing[J]. Chinese General Practice, 2022(2):180-184. doi:10.12114/j.issn.1007-9572.2021.01.036
[16] Watanabe M, Otake R, Kozuki R, et al. Recent progress in multidisciplinary treatment for patients with esophageal cancer[J]. Surg Today, 2020, 50(1): 12-20. doi:10.1007/s00595-019-01878-7
[17] Brocco E, Ninkovic S, Marin M, et al. Diabetic foot management: multidisciplinary approach for advanced lesion rescue[J]. J Cardiovasc Surg(Torino), 2018, 59(5): 670-684. doi:10.23736/S0021-9509.18.10606-9
[18] 陈晶, 李志伟, 张艳桥. MDT在肿瘤领域的发展[J]. 现代肿瘤医学, 2019, 27(5): 895-899. doi:10.3969/j.issn.1672-4992.2019.05.045
[19] 华婷, 张颖顺. 基于MDT模式下精准化护理在老年慢性心力衰竭患者中的价值研究[J]. 中外医疗, 2022,41(28): 165-169. doi:10.16662/j.cnki.1674-0742.2022.28.165 HUA Ting, ZHANG Yinshun. Research on the value of precision nursing based on MDT mode in elderly patients with chronic heart failure[J]. China & Foreign Medical Treatment, 2022, 41(28): 165-169. doi:10.16662/j.cnki.1674-0742.2022.28.165
[20] 张艳娟,唐义虎.基于MDT模式的外科临床教学实践案例分析[J].电子技术, 2020, 49(10): 184-185
[21] 王奕, 张琛, 徐祺洋. 案例和问题教学法联合MDT在放射肿瘤科住培中的应用[J]. 中国毕业后医学教育, 2023(3): 240-242. doi:10.3969/j.issn.2096-4293.2023.03.012 WANG Yi, ZHANG Chen, XU Qiying. Application of CPBL combined with MDT in standardized residency training of radiation oncology[J]. Chinese Journal of Graduate Medical Education, 2023(3): 240-242. doi:10.3969/j.issn.2096-4293.2023.03.012
[22] 任颖, 唐飞龙, 潘明. 儿童血液肿瘤疾病MDT模式在急性白血病合并感染中的应用[J]. 齐齐哈尔医学院学报, 2023, 44(6): 550-553. doi:10.3969/j.issn.1002-1256.2023.06.012 REN Ying, TANG Feilong, PAN Ming. Application of hematological tumor disease MDT model in children with acute leukemia complicated with infection[J]. Journal of Qiqihar University of Medicine, 2023, 44(6): 550-553. doi:10.3969/j.issn.1002-1256.2023.06.012
[23] 肖芒, 吴玉婷, 叶荆, 等. CBL联合MDT教学培养模式在头颈肿瘤规培教学中的应用价值[J]. 全科医学临床与教育, 2023, 21(2): 147-149. doi: 10.13558/j.cnki.issn1672-3686.2023.002.014 XIAO Mang, WU Yuting, YE Jing, et al. Application value of CBL combined with MDT teaching and training mode in head and neck tumor standardiza? tion training teaching[J]. Clinical Education of General Practice, 2023, 21(2): 147-149, 153. doi: 10.13558/j.cnki.issn1672-3686.2023.002.014
[24] 谢坤林, 刘畅, 代佳灵, 等. CBL联合MDT模式在肝细胞癌临床教学中的应用[J]. 中国继续医学教育, 2022, 14(9): 50-53. doi:10.3969/j.issn.1674-9308.2022.09.014 XIE Kunlin, LIU Chang, DAI Jialin, et al. Application of MDT teaching mode combined with case-based learning in clinical training of hepatocellular carcinoma[J]. China Continuing Medical Education, 2022, 14(9): 50-53. doi:10.3969/j.issn.1674-9308.2022.09.014
[25] Kang HY, Kim HR. Impact of blended learning on learning outcomes in the public healthcare education course: a review of flipped classroom with team-based learning[J]. BMC Med Educ, 2021, 21(1): 78. doi:10.1186/s12909-021-02508-y
[26] 唐波, 张琳景, 杨敏, 等. 翻转课堂在医学教学中的应用现状及前景[J]. 重庆医学, 2019, 48(22): 3942-3945. doi:10.3969/j.issn.1671-8348.2019.22.042
[27] 王津津, 赵阳, 贺晨阳,等.基于CBL+MDT的远程翻转课堂教学模式在牙周病规培教学中的应用[J].医学教育研究与实践, 2022(5): 634-640. doi: 10.13555/j.cnki.c.m.e.2022.05.023 Wang JJ, Zhao Y, He CY, et al. Application of the remote flipped classroom teaching mode which based on CBL+MDT in clinical standardized training of periodontics during COVID-19 pandemic[J]. Medical Education Research and Practice, 2022(5): 634-640. doi: 10.13555/j.cnki.c.m.e.2022.05.023
[28] 余乔, 吴佳, 王宇芳. MDT翻转课堂教学法在炎症性肠病教学中的应用[J]. 中国继续医学教育, 2022, 14(15): 71-74. doi:10.3969/j.issn.1674-9308.2022.15.019 YU Qiao, WU Jia, WANG Yufang. Application of multidisplinary team discussion and flipped classroom in inflammatory bowel disease teaching for under-graduated students[J]. China Continuing Medical Education, 2022, 14(15): 71-74. doi:10.3969/j.issn.1674-9308.2022.15.019
[29] 张新, 郑瑞, 印慨. MDT联合翻转课堂在临床八年制胃癌教学中的应用[J]. 中国继续医学教育, 2022, 14(2): 67-70. doi:10.3969/j.issn.1674-9308.2022.02.018 ZHANG Xin, ZHENG Rui, YIN Kai. Research on gastric cancer teaching on eight-year medical students based on MDT combined with flipped classroom mode[J]. China Continuing Medical Education, 2022, 14(2): 67-70. doi:10.3969/j.issn.1674-9308.2022.02.018
[30] El Sadik A, Al Abdulmonem W. Improvement in student performance and perceptions through a flipped anatomy classroom: shifting from passive traditional to active blended learning[J].Anat Sci Educ, 2021,14(4): 482-490. doi:10.1002/ase.2015
[31] 杜雅冰, 王焕荣, 张炜, 等. 翻转课堂结合多学科综合治疗教学模式在肿瘤临床教学中应用的探索[J]. 肿瘤基础与临床, 2021, 34(6): 546-548. doi:10.3969/j.issn.1673-5412.2021.06.026 DU Yabing, WANG Huanrong, ZHANG Wei, et al. Exploration on the application of flip classroom combined with multidisciplinary comprehensive treatment teaching model in tumor clinical teaching[J]. Journal of Basic and Clinical Oncology, 2021, 34(6): 546-548. doi:10.3969/j.issn.1673-5412.2021.06.026
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