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已发表论文
肾内科住院医师培训中线上教学查房与床边教学查房的比较
Authors Han B, Yang F, Yang M, Yang Q, Xiong Y, Ma K
Received 18 June 2025
Accepted for publication 24 October 2025
Published 19 November 2025 Volume 2025:16 Pages 2115—2122
DOI https://doi.org/10.2147/AMEP.S548103
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Md Anwarul Azim Majumder
Bin Han,1 Fuye Yang,1 Muying Yang,2 Qiongying Yang,1 Yabing Xiong,1 Kunling Ma1
1Department of Nephrology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of China; 2Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of China
Correspondence: Kunling Ma, Department of Nephrology, The Second Affiliated Hospital of Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou, Zhejiang, 310009, People’s Republic of China, Email klma@zju.edu.cn; shjtdxsnk@163.com
Background: Most surveys today show a marked decline in traditional beside teaching rounds (BTR) in medical education. The online-to-offline (O2O) teaching mode has been associated with improvement of academic performance of learners. This study aimed to compare the O2O teaching rounds (O2OTR) with BTR on a nephrology inpatient service and assess efficiency and satisfaction among residents.
Methods: A total of 79 trainees who participated in the nephrology residency training, were randomized either to the O2OTR group or the BTR group (control). Theoretical knowledge tests, clinical case scenarios, and questionnaires were integrated to systematically assess the teaching efficacy.
Results: Thirty-eight residents were assigned to the O2OTR group, while the other 41 were assigned to the BTR group. Baseline demographics and performance were comparable between groups. Residents in the O2OTR group demonstrated superior performance in clinical case scenarios compared to those in the BTR group (P < 0.001) at 2 months after teaching. Moreover, O2OTR residents expressed more positive attitudes toward their clinical thinking proficiency (P < 0.001), and exhibited higher satisfaction with their teaching rounding style (P = 0.004) than their BTR counterparts.
Conclusion: This study suggests that the O2OTR mode serves as an effective and alternative approach in the nephrology residency training.
Keywords: online-to-offline, teaching rounds, bedside, residency training, nephrology
1Department of Nephrology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of China; 2Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of China
Correspondence: Kunling Ma, Department of Nephrology, The Second Affiliated Hospital of Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou, Zhejiang, 310009, People’s Republic of China, Email klma@zju.edu.cn; shjtdxsnk@163.com
Background: Most surveys today show a marked decline in traditional beside teaching rounds (BTR) in medical education. The online-to-offline (O2O) teaching mode has been associated with improvement of academic performance of learners. This study aimed to compare the O2O teaching rounds (O2OTR) with BTR on a nephrology inpatient service and assess efficiency and satisfaction among residents.
Methods: A total of 79 trainees who participated in the nephrology residency training, were randomized either to the O2OTR group or the BTR group (control). Theoretical knowledge tests, clinical case scenarios, and questionnaires were integrated to systematically assess the teaching efficacy.
Results: Thirty-eight residents were assigned to the O2OTR group, while the other 41 were assigned to the BTR group. Baseline demographics and performance were comparable between groups. Residents in the O2OTR group demonstrated superior performance in clinical case scenarios compared to those in the BTR group (P < 0.001) at 2 months after teaching. Moreover, O2OTR residents expressed more positive attitudes toward their clinical thinking proficiency (P < 0.001), and exhibited higher satisfaction with their teaching rounding style (P = 0.004) than their BTR counterparts.
Conclusion: This study suggests that the O2OTR mode serves as an effective and alternative approach in the nephrology residency training.
Keywords: online-to-offline, teaching rounds, bedside, residency training, nephrology