Assessment in competency-based medical education and its cultural transformation

He Rui; Qi Xin

doi:10.3760/cma.j.cn116021-20260414-02331

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Assessment in competency-based medical education and its cultural transformation

Special Topic on Competency Evaluation | 更新时间：2026-10-26

- Assessment in competency-based medical education and its cultural transformation
- Chinese Journal of Medical Education Research Vol. 25, Issue 10, Pages: 1174-1179(2026)
- 作者机构：
  
  北京大学第一医院整形烧伤科，北京 100034
- 作者简介：
  
  Qi Xin, Email: randyq@126.com
- 基金信息：
  
  Special Project for Demonstration Smart Course Construction under the 2025 Education Teaching Reform and Research Program, Peking University Health Science Center(2025SFZD10)
- DOI：10.3760/cma.j.cn116021-20260414-02331
  CLC： R-0;R-4
- Received：14 April 2026，
  
  Published：20 October 2026
- 稿件说明：
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何睿, 齐心. 胜任力导向医学教育中的评价及其文化变革[J]. 中华医学教育探索杂志, 2026, 25(10): 1174-1179.

He Rui, Qi Xin. Assessment in competency-based medical education and its cultural transformation[J]. Chinese Journal of Medical Education Research, 2026, 25(10): 1174-1179.
何睿, 齐心. 胜任力导向医学教育中的评价及其文化变革[J]. 中华医学教育探索杂志, 2026, 25(10): 1174-1179. DOI： 10.3760/cma.j.cn116021-20260414-02331.

He Rui, Qi Xin. Assessment in competency-based medical education and its cultural transformation[J]. Chinese Journal of Medical Education Research, 2026, 25(10): 1174-1179. DOI： 10.3760/cma.j.cn116021-20260414-02331.

摘要

胜任力导向医学教育（competency‑based medical education，CBME）中的评价范式和内涵正经历着深刻的变革，程序性评价因其将学习与成果、评价与教学有机结合，成为CBME的标准评价范式。随之，评价文化需要变革，突破既有的认识误区，赋予评价更多的社会属性，纳入并完善项目评估，以实现评价体系的系统优化。本文旨在为我国CBME评价体系的建设提供理论参考与实践启示。

Abstract

The assessment paradigm and its connotation in competency-based medical education (CBME) are undergoing profound changes. Programmatic assessment has become the standard assessment paradigm for CBME because it organically integrates learning with outcomes and assessment with teaching. Accordingly

the culture of assessment must also evolve. It is essential to break free from existing misconceptions

endow assessment with more social attributes

and incorporate and improve program evaluation to achieve systematic optimization of the assessment system. This article aims to provide theoretical reference and practical insights for the development of CBME assessment systems in China.

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references

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