2022年中国医师协会发布了包括6项核心胜任力在内的医师胜任力模型。基于工作场所的形成性评价是落实胜任力导向医学教育的重要方法。其中，以直接观察评价，如迷你临床演练(mini-clinical evaluation exercise，mini-CEX)、直视下操作技能评价(direct observation of procedural skills，DOPS)等，与多源评价(360度评价)，对胜任力评价的覆盖面最广，置信职业行为(entrustable professional activities，EPAs)也值得探索。通过设计综合评价系统，成立临床胜任力评价委员会(clinical competency committee，CCC)以及加强医学教育的外部条件保证等有助于胜任力评价的实施。将胜任力导向医学教育向院校教育阶段延伸是提升医学教育质量的重要措施。
Formative assessment of the model of Chinese physician competency:design,implementation,and thinking
In 2022,Chinese Medical Doctor Association issued the model of physician competency that includes six core competencies.Workplace-based formative assessment is an important method for the implementation of competency-based medical education,among which direct observation assessment,such as mini-clinical evaluation exercise and direct observation of procedural skills,together with multi-source assessment(i.e.,360-degree assessment),widely covers competency assessment,and entrustable professional activities(EPAs)are also worth exploring.Design of a comprehensive assessment system,establishment of a clinical competency committee,and enhancement of the external conditions of medical education may help with the implementation of competency assessment.Extending competency-based medical education to the stage of undergraduate education is an important measure to improve the quality of medical education.
Competency modelFormative assessmentDirect observation assessment360-Degree assessmentEntrustable professional activities
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