基于置信职业行为构建胜任力导向的肿瘤学实习考评体系

Liang Yao; Huang Hua; Zou Bijun; Miao Rulin; Guo Jing; Ma Fei; Hou Tao; Kuang Ming

doi:10.3760/cma.j.cn116021-20231225-02001

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基于置信职业行为构建胜任力导向的肿瘤学实习考评体系

Clinical Teaching | 更新时间：2025-04-27

- 基于置信职业行为构建胜任力导向的肿瘤学实习考评体系
- Chinese Journal of Medical Education Research Vol. 24, Issue 4, Pages: 540-545(2025)
- 作者机构：
  
  1.华南恶性肿瘤防治全国重点实验室/广东省恶性肿瘤临床医学研究中心/中山大学肿瘤防治中心胃外科，广州 510060
  2.中山大学附属第一医院院长办公室，广州 510080
  3.中山大学肿瘤防治中心科教处，广州 510060
  4.北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心，北京 100142
  5.复旦大学附属肿瘤医院胃外科，上海 200032
  6.河南省肿瘤医院普外科，郑州 450003
  7.中南大学湘雅二医院肿瘤科，长沙 410011
  8.中山大学中山医学院，广州 510080
- 作者简介：
  
  Kuang Ming, Email: kuangmingsysu@163.com
- 基金信息：
  
  2021 Teaching Reform Research Project of Clinical Teaching Base in Guangdong Province(2021JD015)
- DOI：10.3760/cma.j.cn116021-20231225-02001
  CLC： R-05
- Received：25 December 2023，
  
  Published：20 April 2025
- 稿件说明：
移动端阅览
梁垚, 黄华, 邹碧君, 等. 基于置信职业行为构建胜任力导向的肿瘤学实习考评体系[J]. 中华医学教育探索杂志, 2025, 24(4): 540-545.

Liang Yao, Huang Hua, Zou Bijun, et al. [J]. Chinese journal of medical education research, 2025, 24(4): 540-545.
梁垚, 黄华, 邹碧君, 等. 基于置信职业行为构建胜任力导向的肿瘤学实习考评体系[J]. 中华医学教育探索杂志, 2025, 24(4): 540-545. DOI： 10.3760/cma.j.cn116021-20231225-02001.

Liang Yao, Huang Hua, Zou Bijun, et al. [J]. Chinese journal of medical education research, 2025, 24(4): 540-545. DOI： 10.3760/cma.j.cn116021-20231225-02001.

摘要

目的

基于置信职业行为（entrustable professional activities， EPAs）理论，构建胜任力导向的5年制本科临床医学专业学生肿瘤专科实习阶段的考评指标体系。

方法

2023年6月至12月，采用范围综述法及Bicomb 2.0构建并管理条目池，根据截断词频设计EPAs-胜任力草案；使用 SPSS 25.0进行聚类分析，UCINET 6.0实现可视化，多中心专家组结合肿瘤学专科特点及共识标准，基于亲和图法（KJ法）拟定EPAs及胜任力框架；制定里程碑，映射框架建立考评体系。

结果

基于纳入的26篇文献，得到包含19个EPA清单指标以及72个胜任力特征指标的草案。进一步聚类，由6家医疗机构的13名专家制定了包含13项EPA和10项胜任力的框架及50条里程碑，构建了“EPAs-胜任力-里程碑”考评体系。

结论

“EPAs-胜任力-里程碑”考评体系顺应改革趋势，具有普适性、特异性及科学性，能够为医学院校肿瘤学专科实习课程建设和评价提供一定的参考。

Abstract

Objective

To construct a competency-oriented assessment index system based on entrustable professional activities (EPAs) for 5-year undergraduate clinical medical students in oncology internship.

Methods

From June to December 2023

the scoping review approach and Bicomb 2.0 were used to construct and manage an item pool. The draft of EPAs and competencies was designed based on truncated word frequency. SPSS 25.0 was used for cluster analysis and UCINET 6.0 was used for visualization. Combining the characteristics and consensus of oncology

a multi-center expert group used the KJ method to draft the framework of EPAs and competencies. Subsequently

the expert group defined milestones and mapped the milestones to the framework to establish the assessment system.

Results

Based on 26 included studies

a draft was created containing 19 EPA indicators and 72 competency characteristic indicators. After cluster analysis

13 experts from 6 medical institutions established a framework including 13 EPAs and 10 competencies as well as 50 milestones

leading to the construction of the "EPAs-competencies-milestones" assessment system.

Conclusions

The "EPAs-competencies-milestones" assessment system aligns with the trend of reform

demonstrating universality

specificity

and scientificity. It provides a reference for the development and assessment of oncology internship courses in medical universities.

关键词

Keywords

references

冯瑞梅，苏庆玲，黄晓殷，等 . 中国的恶性肿瘤：从第1次全国死亡调查到最新的国家癌症登记，中国癌症地图变迁带来的启示 [J ] . 癌症， 2023 ， 42 （ 7 ）： 359 - 370 . DOI: 10.20124/j.cnki.1000-467X.2023.07.003 http://dx.doi.org/10.20124/j.cnki.1000-467X.2023.07.003 .

