临床医学专业本科生社区实践教学效果评价指标体系构建研究  

Development of the Effectiveness Assessment System of Community-based Clinical Teaching for Medical Undergraduates

作　　者：孙力[1] 刘志军[1] 葛敏 王珍 王敏[3] 刘鑫 SUN Li;LIU Zhijun;GE Min;WANG Zhen;WANG Min;LIU Xin(School of Clinical Medicine,Medical College,Hebei University of Engineering,Handan 056038,China;School of Medicine,Medical College,Hebei University of Engineering,Handan 056038,China;Affiliated Hospital of Hebei Engineering University,Handan 056038,China)

机构地区：[1]河北工程大学医学部临床医学院,河北省邯郸市056038 [2]河北工程大学医学部医学院,河北省邯郸市056038 [3]河北工程大学医学部附属医院,河北省邯郸市056038

出　　处：《中国全科医学》2022年第28期3550-3555,共6页Chinese General Practice

基　　金：河北省高等教育教学改革研究与实践项目(2019GJJG622);河北省高等教育教学改革研究与实践项目(2021GJJG252);河北工程大学教育教学研究项目(JG2018020)。

摘　　要：背景临床医学专业社区实践教学在医学生的培养过程中至关重要,但目前其教学效果难以得到保证,因此建立一套科学有效的社区实践教学效果评价指标体系具有重要意义。目的构建临床医学专业本科生社区实践教学效果评价指标体系,为临床医学专业本科生社区实践教学效果评价提供参考依据。方法通过查阅相关文献和使用专业的评估工具,经小组讨论拟定指标库,于2019年6月至2020年4月,采用目的抽样法选择该领域专家32名,经两轮专家咨询,构建临床医学专业本科生社区实践教学效果评价指标体系,运用层次分析法计算各指标权重。结果两轮咨询问卷的有效回收率均为100.0%,专家权威系数分别为0.87和0.88,专家意见协调系数分别为0.65和0.61(P<0.01)。最终构建了4个一级指标(临床思维能力、公共卫生服务能力、医学人文精神和社区情怀,其权重分别为0.4561、0.2425、0.2832、和0.3051)、26个二级指标的临床医学专业本科生社区实践教学效果评价指标体系。结论构建的指标体系具有较好的科学性和可操作性,可以为全面评价临床医学专业本科生社区实践教学效果提供客观的决策依据,但需进一步通过实证研究细化、修正各项指标。Background Community-based clinical teaching is of vital importance in the training of medical undergraduates,but high level of effectiveness of teaching is difficult to be guaranteed at present.So it is essential to establish a scientific and effective system for assessing the effectiveness of community-based clinical teaching for medical undergraduates.Objective To develop an effectiveness assessment system of community-based clinical teaching for medical undergraduates,providing support for assessing the effectiveness of community-based clinical teaching in these undergraduates.Methods The item pool for the system used for assessing the effectiveness of community-based clinical teaching in medical undergraduates was developed on the basis of reviewing relevant literature and assessment tools,and was drawn up by group discussions.Then the items were improved according to two rounds of Delphi consultation with a purposive sample of 32 relevant experts from June 2019 to April 2020,and used to develop the Effectiveness Assessment System of Community-based Clinical Teaching for Medical Undergraduates(EASCCTMU).The Analytic Hierarchy Process was used to calculate the weight of each indicator.Results The response rate was 100.0%for both rounds of consultation.The authoritative coefficients for the first and second rounds of consultation were 0.87 and 0.88,respectively.The Kendall's coefficient of concordance for the first and second rounds of consultation were 0.65 and 0.61,respectively(P<0.01).The final system contains 4 first-level indicators(clinical thinking skills,public health preparedness capability,medical humanistic beliefs,and community-based teaching feelings with corresponding weights of 0.4561,0.2425,0.2832 and 0.3051)and 26 second-level indicators.Conclusion The EASCCTMU is highly scientific and operable,which could be used for comprehensively and objectively assessing the effectiveness of community-based clinical teaching in medical undergraduates.However,it still needs to be improved by empirical rese

关 键 词：临床医学 临床实习 社区实践 教育评价 指标体系 

分 类 号：R192[医药卫生—卫生事业管理]