Development of a questionnaire for residents to evaluate the quality of general practice teaching clinics

Wang Jiali; Zhang Congling; Liu Jie; Zhang Guifen; Zhang Ruoxia; Zhou Xinmei; Mo Weifang; Wu Lingyan; Tong Yuling; Guo Yi; Xu Zhijie

doi:10.3760/cma.j.cn116021-20250206-02088

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Development of a questionnaire for residents to evaluate the quality of general practice teaching clinics

Educational Evaluation | 更新时间：2025-11-21

- Development of a questionnaire for residents to evaluate the quality of general practice teaching clinics
- Chinese Journal of Medical Education Research Vol. 24, Issue 11, Pages: 1505-1511(2025)
- 作者机构：
  
  1.浙江大学医学院附属第二医院健康管理中心，杭州 310009
  2.瑞安市人民医院全科医学科，瑞安 325200
  3.西安医学院第二附属医院全科医学科，西安 710038
  4.浙江大学医学院附属第二医院全科医学科，杭州 310009
- 作者简介：
  
  Xu Zhijie, Email: zhijiexu@zju.edu.cn
- 基金信息：
  
  General Scientific Research Project of Education Department of Zhejiang Province(Y202352176)
- DOI：10.3760/cma.j.cn116021-20250206-02088
  CLC： R4
- Received：06 February 2025，
  
  Published：20 November 2025
- 稿件说明：
移动端阅览
王佳利, 张聪玲, 刘洁, 等. 全科教学门诊质量住院医师评价问卷的研制[J]. 中华医学教育探索杂志, 2025, 24(11): 1505-1511.

Wang Jiali, Zhang Congling, Liu Jie, et al. Development of a questionnaire for residents to evaluate the quality of general practice teaching clinics[J]. Chinese Journal of Medical Education Research, 2025, 24(11): 1505-1511.
王佳利, 张聪玲, 刘洁, 等. 全科教学门诊质量住院医师评价问卷的研制[J]. 中华医学教育探索杂志, 2025, 24(11): 1505-1511. DOI： 10.3760/cma.j.cn116021-20250206-02088.

Wang Jiali, Zhang Congling, Liu Jie, et al. Development of a questionnaire for residents to evaluate the quality of general practice teaching clinics[J]. Chinese Journal of Medical Education Research, 2025, 24(11): 1505-1511. DOI： 10.3760/cma.j.cn116021-20250206-02088.

摘要

目的

研制一份既科学又实用的全科教学门诊质量评价问卷，旨在使全科住院医师能够对教学门诊进行多维度的综合评价。

方法

基于文献研究和深度访谈，首先拟定问卷条目初稿。随后采用德尔菲法，对14名专家进行2轮函询。在修订问卷后，采用方便抽样法，邀请3家全科住院医师规范化培训基地的全科住院医师参与调查，以完成问卷的信效度检验。

结果

评价问卷共包含23个条目，涉及教学门诊的准备、实施过程和综合评价3个方面。2轮专家函询问卷回收率均为100.00%；专家权威系数分别为0.89、0.90。评价问卷的整体Cronbach’

系数为0.93，各条目得分与总分的相关系数大于0.30。结构效度分析显示，评价问卷共提取出3个公因子，累计方差贡献率达到77.89%。

结论

本研究研制的《全科教学门诊质量住院医师评价问卷》具有良好的信度和效度，该问卷为全科门诊教学质量的标准化评估提供科学依据，基于住院医师视角的教学过程反馈，推动形成以住院医师为中心的教学门诊质量改进机制，对提升指导医师的门诊教学能力具有重要推动作用。

Abstract

Objective

To develop a scientific and practical questionnaire for general practice residents

and to conduct multidimensional and comprehensive evaluation of the quality of general practice teaching clinics.

Methods

A preliminary draft of the questionnaire items was formulated based on a literature review and in-depth interviews. The Delphi method was employed to conduct two rounds of consultation with 14 experts. Following revisions

a convenience sampling method was used to invite general practice residents from three standardized residency training bases to test the reliability and validity of the questionnaire.

Results

The questionnaire consisted of 23 items

covering the three dimensions of preparation

implementation process

and comprehensive evaluation of the teaching clinics. The response rates for the two rounds of the expert consultation were both 100.00%

with expert authority coefficients of 0.89 and 0.90

respectively. The overall Cronbach's

coefficient of the questionnaire was 0.93

and the correlation coefficients between each item score and the total score were all

0.30. Structural validity analysis revealed that three common factors were extracted from the questionnaire

with a cumulative variance contribution rate of 77.89%.

Conclusions

The General Practice Teaching Clinic Quality Evaluation Questionnaire for Residents developed in this study demonstrates high reliability and validity. The questionnaire provides a scientific basis for the standardized assessment of teaching quality in general practice clinics. By incorporating resident feedback on the teaching process

the questionnaire promotes the development of a teaching clinic quality improvement mechanism focused on residents and plays a significant role in enhancing the teaching capabilities of supervising physicians in clinics.

关键词

Keywords

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