Construction of a core competency evaluation indicator system for hepatobiliary surgery residents based on the stratification-feedback-iteration model

Huang Simin; Wang Qiwen; Yang Weibang; Wei Yuxuan; He Longguang; Luo Xikai; Jiang Xiaofeng

doi:10.3760/cma.j.cn116021-20250415-02216

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Construction of a core competency evaluation indicator system for hepatobiliary surgery residents based on the stratification-feedback-iteration model

Educational Evaluation | 更新时间：2026-02-26

- Construction of a core competency evaluation indicator system for hepatobiliary surgery residents based on the stratification-feedback-iteration model
- Chinese Journal of Medical Education Research Vol. 25, Issue 2, Pages: 163-172(2026)
- 作者机构：
  
  1.广州医科大学附属第二医院肝胆外科，广州 510260
  2.广州医科大学附属第二医院外科实验室，广州 510260
  3.南方医科大学珠江医院肝胆二科，广州 510282
  4.广东医科大学附属医院肛肠外科，湛江 524002
- 作者简介：
  
  Jiang Xiaofeng, Email: jiangxiaofeng008@163.com
- 基金信息：
  
  Guangzhou Medical University Undergraduate Teaching Quality and Teaching Reform Engineering Construction Project(2024ZLGC13)
- DOI：10.3760/cma.j.cn116021-20250415-02216
  CLC： R-05
- Received：15 April 2025，
  
  Published：20 February 2026
- 稿件说明：
移动端阅览
黄思敏, 王绮雯, 杨伟帮, 等. 基于“分层—反馈—迭代”模型的肝胆外科规培生核心能力评价指标体系构建[J]. 中华医学教育探索杂志, 2026, 25(2): 163-172.

Huang Simin, Wang Qiwen, Yang Weibang, et al. Construction of a core competency evaluation indicator system for hepatobiliary surgery residents based on the stratification-feedback-iteration model[J]. Chinese Journal of Medical Education Research, 2026, 25(2): 163-172.
黄思敏, 王绮雯, 杨伟帮, 等. 基于“分层—反馈—迭代”模型的肝胆外科规培生核心能力评价指标体系构建[J]. 中华医学教育探索杂志, 2026, 25(2): 163-172. DOI： 10.3760/cma.j.cn116021-20250415-02216.

Huang Simin, Wang Qiwen, Yang Weibang, et al. Construction of a core competency evaluation indicator system for hepatobiliary surgery residents based on the stratification-feedback-iteration model[J]. Chinese Journal of Medical Education Research, 2026, 25(2): 163-172. DOI： 10.3760/cma.j.cn116021-20250415-02216.

摘要

目的

构建基于“分层—反馈—迭代”三维模型的肝胆外科规培生核心能力评价指标体系，以提升规培培养的系统性与前瞻性。

方法

成立研究小组，通过系统文献回顾和半结构访谈，结合“分层—反馈—迭代”三维模型框架，初步拟定评价指标体系。采用德尔菲专家函询法，对来自全国多个省市的18名专家进行2轮函询，并运用层次分析法计算各级指标权重，最终确立科学、共识的评价体系。

结果

2轮专家函询问卷的有效回收率均为100.00%。专家权威系数（Cr）分别为0.911和0.915，总指标的肯德尔协调系数分别为0.342和0.328（

²=261.09，246.33；均

0.05），表明专家意见协调性好、结果可靠。最终构建的评价体系包含4项一级指标、12项二级指标、48项三级指标，并确定了各指标权重。

结论

本研究成功构建了一套科学、系统且具备临床前沿适应性的肝胆外科规培生核心能力评价指标体系。该体系通过“分层—反馈—迭代”模型的有机整合，对精准评估规培生能力、动态优化培养方案、全面提升其岗位胜任力具有重要的现实意义与推广价值。

Abstract

Objective

To construct a core competency evaluation indicator system for hepatobiliary surgery residents based on the stratification-feedback-iteration three-dimensional model

and enhance the systematicity and foresight of residency training.

Methods

A research group was formed. Through systematic literature review and semi-structured interviews

combined with the stratification-feedback-iteration three-dimensional model framework

the evaluation indicator system was preliminarily constructed. The Delphi expert consultation method was adopted to conduct two rounds of consultation with 18 experts from multiple provinces and cities nationwide. Analytic hierarchy process was used to calculate the weights of indicators at all levels

ultimately establishing a scientific and consensus-based evaluation system.

Results

The effective recovery rates of the two rounds of expert consultation questionnaires were both 100.00%. The expert authority coefficients were 0.911 and 0.915

respectively. The Kendall coordination coefficients for total indicators were 0.342 and 0.328

respectively (

²=261.09

246.33; both

0.05)

indicating good coordination of expert opinions and reliable results. The final evaluation system included 4 primary indicators

12 secondary indicators

and 48 ter

tiary indicators

with weights determined for each indicator.

