Development of a post competency-based curriculum index system for the INSIGHT model in urinary system specialty training

Yang Min; Zhou Yuhan; He Meichen; Min Yuqi; Yu Zhaoxiang; Zhou Hairong; Xiao Xue; Cui Jie; Zhang Zhifu; Fan Tengyang; Wang Yongchen

doi:10.3760/cma.j.cn116021-20260410-02335

您当前的位置：

首页 >

文章列表页 >

Development of a post competency-based curriculum index system for the INSIGHT model in urinary system specialty training

更新时间：2026-07-17

- Development of a post competency-based curriculum index system for the INSIGHT model in urinary system specialty training
- Chinese Journal of Medical Education Research Pages: 1-10(2026)
- 作者机构：
  
  1.哈尔滨医科大学附属第二医院全科医疗科，哈尔滨 150086
  2.西安医学院附属第一医院全科医学科，西安 710077
  3.深圳市龙华区人民医院全科医学科，深圳 518110
  4.遵义医科大学附属医院全科医学科，遵义 563099
- 作者简介：
  
  Wang Yongchen, E-mail: yongchenwang@163.com
- 基金信息：
  
  Research Project of the China Association of Higher Education(25DL0102);Graduate Supervisor Ideological and Political Education Team Construction Project of Heilongjiang Province(2024-022);Graduate Curriculum Ideological and Political Demonstration Course Construction Project of Harbin Medical University(2024-02)
- DOI：10.3760/cma.j.cn116021-20260410-02335
  CLC： R192;R-05
- Received：10 April 2026，
  
  Online First：17 July 2026，
- 稿件说明：
移动端阅览
Yang Min, Zhou Yuhan, He Meichen, et al. Development of a post competency-based curriculum index system for the INSIGHT model in urinary system specialty training[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-10.
DOI：

Yang Min, Zhou Yuhan, He Meichen, et al. Development of a post competency-based curriculum index system for the INSIGHT model in urinary system specialty training[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-10. DOI： 10.3760/cma.j.cn116021-20260410-02335.

摘要

目的

以泌尿系统疾病为切入点，构建岗位胜任力导向的课程指标体系，为全科医生专长化培训（institution-coordinated speciality-integrated general practitioner holistic training，INSIGHT）模式提供课程依据。

方法

综合运用文献分析、门诊诊断数据分析及半结构化访谈法收集定性资料，系统梳理培训核心内容并初步构建课程指标体系。采用德尔菲法邀请从事全科医学、肾内科和泌尿外科临床工作及教学管理、基层医疗机构管理工作的专家开展2轮函询，收集定量评价数据。采用SPSS 27.0软件进行统计学分析。对定量资料采用频数、百分比、均数±标准差进行描述性统计，并结合专家开放性意见对指标进行修订与完善。通过层次分析法对各级指标的重要性进行赋值，并采用几何平均法和方根法计算指标权重系数。

结果

共有24名专家参与函询。2轮函询问卷回收率分别为100.00%（24/24）和83.33%（20/24），专家权威系数分别为0.848和0.870。各指标重要性评分均数均

3.50，变异系数均

0.25。第2轮函询中，各层级指标的肯德尔协调系数分别为0.454、0.214和0.214（

0.05），专家意见达到一定协调程度。最终形成包含6个一级指标、16个二级指标和46个三级指标的课程指标体系。

结论

本研究构建的课程指标体系为INSIGHT模式的规范化实施提供了结构化的课程依据，并为其他器官系统培训课程的开发与优化提供了可借鉴的参考范式。

Abstract

Objective

To develop a post competency-oriented curriculum index system for general practitioners in urological diseases and to provide an evidence-based framework for the institution-coordinated specialty-integrated general practitioner holistic training (INSIGHT) model.

Methods

A mixed-methods approach combining literature review

outpatient diagnostic data analysis

and semi-structured interviews was used to collect qualitative data

identify core training content

and construct a preliminary curriculum index system. Two rounds of Delphi consultation were conducted with experts experienced in clinical practice

teaching administration

or primary healthcare management in general practice

nephrology and urology. Quantitative evaluation data were collected. Statistical analyses were performed using SPSS 27.0. Descriptive statistics

including frequency

percentage

mean

and standard deviation were used to analyze quantitative data

while experts' open opinions were used to revise and improve indicators. The analytic hierarchy process was employed to assign values to the importance of indicators at all levels

and weighting coefficients of indicators were calculated using the geometric mean and square root methods.

