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基于置信职业行为构建胜任力导向的肿瘤学实习考评体系
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- 中华医学教育探索杂志 2025年24卷第4期 页码：540-545
- 作者机构：
1.华南恶性肿瘤防治全国重点实验室/广东省恶性肿瘤临床医学研究中心/中山大学肿瘤防治中心胃外科，广州 510060
2.中山大学附属第一医院院长办公室，广州 510080
3.中山大学肿瘤防治中心科教处，广州 510060
4.北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心，北京 100142
5.复旦大学附属肿瘤医院胃外科，上海 200032
6.河南省肿瘤医院普外科，郑州 450003
7.中南大学湘雅二医院肿瘤科，长沙 410011
8.中山大学中山医学院，广州 510080
- 作者简介：
匡铭，Email：kuangmingsysu@163.com
- 基金信息：2021年广东省临床教学基地教学改革研究项目(2021JD015)
DOI：10.3760/cma.j.cn116021-20231225-02001
中图分类号： R-05收稿日期：2023-12-25，
纸质出版日期：2025-04-20
- 稿件说明：
移动端阅览
梁垚, 黄华, 邹碧君, 等. 基于置信职业行为构建胜任力导向的肿瘤学实习考评体系[J]. 中华医学教育探索杂志, 2025, 24(4): 540-545.
梁垚, 黄华, 邹碧君, 等. 基于置信职业行为构建胜任力导向的肿瘤学实习考评体系[J]. 中华医学教育探索杂志, 2025, 24(4): 540-545. DOI： 10.3760/cma.j.cn116021-20231225-02001.
摘要
目的
2
基于置信职业行为（entrustable professional activities， EPAs）理论，构建胜任力导向的5年制本科临床医学专业学生肿瘤专科实习阶段的考评指标体系。
方法
2
2023年6月至12月，采用范围综述法及Bicomb 2.0构建并管理条目池，根据截断词频设计EPAs-胜任力草案；使用 SPSS 25.0进行聚类分析，UCINET 6.0实现可视化，多中心专家组结合肿瘤学专科特点及共识标准，基于亲和图法（KJ法）拟定EPAs及胜任力框架；制定里程碑，映射框架建立考评体系。
结果
2
基于纳入的26篇文献，得到包含19个EPA清单指标以及72个胜任力特征指标的草案。进一步聚类，由6家医疗机构的13名专家制定了包含13项EPA和10项胜任力的框架及50条里程碑，构建了“EPAs-胜任力-里程碑”考评体系。
结论
2
“EPAs-胜任力-里程碑”考评体系顺应改革趋势，具有普适性、特异性及科学性，能够为医学院校肿瘤学专科实习课程建设和评价提供一定的参考。
Abstract
Objective
2
To construct a competency-oriented assessment index system based on entrustable professional activities (EPAs) for 5-year undergraduate clinical medical students in oncology internship.
Methods
2
From June to December 2023
the scoping review approach and Bicomb 2.0 were used to construct and manage an item pool. The draft of EPAs and competencies was designed based on truncated word frequency. SPSS 25.0 was used for cluster analysis and UCINET 6.0 was used for visualization. Combining the characteristics and consensus of oncology
a multi-center expert group used the KJ method to draft the framework of EPAs and competencies. Subsequently
the expert group defined milestones and mapped the milestones to the framework to establish the assessment system.
Results
2
Based on 26 included studies
a draft was created containing 19 EPA indicators and 72 competency characteristic indicators. After cluster analysis
13 experts from 6 medical institutions established a framework including 13 EPAs and 10 competencies as well as 50 milestones
leading to the construction of the "EPAs-competencies-milestones" assessment system.
Conclusions
2
The "EPAs-competencies-milestones" assessment system aligns with the trend of reform
demonstrating universality
specificity
and scientificity. It provides a reference for the development and assessment of oncology internship courses in medical universities.
关键词
Keywords
references
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