Blended Learning for teaching Renal Pathology in Medical Residency - a report

Abstract: Introduction: Blended Learning can be used as a pedagogical resource to the traditional ways of teaching. The lack of a Renal Pathology laboratory can result in a gap in the training of resident physicians in Nephrology. This study describes how complementing the content with the use of an online Renal Pathology atlas was described by resident physicians. Experience report: A virtual atlas of Renal Pathology prepared by preceptors of the Medical Residencies of Nephrology and Pathology was presented to eight resident physicians enrolled in the service, who, for fifteen days, included the studies of this content in their activities. The residents evaluated the teaching-learning experience through a focus group. Discussion: Online teaching strategies can be used to complement the knowledge acquired during Medical Residency. However, it is important that this stage of the blended learning strategy be motivating in the students’ view, adapting to the moment experienced by resident physicians, who already have a pre-determined workload. These points were among the emerging topics in the thematic analysis of the content of the focus group, which also included suggestions from the students on how to modify the content presentation. Conclusion: The inclusion of blended learning strategies can help the training of resident physicians, as well as open space for student production. Inter-institutional partnerships should be developed to overcome barriers to e-learning development by medical trainers.

摘要：
引言：混合式学习（Blended Learning）可作为传统教学方式的教学辅助资源。肾脏病理实验室的缺失，可能会导致肾脏病学住院医师的培训存在内容缺口。本研究阐述了肾脏病学住院医师对在线肾脏病理图谱补充教学内容的使用评价与体验。
实践报告：由肾脏病学与病理学医学住院医师培训带教教师编制的虚拟肾脏病理图谱，被提供给8名在岗住院医师。这些医师在15天内将该图谱相关内容的学习纳入日常培训与工作活动中。住院医师通过焦点小组讨论对本次教学实践体验进行了评价。
讨论：在线教学策略可用于补充医学住院医师培训期间所习得的专业知识。但需注意，混合式学习策略的该环节需获得学员认可并具备激励性，同时需适配住院医师本就繁重的既定工作量。上述要点以及学员关于优化内容呈现方式的建议，均为焦点小组内容主题分析中涌现出的核心议题。
结论：纳入混合式学习策略有助于住院医师的规范化培训工作，同时可为学员产出学习成果提供空间。医学培训者应开展跨机构合作，以破解电子学习（e-learning）开发过程中的各类障碍。