摘要
背景 全科住院医师规范化培训以提高岗位胜任力为核心,是培养合格全科医生的关键.结业考核可以从整体上评价培训效果,检验全科医生岗位胜任力的获得情况.目前,我国结业考核仍处于发展阶段,与岗位胜任力的联系较为薄弱.目的 构建基于岗位胜任力的全科住院医师规范化培训结业考核指标体系,为完善我国全科结业考核体系提供参考依据.方法 于 2023-04-25-30,邀请北京市、上海市、河北省、江苏省、浙江省、辽宁省、内蒙古自治区、海南省、宁夏回族自治区、四川省 10 个省(市)的 32 名专家参加德尔菲专家咨询.通过文献研究和德尔菲专家咨询法,构建全科住培结业考核指标体系,并采用乘法模型确定指标权重.结果 在第一轮和第二轮咨询中均发放问卷 32 份,回收 32 份,其中有效问卷 32 份,专家积极系数为 100.0%,权威系数>0.8,各级指标的重要性协调系数分别为 0.382、0.284、0.265,可行性协调系数为 0.415、0.359、0.332,最终确定的考核指标体系包括 6 个一级指标、24 个二级指标、50 个三级指标.一级指标分别为临床专业知识和技能的应用、对家庭的照顾能力、基本公共卫生服务能力、沟通合作与协调能力、人文素养和职业精神、临床带教和科研能力,其权重分别为0.505、0.061、0.109、0.134、0.125、0.066.结论 本研究初步探索并构建了基于岗位胜任力的全科住院医师规范化培训结业考核指标体系,对进一步研究结业考核内容和完善结业考核体系具有一定的参考意义,并对提高住院医师规范化培训质量和全科医师岗位胜任力具有重要的现实意义.
Abstract
Background Competency development is the core of residency training in general practice,as well as the key to training qualified general practitioners.Summative assessment can evaluate overall training outcome and the attainment of general practitioner competencies.Summative assessment in general practice is still in developing in China,and its relevance to competencies is relatively weak.Objective To develop competency based summative assessment indicator framework of residency training in general practice,and to provide reference for improving the summative assessment system in China.Methods From 2023-04-25 to 30,32 experts from 10 provinces,including Beijing,Shanghai,Hebei,Jiangsu,Zhejiang,Liaoning,Inner Mongolia Autonomous Region,Hainan,Ningxia Hui Autonomous Region and Sichuan Province were invited to participate in Delphi Expert Survey.The indicator framework of summative assessment was established through literature review and Delphi expert survey.The weight of indicators was determined by multiplicative model.Results In both the first and second rounds of expert survey,32 questionnaires were issued and 32 were recovered,which were all valid.The positive coefficient was 100.0%,the authority coefficient was>0.8,the importance coordination coefficient of indicators at all levels respectively was 0.382,0.284,0.265,and the feasibility coordination coefficient was 0.415,0.359,0.332.The final summative assessment indicator framework consisted of 6 first-tier indicators,24 second-tier indicators and 50 third-tier indicators.The first-tier indicators include application of clinical professional knowledge and skills,the ability to take care of the family,the ability to provide basic public health services,the ability to communicate,cooperate and coordinate,humanistic ability and professionalism,clinical teaching and scientific research ability,and the weights were 0.505,0.061,0.109,0.134,0.125 and 0.066,respectively.Conclusion This study preliminarily explored and constructed competency based summative assessment indicator framework of residency training in general practice,which provides reference for further research on the contents of summative assessment and on the improvement of summative assessment system in China.The framework is important for improving the quality of residency training and competencies of general practitioners.
基金项目
首都医科大学教育教学改革研究项目(2022)(2022JYZ014)
维普
万方数据