Construction of core indicators for entrustable professional activities in specialists in obstetrics and gynecology

An Fang; Dou Sha; Zhu Honglan; Cheng Huaqin; Sun Xiuli; Wang Jianliu

doi:10.3760/cma.j.cn116021-20230311-01437

您当前的位置：

首页 >

文章列表页 >

Construction of core indicators for entrustable professional activities in specialists in obstetrics and gynecology

Research on entrustable professional activities | 更新时间：2023-11-01

- Construction of core indicators for entrustable professional activities in specialists in obstetrics and gynecology
- Chinese Journal of Medical Education Research Vol. 22, Issue 10, Pages: 1441-1445(2023)
- 作者机构：
  
  1.北京大学人民医院妇产科，北京　100044
  2.全国医学教育发展中心/北京大学医学教育研究所，北京　100191
- 作者简介：
  
  Wang Jianliu, Email: wangjianliu1203@163.com
- 基金信息：
  
  Education and Teaching Research Project of Peking University Health Science Center(2020YB11);Project Supported by Peking University People's Hospital Research and Development Funds(RDE 2020-12;RDE2021-03)
- DOI：10.3760/cma.j.cn116021-20230311-01437
  CLC： R-05
- Published：20 October 2023，
  
  Received：11 March 2023，
扫描看全文
安方, 窦莎, 祝洪澜, 等. 妇产科专科医师置信职业行为核心指标的构建研究[J]. 中华医学教育探索杂志, 2023, 22(10): 1441-1445.

An Fang, Dou Sha, Zhu Honglan, et al. Construction of core indicators for entrustable professional activities in specialists in obstetrics and gynecology. [J]. Chinese Journal of Medical Education Research 22(10):1441-1445(2023)
安方, 窦莎, 祝洪澜, 等. 妇产科专科医师置信职业行为核心指标的构建研究[J]. 中华医学教育探索杂志, 2023, 22(10): 1441-1445. DOI： 10.3760/cma.j.cn116021-20230311-01437.

An Fang, Dou Sha, Zhu Honglan, et al. Construction of core indicators for entrustable professional activities in specialists in obstetrics and gynecology. [J]. Chinese Journal of Medical Education Research 22(10):1441-1445(2023) DOI： 10.3760/cma.j.cn116021-20230311-01437.

摘要

目的

构建妇产科专科医师置信职业行为核心指标。

方法

由妇产科专家、医学教育专家组成研究小组，通过文献研究法，结合临床实践，设计妇产科专科医师置信职业行为核心指标；然后使用德尔菲法，于2021 年3月至2023年1月展开两轮专家函询，进行筛选优化，进一步确定核心指标。

结果

两轮咨询专家积极系数均为100%，权威系数达到0.82；肯德尔和谐系数分别为0.221和0.213（均

0.01）。构建了10项妇产科专科医师置信职业行为核心指标及其内容说明，专家对所列出的10项置信职业行为的重要性认可程度均超过80%，变异系数都小于0.25。确定了各项指标在专科医师结业时的预期置信级别，位于3~5级之间；其中门诊病人诊治评级最高，达到4.48，介于精通与专家之间；腹腔镜子宫切除评级最低，为3.52，介于胜任与精通之间。

结论

本研究初步构建了妇产科专科医师置信职业行为核心指标，为专科医师规范化培训提供新探索。

Abstract

Objective

To construct the core indicators for entrustable professional activities in specialists in obstetrics and gynecology.

Methods

A study group was formed by the specialists in obstetrics and gynecology and the experts in medical education. The core indicators for entrustable professional activities were constructed for the specialists in obstetrics and gynecology based on literature review and clinical practice

and then the Delphi method was used to conduct two rounds of expert letter consultation for screening and optimization from March 2021 to January 2023 to further identify the core indications.

Results

The expert positive coefficient was 100% for the two rounds of consultation

with an expert authority coefficient of 0.82

and the Kendall's coefficient of concordance was 0.221 and 0.213

respectively (both

0.01). Ten core indicators and their content descriptions were constructed for entrustable professional activities in obstetrics and gynecology specialists

and the experts had a degree of recognition of more than 80% for the importance of these ten entrustable professional activities

with a coefficient of variation of

0.25. This study determined the expected entrustable level of each indicator for specialists at the completion of the course

which ranged from grade 3 to 5; the highest level of 4.48 was observed for the diagnosis and treatment of outpatients

which was between the levels of mastery and expert; the lowest level of 3.52 was observed for laparoscopic hysterectomy

which was between the levels of competency and mastery.

Conclusion

This study preliminarily constructs the core indicators for entrustable professional activities in specialists in obstetrics and gynecology

which provides a new exploration for the standardized training of specialists.

