Research on the construction of evaluation index system for "early clinical contact" education of undergraduate medical students

Deng Siqi; Pan Xiaoyan; Li Fang; Liu Ting; Chen Ouying; Li Dongya

doi:10.3760/cma.j.cn116021-20211101-01272

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Research on the construction of evaluation index system for "early clinical contact" education of undergraduate medical students

Teaching Reform | 更新时间：2023-06-08

- Research on the construction of evaluation index system for "early clinical contact" education of undergraduate medical students
- Chinese Journal of Medical Education Research Vol. 22, Issue 5, Pages: 679-684(2023)
- 作者机构：
  
  湖南中医药大学护理学院，长沙　410208
- 作者简介：
  
  Pan Xiaoyan, Email: 570843418@qq.com
- 基金信息：
  
  Research Project on Teaching Reform of Ordinary Colleges and Universities in Hunan Province(HNJG-2021-0593)
- DOI：10.3760/cma.j.cn116021-20211101-01272
  CLC： R-05
- Published：20 May 2023，
  
  Received：01 November 2021，
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邓斯琪, 潘晓彦, 李芳, 等. 本科医学生“早期接触临床”教育评价指标体系构建研究[J]. 中华医学教育探索杂志, 2023, 22(5): 679-684.

Deng Siqi, Pan Xiaoyan, Li Fang, et al. Research on the construction of evaluation index system for "early clinical contact" education of undergraduate medical students. [J]. Chinese Journal of Medical Education Research 22(5):679-684(2023)
邓斯琪, 潘晓彦, 李芳, 等. 本科医学生“早期接触临床”教育评价指标体系构建研究[J]. 中华医学教育探索杂志, 2023, 22(5): 679-684. DOI： 10.3760/cma.j.cn116021-20211101-01272.

Deng Siqi, Pan Xiaoyan, Li Fang, et al. Research on the construction of evaluation index system for "early clinical contact" education of undergraduate medical students. [J]. Chinese Journal of Medical Education Research 22(5):679-684(2023) DOI： 10.3760/cma.j.cn116021-20211101-01272.

摘要

目的

构建临床医学专业本科生“早期接触临床”教育评价指标体系，为评价医学教学中开展“早期接触临床”教育提供指导依据。

方法

通过文献研究法、德尔菲专家咨询法及层次分析法构建本科医学生“早期接触临床”教育评价指标体系并确定各指标权重。采用Excel 2010、SPSS 25.0进行数据录入及统计分析。

结果

两轮专家函询的专家积极程度分别为100.00%（26/26）、96.15%（25/26），专家权威系数分别为0.900、0.920，协调系数分别为0.255、0.175（

0.05）。构建的本科医学生“早期接触临床”教育评价指标体系包括4项一级指标、12项二级指标和47项三级指标。

结论

该指标体系具有较高的科学性和可靠性，经进一步验证后可作为临床医学专业本科生“早期接触临床”教育的评价工具。

Abstract

Objective

To construct the evaluation index system of "early clinical contact" education of undergraduate medical students

and to provide guidance for the evaluation of "early clinical contact" education in medical teaching.

Methods

The evaluation index system of "early clinical contact" education of undergraduate medical students was constructed by literature research

Delphi expert consultation and analytic hierarchy process

and the weight of each index was determined. Excel 2010 and SPSS 25.0 were used to make data entry and statistical analysis.

Results

The enthusiasm of experts in the two rounds of expert consultation were 100.00%(26/26) and 96.15%(25/26) respectively

the expert authority coefficients were 0.900 and 0.920

and the coordination coefficients were 0.255 and 0.175 respectively (

0.05). The evaluation index system included 4 first-class indexes

12 second-class indexes and 47 third-class indexes.

Conclusion

The index system has high scientificity and reliability. After further verification

it can be used as an evaluation tool for the teaching quality of "early clinical contact" education of undergraduate medical students.

关键词

本科医学生早期接触临床指标体系德尔菲法

Keywords

Undergraduate medical studentEarly clinical contactIndex systemDelphi method

references

陈文佳，林娜. 医学生早期接触临床教学模式的探讨[J]. 中国病案， 2020， 21（12）： 95-97. DOI: 10.3969/j.issn.1672-2566.2020.12.034http://dx.doi.org/10.3969/j.issn.1672-2566.2020.12.034.

孙孟茹，袁立军，王维庆，等. 医学生人文素养培养路径的构建与实践：基于早期接触临床实践训练课程[J]. 医学与哲学， 2019， 40（4）： 62-64， 68. DOI: 10.12014/j.issn.1002-0772.2019.04.16http://dx.doi.org/10.12014/j.issn.1002-0772.2019.04.16.