Conclusions

This study successfully constructed a scientific

systematic core competency evaluation indicator system for hepatobiliary surgery residents with adaptability to clinical advancements. Through organic integration of the stratification-feedback-iteration model

this system has important practical significance and promotional value for accurately assessing resident competencies

dynamically optimizing training programs

and comprehensively enhancing their job competency.

关键词

Keywords

references

顾妍鑫，刘丽，胡惠惠，等 . 以核心能力为导向的麻醉护理硕士专业学位研究生临床实践培养方案的构建 [J ] . 护理学报， 2025 ， 32 （ 1 ）： 7 - 12 . DOI: 10.16460/j.issn1008-9969.2025.01.007 http://dx.doi.org/10.16460/j.issn1008-9969.2025.01.007 .

杨晨晨，徐茜 . 基于“雨课堂” 智慧教学模式的组织学与胚胎学形成性评价体系研究 [J ] . 中国组织化学与细胞化学杂志， 2021 ， 30 （ 1 ）： 107 - 114 . DOI: 10.16705/j.cnki.1004-1850.2021.01.018 http://dx.doi.org/10.16705/j.cnki.1004-1850.2021.01.018 .

马桂芝，常军民，李改茹，等 . 基于金课标准的《药物分析学》形成性评价体系的构建及效果分析 [J ] . 新疆医科大学学报， 2020 ， 43 （ 12 ）： 1646 - 1649 . DOI: 10.3639/j.issn.1009-5551.2020.12.026 http://dx.doi.org/10.3639/j.issn.1009-5551.2020.12.026 .

张佳慧，丁欣，崔娜 . 分层培养模式在重症医学科进修医师教学实践中的探索 [J ] . 医学研究杂志， 2023 ， 52 （ 4 ）： 185 - 188 . DOI: 10.11969/j.issn.1673-548X.2023.04.040 http://dx.doi.org/10.11969/j.issn.1673-548X.2023.04.040 .

夏迪，吴昊，阮侠，等 . 非麻醉专业住院医师麻醉科规范化分层培养方案探索 [J ] . 协和医学杂志， 2022 ， 13 （ 5 ）： 895 - 900 . DOI: 10.12290/xhyxzz.2022-0290 http://dx.doi.org/10.12290/xhyxzz.2022-0290 .

谢郁芳，张先翠 . 基于反馈机制的案例导入式竞赛活动在临床护理本科生带教中的应用效果 [J ] . 护理实践与研究， 2023 ， 20 （ 1 ）： 128 - 131 . DOI: 10.3969/j.issn.1672-9676.2023.01.026 http://dx.doi.org/10.3969/j.issn.1672-9676.2023.01.026 .

李钰婕，高伟，孔媛，等 . 基于改进德尔菲法与层次分析法构建寒区冷习服评价指标体系 [J ] . 临床军医杂志， 2024 ， 52 （ 3 ）： 257 - 261， 266 . DOI: 10.16680/j.1671-3826.2024.03.10 http://dx.doi.org/10.16680/j.1671-3826.2024.03.10 .

唐继卫，徐立臻 . 阶梯式教育模式在爱尔兰 [J ] . 中国高等教育， 2005 （ 2 ）： 46 - 47 .

郭凌波，常广明，王永晨 . 全科医学基层实践基地师资综合评价指标体系的构建 [J ] . 中华医学教育探索杂志， 2023 ， 22 （ 10 ）： 1483 - 1488 . DOI: 10.3760/cma.j.cn116021-20211210-01445 http://dx.doi.org/10.3760/cma.j.cn116021-20211210-01445 .

王烁，宗序连 . 形成性评价的理论内涵与实践反思 [J ] . 教学与管理， 2020 （ 15 ）： 1 - 4 .

曹飞 . 形成性评价前沿动向及借鉴 [J ] . 湖南师范大学教育科学学报， 2024 ， 23 （ 2 ）： 87 - 96， 116 . DOI: 10.19503/j.cnki.1671-6124.2024.02.011 http://dx.doi.org/10.19503/j.cnki.1671-6124.2024.02.011 .

姜大源 . 论迭代、加速、平衡：新时代继续教育的理论视角 [J ] . 职教论坛， 2024 ， 40 （ 1 ）： 77 - 85 . DOI: 10.3969/j.issn.1001-7518.2024.1.zjlt202401011 http://dx.doi.org/10.3969/j.issn.1001-7518.2024.1.zjlt202401011 .

梅鲁海，王耀军 . 新《职业教育法》下工匠精神培养的“四维进阶”理论模型和“四重迭代”运作路径 [J ] . 宁波职业技术学院学报， 2024 ， 28 （ 1 ）： 25 - 30 . DOI: 10.3969/j.issn.1671-2153.2024.01.005 http://dx.doi.org/10.3969/j.issn.1671-2153.2024.01.005 .

