妇产科专科医师置信职业行为核心指标的构建研究

安方; 窦莎; 祝洪澜; 程化琴; 孙秀丽; 王建六

doi:10.3760/cma.j.cn116021-20230311-01437

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妇产科专科医师置信职业行为核心指标的构建研究

置信职业行为研究 | 更新时间：2023-11-01

- 妇产科专科医师置信职业行为核心指标的构建研究
- Construction of core indicators for entrustable professional activities in specialists in obstetrics and gynecology
- 中华医学教育探索杂志 2023年22卷第10期页码：1441-1445
- 作者机构：
  
  1.北京大学人民医院妇产科，北京　100044
  2.全国医学教育发展中心/北京大学医学教育研究所，北京　100191
- 作者简介：
  
  王建六，Email：wangjianliu1203@163.com
- 基金信息：
  
  北京大学医学部教育教学研究课题(2020YB11);北京大学人民医院研究与发展基金(RDE 2020-12;RDE2021-03)
- DOI：10.3760/cma.j.cn116021-20230311-01437
  中图分类号： R-05
- 纸质出版日期：2023-10-20，
  
  收稿日期：2023-03-11，
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安方, 窦莎, 祝洪澜, 等. 妇产科专科医师置信职业行为核心指标的构建研究[J]. 中华医学教育探索杂志, 2023, 22(10): 1441-1445.

An Fang, Dou Sha, Zhu Honglan, et al. Construction of core indicators for entrustable professional activities in specialists in obstetrics and gynecology[J]. Chinese Journal of Medical Education Research, 2023,22(10):1441-1445.
安方, 窦莎, 祝洪澜, 等. 妇产科专科医师置信职业行为核心指标的构建研究[J]. 中华医学教育探索杂志, 2023, 22(10): 1441-1445. DOI： 10.3760/cma.j.cn116021-20230311-01437.

An Fang, Dou Sha, Zhu Honglan, et al. Construction of core indicators for entrustable professional activities in specialists in obstetrics and gynecology[J]. Chinese Journal of Medical Education Research, 2023,22(10):1441-1445. DOI： 10.3760/cma.j.cn116021-20230311-01437.

摘要

目的

构建妇产科专科医师置信职业行为核心指标。

方法

由妇产科专家、医学教育专家组成研究小组，通过文献研究法，结合临床实践，设计妇产科专科医师置信职业行为核心指标；然后使用德尔菲法，于2021 年3月至2023年1月展开两轮专家函询，进行筛选优化，进一步确定核心指标。

结果

两轮咨询专家积极系数均为100%，权威系数达到0.82；肯德尔和谐系数分别为0.221和0.213（均

0.01）。构建了10项妇产科专科医师置信职业行为核心指标及其内容说明，专家对所列出的10项置信职业行为的重要性认可程度均超过80%，变异系数都小于0.25。确定了各项指标在专科医师结业时的预期置信级别，位于3~5级之间；其中门诊病人诊治评级最高，达到4.48，介于精通与专家之间；腹腔镜子宫切除评级最低，为3.52，介于胜任与精通之间。

结论

本研究初步构建了妇产科专科医师置信职业行为核心指标，为专科医师规范化培训提供新探索。

Abstract

Objective

To construct the core indicators for entrustable professional activities in specialists in obstetrics and gynecology.

Methods

A study group was formed by the specialists in obstetrics and gynecology and the experts in medical education. The core indicators for entrustable professional activities were constructed for the specialists in obstetrics and gynecology based on literature review and clinical practice

and then the Delphi method was used to conduct two rounds of expert letter consultation for screening and optimization from March 2021 to January 2023 to further identify the core indications.

Results

The expert positive coefficient was 100% for the two rounds of consultation

with an expert authority coefficient of 0.82

and the Kendall's coefficient of concordance was 0.221 and 0.213

respectively (both

0.01). Ten core indicators and their content descriptions were constructed for entrustable professional activities in obstetrics and gynecology specialists

and the experts had a degree of recognition of more than 80% for the importance of these ten entrustable professional activities

with a coefficient of variation of

0.25. This study determined the expected entrustable level of each indicator for specialists at the completion of the course

which ranged from grade 3 to 5; the highest level of 4.48 was observed for the diagnosis and treatment of outpatients

which was between the levels of mastery and expert; the lowest level of 3.52 was observed for laparoscopic hysterectomy

which was between the levels of competency and mastery.

Conclusion

This study preliminarily constructs the core indicators for entrustable professional activities in specialists in obstetrics and gynecology

which provides a new exploration for the standardized training of specialists.

关键词

置信职业行为妇产科专科医师胜任力

Keywords

Entrustable professional activitiesObstetrics and gynecologySpecialistsCompetency

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