心血管疾病亚专长全科医师培训准入准出标准的构建  

Construction of entrance and exit standards for the training of general practitioners with a special interest on cardiovascular diseases based on Delphi method

作　　者：郑园园 刘颖 殷培[1] 叶康丽 任菁菁[1] Zheng Yuanyuan;Liu Ying;Yin Pei;Ye Kangli;Ren Jingjing(Department of General Practice,the First Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310003,China)

机构地区：[1]浙江大学医学院附属第一医院全科医学科,杭州310003

出　　处：《中华医学教育杂志》2024年第6期462-466,共5页Chinese Journal of Medical Education

基　　金：2021年全国全科医学教育教学研究课题(A-YXGP20210201-08);2021年浙江大学医学院教育教学成果奖培育项目(cgyb20222014);2021年浙江大学研究生教育研究课题(20210309)。

摘　　要：目的构建心血管疾病亚专长全科医师培训准入准出标准。方法通过文献研究和访谈法初步形成心血管疾病亚专长全科医师培训准入准出标准的初稿;2021年7至12月,采用德尔菲法,邀请23名专家参加2轮咨询,计算各指标的重要性赋值。结果2轮专家咨询问卷的回收率均为100.0%,专家权威系数分别为0.89和0.88,Kendall协调系数W值分别为0.137和0.134(均P<0.001)。最终形成的心血管疾病亚专长全科医师培训准入准出标准包括8个维度共17个指标及评价内容;其中,准入标准包括4个维度共6个指标及评价内容,准出标准包括4个维度共11个指标及评价内容。结论初步构建的心血管疾病亚专长全科医师培训准入准出标准具有科学性、实用性,可以为开展心血管疾病亚专长全科医师培训提供参考。Objective Discuss the entrance and exit standards for the training of general practitioners with a special interest on cardiovascular diseases.Methods The first draft of entrance and exit standards was initially formed through literature research and interviews.From July to December 2021,using the Delphi method,23 experts are invited to participate in two rounds of consultation,from which the importance assignment of each indicator was counted.Results The response rate of the two rounds of consultation questionnaires was 100.0%,and the expert authority coefficients were 0.89 and 0.88 respectively,with a Kendall coordination coefficient W values being 0.137 and 0.134(all P<0.001),respectively.Finally,a total of 17 indicators and evaluation contents in 8 dimensions are confirmed.Among them,the entrance standard includes 6 indicators and evaluation contents in 4 dimensions,and the exit standard includes 11 indicators and evaluation contents in 4 dimensions.Conclusions The initially constructed entrance and exit standards for the training of general practitioners with a special interest on cardiovascular diseases are both scientifically sound and reasonably practical,and can serve to inform the professional development of this particular group of trainees.

关 键 词：心血管疾病 全科医学 培训 亚专长 

分 类 号：R4[医药卫生—临床医学]