Deng Y , Zhu W , Gong Q , et al . Building a hierarchical and classified "two-way" training system and cultivating a dual-teacher innovative teaching team through school-enterprise cooperation [J ] . Erd , 2024 , 6 ( 6 ): 64 - 69 . DOI: 10.26689/erd.v6i6.7552 http://dx.doi.org/10.26689/erd.v6i6.7552 .

Tang H , Ming JS , Chen Y . Application of PBL can improve the teaching quality of professional degree graduate students in hepatobiliary surgery [J ] . Creat Educ , 2020 , 11 ( 12 ): 2609 - 2616 . DOI: 10.4236/ce.2020.1112193 http://dx.doi.org/10.4236/ce.2020.1112193 .

Stratman EJD , Vogel CA , Reck SJ , et al . Analysis of dermatology resident self-reported successful learning styles and implications for core competency curriculum development [J ] . Med Teach , 2008 , 30 ( 4 ): 420 - 425 . DOI: 10.1080/01421590801946988 http://dx.doi.org/10.1080/01421590801946988 .

Xia W . Research on the performance evaluation indicator system of university teachers' ethics in the New Era based on AHP model [C ] // 2021 4th International Conference on Information Systems and Computer Aided Education . Dalian China . ACM , 2021 . DOI: 10.1145/3482632.3483043 http://dx.doi.org/10.1145/3482632.3483043 .

Esan OT , Ogunoye BT , Sodimu TO , et al . Extent of research involvement and influencing factors among resident doctors at a tertiary health facility in Osun State, Nigeria [J ] . Niger Med J , 2024 , 65 ( 5 ): 691 - 704 . DOI: 10.60787/nmj-v65i3.536 http://dx.doi.org/10.60787/nmj-v65i3.536 .

中国医师协会 . 住院医师规范化培训基地标准（2022年版） [EB/OL ] .( 2022-08-01 )[ 2025-01-01 ] . https://www.pkufh.com/Html/News/Articles/52634.html https://www.pkufh.com/Html/News/Articles/52634.html .

中国医师协会 . 住院医师规范化培训内容与标准（2022年版） [EB/OL ] . ( 2022-08-01 )[ 2025-01-01 ] . https://www.pkufh.com/Html/News/Articles/52635.html https://www.pkufh.com/Html/News/Articles/52635.html .

中国医师协会 . 《住院医师规范化培训基地临床技能培训中心工作指南（2023年版）》 [EB/OL ] . ( 2022-08-01 )[ 2025-01-01 ] . https://www.pkufh.com/Html/News/Articles/52641.html https://www.pkufh.com/Html/News/Articles/52641.html .

Braun V , Clarke V . Using thematic analysis in psychology [J ] . Qual Res Psychol , 2006 , 3 ( 2 ): 77 - 101 . DOI: 10.1191/1478088706qp063oa http://dx.doi.org/10.1191/1478088706qp063oa .

阎红琳，严丹丹，卢章洪，等 . 基于“扶—牵—引—放”四步教学法的病理学住院医师科研能力分层培养 [J ] . 诊断病理学杂志， 2023 ， 30 （ 5 ）： 517 - 518 . DOI: 10.3969/j.issn.1007-8096.2023.05.034 http://dx.doi.org/10.3969/j.issn.1007-8096.2023.05.034 .

崔敏，马颖，丁宏，等 . 公共事业管理（卫生事业管理方向）专业本科毕业生职业基准胜任力评价指标研究 [J ] . 中华医学教育探索杂志， 2023 ， 22 （ 10 ）： 1476 - 1482 . DOI: 10.3760/cma.j.cn116021-20211120-01444 http://dx.doi.org/10.3760/cma.j.cn116021-20211120-01444 .

杨能瑞，阳孟君，周浩，等 . 腹腔镜模拟教学效果评价指标体系的构建和实证研究 [J ] . 中华医学教育探索杂志， 2022 ， 21 （ 3 ）： 272 - 276 . DOI: 10.3760/cma.j.cn116021-20200506-00782 http://dx.doi.org/10.3760/cma.j.cn116021-20200506-00782 .

张海英，钱风华 . 住院医师规范化培训职业精神和人文素养评价体系建设实践与探索 [J ] . 中国医院管理， 2020 ， 40 （ 10 ）： 94 - 96 .

唐宝春，文小玲，黄丽，等 . 基于CE的评价指标体系对本科学业导师带教效果的干预 [J ] . 昆明医科大学学报， 2024 ， 45 （ 11 ）： 166 - 173 . DOI: 10.12259/j.issn.2095-610X.S20241124 http://dx.doi.org/10.12259/j.issn.2095-610X.S20241124 .

石景芬，王宇婵，刘志会，等 . 区县级医院学科发展竞争力指标体系研究 [J ] . 中国医院， 2024 ， 28 （ 5 ）： 37 - 40 . DOI: 10.19660/j.issn.1671-0592.2024.5.09 http://dx.doi.org/10.19660/j.issn.1671-0592.2024.5.09 .

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