Results

Twenty-four experts participated in the consultation. The questionnaire recovery rates in the first and second rounds were 100.00% and 83.33%

respectively

with authority coefficients of 0.848 and 0.870. All indicators received mean importance scores

3.50 and coefficient of variation

0.25. In the second round

Kendall's coordination coefficients for the three levels of indicators were 0.454

0.214

and 0.214 (

0.05)

indicating a certain degree of coordination in expert opinions. A curriculum index system comprising 6 first-level indicators

16 second-level indicators

and 46 third-level indicators was established.

Conclusions

The curriculum index system developed in this study provides a structured and evidence-based framework for the standardized implementation of the INSIGHT model

and offers a referential paradigm for the development and optimization of other organ system-specific training curriculums.

关键词

Keywords

references

许晓娜，吴红杰，曹旭，等 . 我国全科医师岗位胜任力模型构建及应用研究现状分析 [J ] . 中华全科医学， 2025 （ 2 ）： 331 - 334 . DOI: 10.16766/j.cnki.issn.1674-4152.003897 http://dx.doi.org/10.16766/j.cnki.issn.1674-4152.003897 .

Guo X , Wang Y , Zhu X , et al . Predicting the demand of elderly care beds by a novel recursive grey Gompertz model: case studies of Jiangsu and Shanghai, China [J ] . BMC Geriatr , 2025 , 25 ( 1 ): 1014 . DOI: 10.1186/s12877-025-06728-5 http://dx.doi.org/10.1186/s12877-025-06728-5 .

陈昕，葛剑力，耿莎莎，等 . 我国全科医师继续医学教育发展现状、存在的问题与改进建议：基于PCIC理念 [J ] . 中华全科医师杂志， 2024 ， 23 （ 4 ）： 384 - 388 . DOI: 10.3760/cma.j.cn114798-20230811-00059 http://dx.doi.org/10.3760/cma.j.cn114798-20230811-00059 .

侯姝羽，曾欣，王婷婷，等 . 近十年中国全科医生继续教育研究的系统评价 [J ] . 中国全科医学， 2024 ， 27 （ 28 ）： 3476 - 3482 . DOI: 10.12114/j.issn.1007-9572.2023.0532 http://dx.doi.org/10.12114/j.issn.1007-9572.2023.0532 .

王永晨 . 全科医生专长化：我国全科医生继续教育的新理念 [J ] . 中华医学教育探索杂志， 2018 ， 17 （ 5 ）： 433 - 438 . DOI: 10.3760/cma.j.issn.2095-1485.2018.05.001 http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2018.05.001 .

Wu C , Zhang Y , Wu J , et al . Construction and application on the training course of information literacy for clinical nurses [J ] . BMC Med Educ , 2023 , 23 ( 1 ): 614 . DOI: 10.1186/s12909-023-04505-9 http://dx.doi.org/10.1186/s12909-023-04505-9 .

Wu C , Wu P , Li P , et al . Construction of an index system of core competence assessment for infectious disease specialist nurse in China: a Delphi study [J ] . BMC Infect Dis , 2021 , 21 ( 1 ): 791 . DOI: 10.1186/s12879-021-06402-2 http://dx.doi.org/10.1186/s12879-021-06402-2 .

Holey EA , Feeley JL , Dixon J , et al . An exploration of the use of simple statistics to measure consensus and stability in Delphi studies [J ] . BMC Med Res Methodol , 2007 , 7 ( 1 ): 52 . DOI: 10.1186/1471-2288-7-52 http://dx.doi.org/10.1186/1471-2288-7-52 .

Forman E , Peniwati K . Aggregating individual judgments and priorities with the analytic hierarchy process [J ] . Eur J Oper Res , 1998 , 108 ( 1 ): 165 - 169 . DOI: 10.1016/S0377-2217(97)00244-0 http://dx.doi.org/10.1016/S0377-2217(97)00244-0 .

