胜任力导向的神经外科专科医师规范化培训结业评价指标体系的构建  

Construction of a competency-based assessment index system for the completion of neurosurgery specialist training

作　　者：林国中[1] 刘彬[1] 马长城[1] 王冠[2] 李艾为 常青 庞超楠[4] 杨军 Lin Guozhong;Liu Bin;Ma Changcheng;Wang Guan;Li Aiwei;Chang Qing;Pang Chaonan;Yang Jun(Department of Neurosurgery,Peking University Third Hospital,Bejing 100191,China;Department of education,Peking University Third Hospital,Bejing 100191,China;Department of Pathology,Peking University Health Science Center&Department of Pathology,Peking University Third Hospital,Bejing 100191,China;Department of Radiology,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院神经外科,北京100191 [2]北京大学第三医院教育处,北京100191 [3]北京大学医学部病理学系,北京大学第三医院病理科,北京100191 [4]北京大学第三医院放射科,北京100191

出　　处：《中华医学教育杂志》2024年第9期707-712,共6页Chinese Journal of Medical Education

基　　金：2019年度北京大学医学部专科医师规范化培训研究课题(2019ZP36)。

摘　　要：目的探讨建立适用于神经外科专科医师规范化培训结业评价的指标体系。方法采用文献研究法,初步筛选神经外科专科医师规范化培训结业评价指标。以里程碑评价体系为基础,建立初步的指标体系。采用德尔菲法开展专家函询,对评价指标进行修订和赋分。结果对来自3家三级甲等综合医院的15名专家和2名专科医师规范化培训管理人员进行2轮函询,最终形成包含6个一级指标、18个二级指标和66个三级指标的评价指标体系。各项一级指标的权重分别为职业素养16.62、知识技能18.43、终生学习16.49、沟通合作16.66、病人照护16.43和教学科研15.37。专家函询的克朗巴赫系数为0.985,内容效度指数为0.940。结论所构建的神经外科专科医师规范化培训结业评价指标体系较为科学,系统地反映了神经外科专科医师规范化培训结业所需要考查的内容,能够对神经外科专科医师规范化培训结业评价提供一定的参考。Objective To explore the establishment of an index system suitable for the assessment of neurosurgery specialists'standardized training completion.Methods The assessment indicators for neurosurgery specialists'standardized training completion was initially screened through literature research.A preliminary index system was established based on the Milestone system.Expert correspondence were carried out using the Delphi method to revise and score the assessment indicators.Results Two rounds of correspondence were conducted with 15 experts and 2 specialty physician standardized training administrators from three tertiary grade A comprehensive hospitals.After modification by experts,an assessment index system was ultimately formed.Six first-level indicators(professional ethics,knowledge and skills,lifelong learning,communication and cooperation,patient care,teaching and research),18 second-level indicators,and 66 third-level indicators were included in this index system.The weights of each first-level indicator were determined to be professional ethics 16.62%,knowledge and skills 18.43%,lifelong learning 16.49%,communication and cooperation 16.66%,patient care 16.43%,and teaching and research 15.37%.The Cronbach's alpha coefficient of the expert correspondence was 0.985,and the content validity index was 0.940.Conclusions The constructed assessment index system for the completion of neurosurgery specialist standardized training was found to be scientifically and systematically reflective of the content that needs to be examined for the completion of standardized training for neurosurgery specialists and inform the assessment of standardized training completion for neurosurgery specialists.

关 键 词：神经外科 专科医师规范化培训 结业 评价 指标体系 

分 类 号：R-4[医药卫生]