范佩贞，徐宇侬，李文凯，等 . 胜任力导向医学教育简介 [J ] . 中国毕业后医学教育， 2018 ， 2 （ 4 ）： 264 - 269 .

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.x http://dx.doi.org/10.1111/j.1365-2929.2005.02341.x .

Ten Cate O . Nuts and bolts of entrustable professional activities [J ] . J Grad Med Educ , 2013 , 5 ( 1 ): 157 - 158 . DOI: 10.4300/JGME-D-12-00380.1 http://dx.doi.org/10.4300/JGME-D-12-00380.1 .

Yan F , Yang X , Zhang L , et al . Establishing entrustable professional activities for psychiatry residents in China [J ] . BMC Med Educ , 2023 , 23 ( 1 ): 623 . DOI: 10.1186/s12909-023-04583-9 http://dx.doi.org/10.1186/s12909-023-04583-9 .

Zhang Y , Liu J , Chen J , et al . Entrustable professional activities for Chinese standardized residency training in pediatric intensive care medicine [J ] . Front Pediatr , 2022 , 10 : 919481 . DOI: 10.3389/fped.2022.919481 http://dx.doi.org/10.3389/fped.2022.919481 .

教育部临床医学专业认证工作委员会 . 中国本科医学教育标准：临床医学专业 [M ] . 北京：北京大学医学出版社， 2023 .

Accreditation Council for Graduate Medical Education (ACGME) . ACGME Common Program Requirements (Residency) [EB/OL ] .( 2023-07-01 )[ 2023-12-23 ] . https://www.acgme.org/globalassets/pfassets/programrequirements/cprresidency_2023.pdf https://www.acgme.org/globalassets/pfassets/programrequirements/cprresidency_2023.pdf .

The Royal College of Physicians and Surgeons of Canada (RCPSC) . CanMEDS 2015 physician competency framework [EB/OL ] . ( 2020-01-05 )[ 2023-12-23 ] . https://canmeds.royalcollege.ca/uploads/en/framework/CanMEDS%202015%20Framework_EN_Reduced.pdf https://canmeds.royalcollege.ca/uploads/en/framework/CanMEDS%202015%20Framework_EN_Reduced.pdf .

McManus IC , Gordon D , Winder BC . Duties of a doctor: UK doctors and good medical practice [J ] . Qual Health Care , 2000 , 9 ( 1 ): 14 - 22 . DOI: 10.1136/qhc.9.1.14 http://dx.doi.org/10.1136/qhc.9.1.14 .

Englander R , Flynn T , Call S , et al . Toward defining the foundation of the MD degree: core entrustable professional activities for entering residency [J ] . Acad Med , 2016 , 91 ( 10 ): 1352 - 1358 . DOI: 10.1097/ACM.0000000000001204 http://dx.doi.org/10.1097/ACM.0000000000001204 .

Association of American Medical Colleges (AAMC) . Core entrustable professional activities for entering residency: curriculum developers' guide [EB/OL ] . ( 2014-05-01 )[ 2023-12-23 ] . https://store.aamc.org/downloadable/download/sample/sample_id/63/%20 https://store.aamc.org/downloadable/download/sample/sample_id/63/%20 .

The association of faculties of medicine of canada (AFMC) . Entrustable professional activities for the transition from medical school to residency [EB/OL ] .( 2022-10-01 )[ 2023-12-23 ] . https://www.afmc.ca/wp-content/uploads/2022/10/AFMC_Entrustable-Professional-Activities_EN_Final.pdf https://www.afmc.ca/wp-content/uploads/2022/10/AFMC_Entrustable-Professional-Activities_EN_Final.pdf .

Accreditation Council for Graduate Medical Education (ACGME) . The milestones guidebook [EB/OL ] . ( 2020-07-01 ) [ 2023-12-23 ] . https://www.acgme.org/globalassets/MilestonesGuidebook.pdf https://www.acgme.org/globalassets/MilestonesGuidebook.pdf .

嵇丽，李丽 . 实习前医学生临床思维能力教学的研究进展 [J ] . 中华医学教育探索杂志， 2024 ， 23 （ 7 ）： 910 - 914 . DOI: 10.3760/cma.j.cn116021-20221205-01803 http://dx.doi.org/10.3760/cma.j.cn116021-20221205-01803 .

李丹，向莉，张振华，等 . 提高临床医学本科生肿瘤学实习质量探讨 [J ] . 现代医药卫生， 2020 ， 36 （ 11 ）： 1741 - 1743 . DOI: 10.3969/j.issn.1009-5519.2020.11.047 http://dx.doi.org/10.3969/j.issn.1009-5519.2020.11.047 .

Valding B , Monti M , Junod Perron N , et al . Entrustable professional activities for residency in general internal medicine: a systematic review [J ] . Swiss Med Wkly , 2022 , 152 : 40002 . DOI: 10.57187/smw.2022.40002 http://dx.doi.org/10.57187/smw.2022.40002 .

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