关键词

置信职业行为妇产科专科医师胜任力

Keywords

Entrustable professional activitiesObstetrics and gynecologySpecialistsCompetency

references

Ten Cate O. Entrustability of professional activities and competency-based training [J]. Med Educ, 2005, 39(12): 1176-1177. DOI: 10.1111/j.1365-2929.2005.02341.xhttp://dx.doi.org/10.1111/j.1365-2929.2005.02341.x.

Glass JM. Competency based training is a framework for incompetence [J]. BMJ, 2014, 348: g2909. DOI: 10.1136/bmj.g2909http://dx.doi.org/10.1136/bmj.g2909.

Angus SV, Vu TR, Willett LL, et al. Internal medicine residency program directors' views of the core entrustable professional activities for entering residency [J]. Acad Med, 2017, 92(6): 785-791. DOI: 10.1097/ACM.0000000000001419http://dx.doi.org/10.1097/ACM.0000000000001419.

Englander R, Carraccio C. A lack of continuity in education, training, and practice violates the "do No harm" principle [J]. Acad Med, 2018, 93(3s competency-based, time-variable education in the hea): S12-S16. DOI: 10.1097/acm.0000000000002071http://dx.doi.org/10.1097/acm.0000000000002071.

Meyer EG, Chen HC, Uijtdehaage S, et al. Scoping review of entrustable professional activities in undergraduate medical education [J]. Acad Med, 2019, 94(7): 1040-1049. DOI: 10.1097/acm.0000000000002735http://dx.doi.org/10.1097/acm.0000000000002735.

Garofalo M, Aggarwal R. Obstetrics and gynecology modified Delphi survey for entrustable professional activities: quantification of importance, benchmark levels, and roles in simulation-based training and assessment [J]. Cureus, 2018, 10(7): e3051. DOI: 10.7759/cureus.3051http://dx.doi.org/10.7759/cureus.3051.

Hamui-Sutton A, Monterrosas-Rojas AM, Ortiz-Montalvo A, et al. Specific entrustable professional activities for undergraduate medical internships: a method compatible with the academic curriculum [J]. BMC Med Educ, 2017, 17(1): 143. DOI: 10.1186/s12909-017-0980-6http://dx.doi.org/10.1186/s12909-017-0980-6.

齐心，金哲，韩晓宁，等. 住院医师置信职业行为指标的构建研究[J]. 中华医学教育杂志， 2021， 41（2）： 104-108. DOI: 10.3760/cma.j.cn115259-20201117-01599http://dx.doi.org/10.3760/cma.j.cn115259-20201117-01599.

吕涛，刘俊，刘瑛，等. 基于置信职业行为的妇产科住院医师规范化培训与考核模式的构建[J]. 中华医学教育杂志， 2022， 42（6）： 550-553. DOI: 10.3760/cma.j.cn115259-20220310-00294http://dx.doi.org/10.3760/cma.j.cn115259-20220310-00294.

曾光. 现代流行病学方法与应用[M]. 北京：北京医科大学、中国协和医科大学联合出版社， 1994： 250-270.

李娟生，李江红，刘小宁，等. Kendall's W分析方法在医学数据处理中的应用及在SPSS中的实现方法[J]. 现代预防医学， 2008， 35（1）： 33-33， 42. DOI: 10.3969/j.issn.1003-8507.2008.01.014http://dx.doi.org/10.3969/j.issn.1003-8507.2008.01.014.

陈心航，吴红斌，江哲涵，等. 国际置信职业行为研究在医学教育中的发展与启示[J]. 中华医学教育杂志， 2020， 40（12）： 945-950. DOI: 10.3760/cma.j.cn115259-20201012-01447http://dx.doi.org/10.3760/cma.j.cn115259-20201012-01447.

杨英，郑丽云，汪偌宁，等. 北京大学医学部“专培”体系初建[J]. 中国卫生人才， 2017（3）： 17-20. DOI: 10.3969/j.issn.1008-7370.2017.03.008http://dx.doi.org/10.3969/j.issn.1008-7370.2017.03.008.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Establishment of entrustable professional activities for entering residency

Formative assessment of the model of Chinese physician competency: design, implementation, and thinking

Study on the status quo and influencing factors of work stress of residents in the standardized training of obstetrics and gynecology

Construction and practice of the postgraduate curriculum system of reproductive genetics in obstetrics and gynecology

Research on the indicators of basic professional competencies for undergraduate students of Public Management (Health Management specialty)

Related Author

Li Ying

Gan Jirui

Xu Qieshi

Tan Meimei

Li Haichao

Zhang Yan

Liu Chunyu

Li Rong

Related Institution

Institute for Hospital Management of Tsinghua University

Department of Education, China-Japan Friendship Hospital

Department of Respiratory and Critical Medicine, Peking University First Hospital

Department of Obstetrics and Gynecology, Peking University Third Hospital

Department of Scientific Research, The First Affiliated Hospital of Soochow University

⁰