程序性评价在胜任力导向医学教育中的作用  

The Role of Programmatic Assessment in Competency-based Medical Education

作　　者：齐心[1] 闫辉[2,3] 齐建光[2,3] 李力 QI Xin(Department of Plastic Surgery&Burns,Peking University First Hospital,Beijing,100034,China)

机构地区：[1]北京大学第一医院整形烧伤科,北京100034 [2]北京大学第一医院儿科,北京100034 [3]北京大学第一医院教育处,北京100034 [4]武汉大学中南医院重症医学科,湖北武汉430071

出　　处：《医学与社会》2023年第6期140-144,共5页Medicine and Society

基　　金：美国中华医学基金项目,编号为22-457。

摘　　要：胜任力导向医学教育是第三代医学教育改革的标志,医学教育评价也随之发生变革,历经学习评价-以学促评-学评融合3个不同阶段,并由此产生程序性评价。程序性评价以低利害评价-中期回顾-高利害决策作为基本框架,以胜任力为导向,根据学习目标选择不同的评价方式、方法,形成多元化、多维度、多角度、多时空的系统性评价模式。程序性评价通过大量低利害评价和反馈,有效引导学习者开展自主学习,持续改进他们的行为表现;通过教师与学习者的定期交流,强化改进措施;通过专家委员会,最终作出晋级、毕业的高利害决策。基于教学设计原则,围绕课程,构建、实施程序性评价。我国医学教育工作者需要充分认识其优势和可能面临的挑战,合理利用程序性评价,加速落实胜任力导向医学教育。Competency-based medical education is the landmark of the third generation of medical education reform,and the landscape of assessment in medical education is also changing.It has gone through three stages:assessment of learning,assessment for learning and assessment as learning.Programmatic assessment was generated in medical education.A framework combining low-stakes assessment,intermediate review and high-stakes decisions can be constructed under programmatic assessment,and it's competency-based.According to the learning objectives,different assessment methods are selected to form a multi-element,multi-level,multi-direction and multi-space-time systematic assessment approach.Through a large number of low-stakes assessment and feedback,programmatic assessment can guide learners to engage in self-regulation learning and continuously improve their clinical performance.Through regular communication between faculty and learners,programmatic assessment can reinforce the remediation.Through the expert committee,the final decision of promotion and graduation can be made.Based on the principles of instructional design,programmatic assessment is constructed and implemented around the curriculum design.Only by recognizing the strengths as well as the possible challenges of programmatic assessment could we accelerate the implementation of competency-based medical education.

关 键 词：医学教育 程序性评价 胜任力 

分 类 号：R193.2[医药卫生—卫生事业管理]