我国住院医师胜任力评价指标体系的系统评价  

The competency evaluation system for residents in China:a systematic review

作　　者：李兰[1] 黄丹丹[1] 曹怡[1] 程春燕 赵茜[2] 郭应强[3] LI Lan;HUANG Dandan;CAO Yi;CHENG Chunyan;ZHAO Qian;GUO Yingqiang(Post-Graduation Training Department,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Teaching&Research Section of General Practice,General Practice Medical Center,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;President&Dean's Office,West China Hospital,Sichuan University,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院毕业后培训部,成都610041 [2]四川大学华西医院全科医学中心/全科医学教研室,成都610041 [3]四川大学华西医院院长办公室,成都610041

出　　处：《中国循证医学杂志》2024年第11期1312-1316,共5页Chinese Journal of Evidence-based Medicine

摘　　要：目的系统评价我国住院医师胜任力评价指标体系研究现状。方法计算机检索CNKI、VIP、WanFang Data、PubMed、Embase和Web of Science数据库,搜集关于我国住院医师岗位胜任力指标体系构建的相关文献,检索时限均为建库至2023年12月。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,进行描述性分析。结果共纳入15篇文献。涉及的指标构建方法有9种,使用最多的是德尔菲法(7篇,46.7%),其次为问卷调查法(3篇,20%)、专家咨询法(2篇,13.3%)。纳入研究最常见的参考模型是美国毕业后医学教育认证委员会住院医师核心胜任力框架(10篇,66.7%)。纳入研究构建的指标体系中一级指标数最少4个,最多8个;条目(最后分级指标数)最少15个,最多116个。纳入研究构建的不同指标体系内容广泛,涵盖了医师岗位胜任力的各个方面。专家团队组成包括临床专家、护理、管理人员、高校教师、患者、住院医师等。结论我国住院医师岗位胜任力评价指标体系的研究方法多样,研究内容与国际接轨。Objective To systematically review the research status of competency evaluation systems of residents in China.Methods The CNKI,VIP,WanFang Data,PubMed,Embase and Web of Science databases were electronically searched to collect relevant literature on competency evaluation systems for residents in China from inception to December 2023.Two reviewers independently screened literature,extracted data and assessed the risk of bias of the included studies.The descriptive analysis was then performed.Results A total of 15 studies were included.There were 9 index construction methods involved in the included studies,the Delphi method was the most widely used(7 papers,46.7%),followed by the questionnaire method(3 papers,20%)and the expert consultation method(2 papers,13.3%).The most common reference model was the ACGME Milestones(10 articles,66.7%).According to the construction of index systems,the number of first-level indicators was at least 4 and at most 8.The minimum number of entries(number of final grading indicators)was 15 and the maximum number was 116.The index systems included in the research had a wide range of contents,covering all aspects of resident competencies.The expert teams consisted of clinical experts,nurses,administrators,college teachers,patients,residents,etc.Conclusion There are various research methods for the competency evaluation systems of residents in China,and the research content is in line with international standards.

关 键 词：住院医师 岗位胜任力 评价 指标体系 系统评价 

分 类 号：R192.3[医药卫生—卫生事业管理]