中医住院医师岗位胜任力评价指标体系构建研究  

Construction of evaluation index system of traditional Chinese medicine residents′ post competency

作　　者：廖吴美子 翟理祥[2] 许星莹[1] 陈沛军 黄爽[4] Liao Wumeizi;Zhai Lixiang;Xu Xingying;Chen Peijun;Huang Shuang(Economics and Management School of Guangzhou University of Chinese Medicine,Guangzhou 510006,China;Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China;Business Development Department,Zhujiang Hospital of Southern Medical University,Guangzhou 510280,China;Department of Medical Education,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China)

机构地区：[1]广州中医药大学经济与管理学院,510006 [2]广东省中医院,广州510120 [3]南方医科大学珠江医院事业发展部,广州510280 [4]广东省中医院医教处,广州510120

出　　处：《中华医院管理杂志》2020年第9期777-781,共5页Chinese Journal of Hospital Administration

基　　金：广东省中医药局科研项目(20173005)。

摘　　要：目的构建中医住院医师岗位胜任力指标体系,为中医住院医师规范化培训(以下简称住培)的课程设置提供参考。方法在分析相关文献的基础上,于2019年8—12月采用德尔菲法对22位从事中医住培临床、教学或行政管理专家进行两轮函询,筛选评价指标并对重要性赋值。随后,运用层次分析法确定各项指标权重。2020年1月,通过问卷调查对构建的指标体系进行检验。结果构建的中医住院医师岗位胜任力评价指标体系由7项一级指标和61项二级指标构成,其中一级指标包括职业价值和职业素养(权重为0.2082)、临床技能(权重为0.2082)、医学知识及相关知识的掌握与应用(权重为0.2082)、交流与沟通技能(权重为0.1984)、管理能力和团队合作(权重为0.1141)、批判性思维与学习研究能力(权重为0.0334)、群体健康和卫生系统(权重为0.0295)。根据评价指标体系设计所得的自评问卷总Cronbachα系数为0.976。问卷KMO检验结果为0.954,Bartlett球形检验结果为0.000,问卷量表具有较高的信度和效度,评价指标体系能较好地反映中医住院医师岗位胜任力水平。结论中医住院医师岗位胜任力评价指标体系可靠性较高。中医住培要加强中医临床思维的培养,且急需补充医学人文教育方面的内容。Objective To construct the post competency index system of the standardized training of traditional Chinese medicine(TCM)residents,and to provide reference for the curriculum design of TCM residents′standardized training.Methods Based on the analysis of relevant literature,22 experts engaged in clinical,teaching or administrative management of TCM residential training were consulted by Delphi method from August to December 2019,and the evaluation indexes were screened and the importance was assigned.Then,analytic hierarchy process was used to determine the weight of each index.In January 2020,the index system was tested by questionnaire survey.Results The competency evaluation index system of TCM residents was composed of 7 first-level indexes and 61 second-level indexes.The first-level indexes included occupational values and professionalism(weight:0.2082),clinical skills(weight:0.2082),mastery and application of medical knowledge and related knowledge(weight:0.2082),communication skills(weight:0.1984),management and teamwork ability(weight:0.1141),critical thinking and learning research ability(weight:0.0334),group health and health systems(weight:0.0295).The total Cronbachαcoefficient of the self-evaluation questionnaire designed according to the evaluation index system was 0.976.The results of KMO test and Bartlett spherical test respectively were 0.954 and 0.000,indicating that the questionnaire had high reliability and validity,and the evaluation index system could reflect the post competency level of TCM residents.Conclusions The index system of TCM resident competency is highly reliable.TCM resident training should strengthen the cultivation of TCM clinical thinking,and urgently need to supplement the content of medical humanities education.

关 键 词：住院医师 医学 中国传统 岗位胜任力 评价指标体系 德尔菲法 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]