李志华. 医学院校教学医院临床实践教学的现状与对策[J]. 科技展望， 2016， 26（22）： 221. DOI: 10.3969/j.issn.1672-8289.2016.22.197http://dx.doi.org/10.3969/j.issn.1672-8289.2016.22.197.

孙娟，王坤，艾力曼·马合木提. 临床本科生早期接触临床教学模式的探讨[J]. 新疆医科大学学报， 2018， 41（11）： 1450-1451. DOI: 10.3969/j.issn.1009-5551.2018.11.032http://dx.doi.org/10.3969/j.issn.1009-5551.2018.11.032.

徐薇薇，高小惠，杨萍，等. 早期接触临床课程体系的建立与实施[J]. 协和医学杂志， 2015， 6（4）： 318-320. DOI: 10.3969/j.issn.1674-9081.2015.04.018http://dx.doi.org/10.3969/j.issn.1674-9081.2015.04.018.

毛芸，欧阳祖彬. 基于PACS的早期接触临床实践在医学影像学教学中的价值研究[J]. 中国高等医学教育， 2017（3）： 18-19. DOI: 10.3969/j.issn.1002-1701.2017.03.007http://dx.doi.org/10.3969/j.issn.1002-1701.2017.03.007.

Nimkuntod P, Kaewpitoon S, Uengarporn N, et al. Perceptions of medical students and facilitators of an early clinical exposure instructional program [J]. Chotmaihet Thangphaet, 2015, 98(Suppl 4): S64-S70.

杨超，翟瑄，何大维，等. 早期接触临床对医学生综合能力及职业认知提升效果评价[J]. 中华医学教育探索杂志， 2019， 18（6）： 610-614. DOI: 10.3760/cma.j.issn.2095-1485.2019.06.016http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2019.06.016.

宋敏，杨阳，诸兰艳，等. 早期临床接触在医学院本科生教学中的实验和探讨[J]. 中国高等医学教育， 2019（3）： 60-61. DOI: 10.3969/j.issn.1002-1701.2019.03.029http://dx.doi.org/10.3969/j.issn.1002-1701.2019.03.029.

李晓红，刘刚，席彪，等. 麻醉学专业实践教学模式探索：早期临床技能实训设计与分析[J]. 中国高等医学教育， 2017（10）： 81-82. DOI: 10.3969/j.issn.1002-1701.2017.10.041http://dx.doi.org/10.3969/j.issn.1002-1701.2017.10.041.

孔燕，左延莉，申颖，等. 全科医学社区实践基地实践教学质量评价指标体系的构建研究[J]. 中国全科医学， 2020， 23（34）： 4362-4371. DOI: 10.12114/j.issn.1007-9572.2020.00.456http://dx.doi.org/10.12114/j.issn.1007-9572.2020.00.456.

Vanichnatee T, Sitticharoon C, Maprapho P, et al. Impact of an early clinical exposure project conducted by senior clinical students compared between participating and nonparticipating students [J]. Adv Physiol Educ, 2018, 42(4): 619-625. DOI: 10.1152/advan.00122.2018http://dx.doi.org/10.1152/advan.00122.2018.

杨永胜，柳琳，郑小奇，等. 早期临床实践对医学相关专业学生的理论知识掌握的分析[J]. 名医， 2018（6）： 151-152.

Golden BP, Henschen BL, Gard LA, et al. Learning to be a doctor: medical students' perception of their roles in longitudinal outpatient clerkships [J]. Patient Educ Couns, 2018, 101(11): 2018-2024. DOI: 10.1016/j.pec.2018.08.003http://dx.doi.org/10.1016/j.pec.2018.08.003.

Gupta A, Singh S, Khaliq F, et al. Development and validation of simulated virtual patients to impart early clinical exposure in endocrine physiology [J]. Adv Physiol Educ, 2018, 42(1): 15-20. DOI: 10.1152/advan.00110.2017http://dx.doi.org/10.1152/advan.00110.2017.

齐德广. 军医大学临床教学质量常态化评价指标体系的构建[D]. 重庆：第三军医大学， 2011.

蔡志奇，郭丽. 预防医学本科专业实习质量评价指标体系研究[J]. 中国高等医学教育， 2011（5）： 65-67， 90. DOI: 10.3969/j.issn.1002-1701.2011.05.031http://dx.doi.org/10.3969/j.issn.1002-1701.2011.05.031.

Diamond IR, Grant RC, Feldman BM, et al. Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies [J]. J Clin Epidemiol, 2014, 67(4): 401-409. DOI: 10.1016/j.jclinepi.2013.12.002http://dx.doi.org/10.1016/j.jclinepi.2013.12.002.

