基于岗位胜任力的全科医生泌尿系统专长化培训课程指标体系构建

杨敏; 周雨涵; 何美忱; 闵钰琦; 于照祥; 周海蓉; 肖雪; 崔洁; 章志福; 范腾阳; 王永晨

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

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基于岗位胜任力的全科医生泌尿系统专长化培训课程指标体系构建

更新时间：2026-07-17

- 基于岗位胜任力的全科医生泌尿系统专长化培训课程指标体系构建
- Development of a post competency-based curriculum index system for the INSIGHT model in urinary system specialty training
- 中华医学教育探索杂志 2026年页码：1-10
- 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：
  
  王永晨，Email：yongchenwang@163.com
- 基金信息：
  
  中国高等教育学会科学研究规划课题(25DL0102);黑龙江省研究生导学思政团队（导师）建设项目(2024-022);哈尔滨医科大学研究生课程思政示范课程建设项目(2024-02)
- DOI：10.3760/cma.j.cn116021-20260410-02335
  中图分类号： R192;R-05
- 收稿：2026-04-10，
  
  网络首发：2026-07-17，
- 稿件说明：
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杨敏, 周雨涵, 何美忱, 等. 基于岗位胜任力的全科医生泌尿系统专长化培训课程指标体系构建[J/OL]. 中华医学教育探索杂志, 2026,1-10.

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.
杨敏, 周雨涵, 何美忱, 等. 基于岗位胜任力的全科医生泌尿系统专长化培训课程指标体系构建[J/OL]. 中华医学教育探索杂志, 2026,1-10. DOI： 10.3760/cma.j.cn116021-20260410-02335.

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

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