Kavic MS . Competency and the six core competencies [J ] . JSLS , 2002 , 6 ( 2 ): 95 - 97 .

Makhmutov R . The Delphi method at a glance [J ] . Pflege , 2021 , 34 ( 4 ): 221 . DOI: 10.1024/1012-5302/a000812 http://dx.doi.org/10.1024/1012-5302/a000812 .

谢佳君，何勇涛，黄国琼，等 . 军医大学医学专业类课程思政建设指标体系构建研究 [J ] . 中华医学教育探索杂志， 2024 ， 23 （ 4 ）： 442 - 448 . DOI: 10.3760/cma.j.cn116021-20231011-01679 http://dx.doi.org/10.3760/cma.j.cn116021-20231011-01679 .

谭佳慧，李红玉 . 构建护理学专业人文课程结构指标体系的研究 [J ] . 中华医学教育杂志， 2020 ， 40 （ 6 ）： 430 - 434 . DOI: 10.3760/cma.j.cn115259-20200110-00044 http://dx.doi.org/10.3760/cma.j.cn115259-20200110-00044 .

Schifano J , Niederberger M . How Delphi studies in the health sciences find consensus: a scoping review [J ] . Syst Rev , 2025 , 14 ( 1 ): 14 . DOI: 10.1186/s13643-024-02738-3 http://dx.doi.org/10.1186/s13643-024-02738-3 .

Mutatiri C , Ratsch A , McGrail M , et al . Primary and specialist care interaction and referral patterns for individuals with chronic kidney disease: a narrative review [J ] . BMC Nephrol , 2024 , 25 ( 1 ): 149 . DOI: 10.1186/s12882-024-03585-z http://dx.doi.org/10.1186/s12882-024-03585-z .

Frank JR , Snell LS , Ten Cate O , et al . Competency-based medical education: theory to practice [J ] . Med Teach , 2010 , 32 ( 8 ): 638 - 645 . DOI: 10.3109/0142159X.2010.501190 http://dx.doi.org/10.3109/0142159X.2010.501190 .

杨慧敏，尹德卢，辛倩倩，等 . 我国基层全科医生继续医学教育现状调查 [J ] . 中华全科医学， 2018 ， 16 （ 8 ）： 1375 - 1378 . DOI: 10.16766/j.cnki.issn.1674-4152.000376 http://dx.doi.org/10.16766/j.cnki.issn.1674-4152.000376 .

李健思，陈晓 . 基层医疗机构肾内科继续教育教学的探讨 [J ] . 继续医学教育， 2022 ， 36 （ 6 ）： 93 - 96 . DOI: 10.3969/j.issn.1004-6763.2022.06.024 http://dx.doi.org/10.3969/j.issn.1004-6763.2022.06.024 .

李颖，杨慧敏，尹德卢 . 基于基层常见病的全科医生继续医学教育内容需求研究 [J ] . 中国全科医学， 2018 ， 21 （ 34 ）： 4246- 4249. DOI: 10.12114/j.issn.1007-9572.2018.34.017 http://dx.doi.org/10.12114/j.issn.1007-9572.2018.34.017 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Effect of experiential "Learning-Thinking-Expressing" teaching on the post competency of emergency nursing interns

The application of multimodal image fusion system combined with comparative imaging in teaching radiotherapy residents

Innovative practice and application of digital intelligence technology in clinical inquiry teaching

The teaching practice of competency-oriented Seminar immersion method combined with problem-oriented three-part method in pathophysiology

Effects of problem-based learning combined with mini-clinical evaluation exercise on the training of post competency of interns in the Department of Neurology

Related Author

Li Ying

Jiang Wei

Zhu Ju

Liu Di

Li-Yang Yujing

Chen Wenbing

Gao Changyan

Kong Weiwei

Related Institution

Department of Emergency, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology

The Comprehensive Cancer Centre, Nanjing Drum Tower Hospital/The Affiliated Hospital of Nanjing University Medical School

Department of Geriatrics, Zhongnan Hospital of Wuhan University

School of Public Health, Wuhan University

Teaching Office, The Second Clinical College, Zhongnan Hospital of Wuhan University

⁰