叶腾飞，张兵. 基于层次分析法构建新时代幸福医院内涵建设指标体系的研究[J]. 职业卫生与应急救援， 2021， 39（4）： 398-401. DOI: 10.16369/j.oher.issn.1007-1326.2021.04.007http://dx.doi.org/10.16369/j.oher.issn.1007-1326.2021.04.007.

张宇斐，柴建军，胡冰水，等. 基于德尔菲法和层次分析法的现代医院门诊医疗质控指标体系构建与应用[J]. 中国医院， 2021， 25（3）： 36-39. DOI: 10.19660/j.issn.1671-0592.2021.3.11http://dx.doi.org/10.19660/j.issn.1671-0592.2021.3.11.

李枭鹰，何文栋. 论大学教学管理之制度依赖的内在逻辑[J]. 现代教育管理， 2021（3）： 101-107. DOI: 10.16697/j.1674-5485.2021.03.013http://dx.doi.org/10.16697/j.1674-5485.2021.03.013.

Savitha D, Iyengar A, Devarbhavi H, et al. Early clinical exposure through a vertical integration programme in physiology [J]. Natl Med J India, 2018, 31(5): 296-300. DOI: 10.4103/0970-258X.261191http://dx.doi.org/10.4103/0970-258X.261191.

Ye X, Guo H, Xu Z, et al. Empathy variation of undergraduate medical students after early clinical contact: a cross-sectional study in China [J]. BMJ Open, 2020, 10(7): e035690. DOI: 10.1136/bmjopen-2019-035690http://dx.doi.org/10.1136/bmjopen-2019-035690.

赵志敏，李鑫磊，张晨晨，等. 早期接触临床教学模式对护理本科生实践能力及沟通能力的影响[J]. 护理实践与研究， 2021， 18（2）： 307-309. DOI: 10.3969/j.issn.1672-9676.2021.02.043http://dx.doi.org/10.3969/j.issn.1672-9676.2021.02.043.

徐珊，汪受传，赵霞. 基于 “早期接触临床” 的 “中医儿科学” 专业临床课程与教学实践[J]. 江苏科技信息， 2021， 38（3）： 56-58. DOI: 10.3969/j.issn.1004-7530.2021.03.016http://dx.doi.org/10.3969/j.issn.1004-7530.2021.03.016.

胡婷，孟娟，刘莉，等. 八年制医学生妇产科 “早期接触临床” 的培养实践与思考[J]. 中国高等医学教育， 2020（6）： 102-103. DOI: 10.3969/j.issn.1002-1701.2020.06.053http://dx.doi.org/10.3969/j.issn.1002-1701.2020.06.053.

吴凡，解雅英. 麻醉专业本科生早期接触临床的实践与探索[J]. 中国继续医学教育， 2021， 13（21）： 78-81. DOI: 10.3969/j.issn.1674-9308.2021.21.021http://dx.doi.org/10.3969/j.issn.1674-9308.2021.21.021.

宋蓉，林乐勋，张衡芳，等. 口腔医学生早期接触临床教育模式的应用与体会[J]. 继续医学教育， 2021， 35（10）： 51-53. DOI: 10.3969/j.issn.1004-6763.2021.10.019http://dx.doi.org/10.3969/j.issn.1004-6763.2021.10.019.

孟宪志，陈希铭，薛东波. 医学生早期接触临床教育模式的探讨[J]. 中国继续医学教育， 2020， 12（14）： 88-89. DOI: 10.3969/j.issn.1674-9308.2020.14.033http://dx.doi.org/10.3969/j.issn.1674-9308.2020.14.033.

覃媛媛，孙杰. 临床医学五年制本科早期接触临床的教学实践[J]. 中国继续医学教育， 2019， 11（26）： 30-32. DOI: 10.3969/j.issn.1674-9308.2019.26.012http://dx.doi.org/10.3969/j.issn.1674-9308.2019.26.012.

Khabaz Mafinejad M, Mirzazadeh A, Peiman S, et al. Medical students' attitudes towards early clinical exposure in Iran [J]. Int J Med Educ, 2016, 7: 195-199. DOI: 10.5116/ijme.5749.78afhttp://dx.doi.org/10.5116/ijme.5749.78af.

李艳超，朴杰，徐嘉鸣，等. 中国医学院校“早期接触临床” 的研究进展[J]. 中华医学教育探索杂志， 2019， 18（8）： 757-761. DOI: 10.3760/cma.j.issn.2095-1485.2019.08.001http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2019.08.001.

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