入职住院医师置信职业行为指标体系的构建研究

谭梅美; 胥切实; 甘继瑞; 李颖

doi:10.3760/cma.j.cn116021-20221107-01623

您当前的位置：

首页 >

文章列表页 >

入职住院医师置信职业行为指标体系的构建研究

教育评价 | 更新时间：2024-02-26

- 入职住院医师置信职业行为指标体系的构建研究
- Establishment of entrustable professional activities for entering residency
- 中华医学教育探索杂志 2024年23卷第2期页码：179-184
- 作者机构：
  
  1.中日友好医院教育处，北京　100029
  2.清华大学医院管理研究院，北京　100084
- 作者简介：
  
  李颖，Email：liying_elink@163.com
- 基金信息：
  
  北京中医药大学教育科学研究课题(XJY22123)
- DOI：10.3760/cma.j.cn116021-20221107-01623
  中图分类号： R4
- 纸质出版日期：2024-02-20，
  
  收稿日期：2022-11-07，
扫描看全文
谭梅美, 胥切实, 甘继瑞, 等. 入职住院医师置信职业行为指标体系的构建研究[J]. 中华医学教育探索杂志, 2024, 23(2): 179-184.

Tan Meimei, Xu Qieshi, Gan Jirui, et al. Establishment of entrustable professional activities for entering residency[J]. Chinese Journal of Medical Education Research, 2024,23(2):179-184.
谭梅美, 胥切实, 甘继瑞, 等. 入职住院医师置信职业行为指标体系的构建研究[J]. 中华医学教育探索杂志, 2024, 23(2): 179-184. DOI： 10.3760/cma.j.cn116021-20221107-01623.

Tan Meimei, Xu Qieshi, Gan Jirui, et al. Establishment of entrustable professional activities for entering residency[J]. Chinese Journal of Medical Education Research, 2024,23(2):179-184. DOI： 10.3760/cma.j.cn116021-20221107-01623.

摘要

目的

探索构建入职住院医师置信职业行为指标体系，为针对性开展入职住院医师培训和能力评价提供支撑。

方法

以国内外已有的住院医师置信职业行为指标体系为基础，经过两轮德尔菲专家咨询对入职住院医师置信职业行为指标进行筛选和优化。采用均数、变异系数描述指标评分情况，用专家权威程度和肯德尔协调系数判断结果的可靠性。

结果

纳入17个住院医师置信职业行为指标，确定住院医师在入职时和第一年末应达到的各指标的置信级别。

结论

初步构建了入职住院医师置信职业行为指标体系。

Abstract

Objective

To establish an indicator system of entrustable professional activities (EPAs) for entering residency

and to provide support for targeted training and ability evaluation of entering residency.

Methods

Based on the existing indicator systems of EPAs for entering residency in China and globally

two rounds of Delphi consultation were performed to identify and optimize the indicators for EPAs. The scores of indicators were evaluated using means and coefficient of variation

and the degree of expert authority and Kendall's W coefficient were used to test the reliability of results.

Results

A total of 17 indicators for EPAs were established

which defined the entrustable level of each EPA that residents should reach at the time of entry and at the end of the first year.

Conclusions

This study preliminarily establishes an indicator system of EPAs for entering residency.

关键词

入职住院医师置信职业行为置信级别胜任力毕业后教育

Keywords

Entering residencyEntrustable professional activityEntrustable levelCompetencyPostgraduate education

references

Long DM. Competency-based residency training [J]. Acad Med, 2000, 75(12): 1178-1183. DOI: 10.1097/00001888-200012000-00009http://dx.doi.org/10.1097/00001888-200012000-00009.

Walsh K. Competency-based medical education: the next steps [J]. Indian Pediatr, 2015, 52(10): 905.

Weida N, Jardine LD, Kennedy B, et al. Current attitudes toward the ACGME and its role: perspectives of a national multi-specialty panel of residents and fellows [J]. J Grad Med Educ, 2016, 8(4): 640-643. DOI: 10.4300/JGME-D-16-00491.1http://dx.doi.org/10.4300/JGME-D-16-00491.1.

Chou S, Cole G, McLaughlin K, et al. CanMEDS evaluation in Canadian postgraduate training programmes: tools used and programme director satisfaction [J]. Med Educ, 2008, 42(9): 879-886. DOI: 10.1111/j.1365-2923.2008.03111.xhttp://dx.doi.org/10.1111/j.1365-2923.2008.03111.x.

Ten Cate O, Scheele F. Competency-based postgraduate training: can we bridge the gap between theory and clinical practice? [J]. Acad Med, 2007, 82(6): 542-547. DOI: 10.1097/ACM.0b013e31805559c7http://dx.doi.org/10.1097/ACM.0b013e31805559c7.

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

中国住院医师培训精英教学医院联盟. 中国住院医师培训精英教学医院联盟住院医师核心胜任力框架共识[J]. 协和医学杂志， 2022， 13（1）： 17-23. DOI: 10.12290/xhyxzz.2021-0755http://dx.doi.org/10.12290/xhyxzz.2021-0755.

齐心，金哲，韩晓宁，等. 住院医师置信职业行为指标的构建研究[J]. 中华医学教育杂志， 2021， 41（2）： 104-108. DOI: 10.3760/cma.j.cn115259-20201117-01599http://dx.doi.org/10.3760/cma.j.cn115259-20201117-01599.

Association of American Medical Colleges (AAMC). Core Entrustable Professional Activities For Entering Residency: curriculum developers' guide [EB/OL]. [2020-09-10]. https://store.aamc.org/downloadable/download/sample/sample_id/63/%20https://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]. [2019-10-01]. https://www.afmc.ca/wp-content/uploads/2022/10/AFMC_Entrustable-Professional-Activities_EN_Final.pdfhttps://www.afmc.ca/wp-content/uploads/2022/10/AFMC_Entrustable-Professional-Activities_EN_Final.pdf.

Martino JP. The Delphi method: techniques and applications [J]. Technological Forecasting & Social Change, 1976, 8(4): 441-442.

Woodworth GE, Marty AP, Tanaka PP, et al. Development and pilot testing of entrustable professional activities for US anesthesiology residency training [J]. Anesth Analg, 2021, 132(6): 1579-1591. DOI: 10.1213/ane.0000000000005434http://dx.doi.org/10.1213/ane.0000000000005434.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

置信职业行为在以胜任力为导向的院校医学教育中的应用与研究进展

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

妇产科专科医师置信职业行为核心指标的构建研究

国外医学院校教育阶段置信职业行为研究进展与启示