临床医学研究生导师能力评价指标体系的构建及信度和效度分析  

Construction of assessment index system on the capacity of clinical medical postgraduate tutor and analysis of its reliability and validity

作　　者：蒙世佼[1] 任依[1] 许蓉[2] Meng Shijiao;Ren Yi;Xu Rong(Department of Education,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;General Committee Office,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院教育处,北京100070 [2]首都医科大学附属北京天坛医院党办,北京100070

出　　处：《中华医学教育探索杂志》2022年第11期1441-1446,共6页Chinese Journal of Medical Education Research

基　　金：首都医科大学附属北京天坛医院“苗圃工程”项目(2017MP10);首都医科大学教育教学改革研究课题(2020JYJX159)

摘　　要：目的构建临床医学研究生导师能力评价指标体系。方法在“文献优选法”基础上,采用“德尔菲法”由14名专家初步构建指标体系。在109人的调查研究中,采用Cronbach’sα系数和探索性因子分析进行信度和效度评价,采用层次分析法计算各指标权重。分别使用SPSS 26.0和AMOS 26.0软件完成统计分析。结果临床医学研究生导师能力评价指标体系包含2个一级指标、5个二级指标、27个三级指标。总指标体系、一级指标和二级指标内部Cronbach’sα系数为0.833~0.931。探索性因子分析共萃取5个公因子,因子内涵与理论结构基本相符。以5个二级指标为一阶因子建立验证性因子模型,理论模型与实际数据拟合良好。三级指标“导师治学态度”“导师医德医风”“导师主持承担的科研课题”“研究生学位论文质量”“研究生科研培养质量”“研究生临床培养质量”“导师可支配的科研经费”为组合权重值的前7位。结论构建的临床医学研究生导师能力评价指标体系内涵比较合理,具有良好的信度和效度,可作为导师评价的参考依据。Objective To establish an assessment index system on the capacity of clinical medical postgraduate tutor.Methods On the basis of"literature optimization method",the index system was initially constructed by 14 experts with"Delphi method".Then,through the survey of 109 people,the reliability and validity were tested by Cronbach'sαcoefficient and exploratory factor analysis.And analytic hierarchy process was used to calculate the weight coefficient of each index.SPSS 26.0 and AMOS 26.0 were applied for statistical analysis.Results The assessment index system consisted of 2 first-level indexes,5 second-level indexes and 27 third-level indexes.The Cronbach'sαcoefficient of the total index system,first-level indexes and second-level indexes ranged from 0.833 to 0.931.Five common factors were extracted by exploratory factor analysis,and the connotation of factors were basically consistent with the theoretical structure.A confirmatory factor model was established with 5 second-level indexes as the first-order factors,what's more,the theoretical model fitted well with the actual data.The combined weight values of"teaching attitude of the tutor","medical ethics of the tutor","scientific research projects of the tutor","dissertation quality of the graduate students","the quality of the scientific research and training of the graduate students","the quality of the clinical training of the graduate students",and"disposable scientific research funds of the tutor"ranked in the top 7 weights of third-level indexes.Conclusion This assessment index system has good reliability and validity with reasonable connotation,which could be used as a reference for tutor evaluation.

关 键 词：临床医学 研究生导师 评价指标体系 探索性因子分析 验证性因子分析 层次分析法 

分 类 号：R-05[医药卫生] G643[文化科学—高等教育学]