基于因子分析法构建住培指导医师岗位胜任力模型  

Exploration on constructing the post competency model of guiding doctors in standardized training for residents based on factor analysis

作　　者：吴丹云 邵海亚[1] WU Danyun;SHAO Haiya(School of Health Policy and Management,Nanjing Medical University,Nanjing 211166;Science and Education Division,the Affiliated BenQ Hospital of Nanjing Medical University,Nanjing 210019,China)

机构地区：[1]南京医科大学医政学院,江苏南京211166 [2]南京医科大学附属明基医院科教处,江苏南京210019

出　　处：《南京医科大学学报（社会科学版）》2021年第5期496-501,共6页Journal of Nanjing Medical University（Social Sciences）

基　　金：南京医科大学教育研究课题重点项目“精神科住院医师规范化培训学员职业倦怠及相关因素分析”(2019ZD012);南京医科大学第四临床医学院课程思政及师德师风专项“新时代临床教师师德评价指标研究”(SLSZ2019-07)。

摘　　要：胜任力模型是指承担某一特定角色所应具备的胜任力特征要素结构。建立住院医师规范化培训(简称住培)指导医师岗位胜任力模型,是提升住院医师规范化培训质量的重要课题。该研究通过文献研究法、行为事件访谈法收集住培指导医师胜任力特征要素29项;通过问卷调查和专家咨询开展预调查,根据调查结果进行问卷优化;使用优化后的新问卷开展主调查,通过探索性因子分析确定了包含临床能力、教学技能、素养特质三个维度21个特征项的住培指导医师岗位胜任力特征结构模型。扩大样本量对模型进行验证性因子分析,结果表明模型结构成立,聚合效度较高且有一定的区分度,可用于住培指导医师能力评估。The competency model refers to the structure of competency characteristic elements that should be possessed for a specific role.It is important to establish a competency model that reflects the teaching ability of guiding doctors in standardized training for residents.In this study,29 characteristic elements of competency of guiding doctors in standardized training for residents were collected by literature review and behavioral event interviews.A pilot survey was carried out through questionnaires and expert consultation,and the questionnaire was then optimized according to the survey results.The optimized new questionnaire was administered in the main survey.A competency model of guiding doctors in standardized training for residents was established by exploratory factor analysis,which included 21 characteristics in three dimensions:teaching skills,literacy traits and clinical competence.The confirmatory factor analysis of the model by enlarging the sample size showed that the structure of the constructed model of guiding doctors in standardized training for residents was valid,with relatively high convergent validity and differentiation,and it could be applied to the evaluation of guiding doctors in standardized training for residents.

关 键 词：住院医师规范化培训 指导医师 胜任力模型 因子分析法 

分 类 号：R192.3[医药卫生—卫生事业管理]