毕业后医学教育核心胜任力的内涵与评价  

Connotation and Evaluation of Core Competencies in Post Graduation Medical Education

作　　者：瞿海龙[1] 张冰[1] 张红强 QU Hailong;ZHANG Bing;ZHANG Hongqiang(Department of Emergency,Affiliated Hospital of Hebei University,Baoding Hebei 071000,China)

机构地区：[1]河北大学附属医院急诊医学科,河北保定071000

出　　处：《中国继续医学教育》2024年第23期32-36,共5页China Continuing Medical Education

基　　金：河北大学医学部教育教学改革培育项目(YXBJG-2022-35)。

摘　　要：毕业后医学教育是医学生转变为临床医师的关键,也是第三代医学教育改革的起点。教学活动的规范化是保证培训质量同质化的基础,以职业素养、专业能力、患者管理、沟通合作、教学能力、学习提升为导向的毕业后教育,使住院医师规范化培训目标化、具体化。指导医师细化落实岗位胜任力培养要求,可提升培训的同质化水平。胜任力导向的教学和临床工作密切相关,形成性评价通过工作场所对学员的胜任力进行持续地观察和反馈,明确学员不足、促进教学改进。以出科考试、年度考试和结业考试进行的终结性评价,能够充分体现培养目标。里程碑式评价遵循程序化评估原则,综合判断住院医师胜任力的成长,确保住培医师达到独立执业的能力。Post graduation medical education is the key to turning medical students into clinical physicians,and also is the starting point of the third-generation medical education reform.The standardization of teaching activities is the foundation for ensuring the homogenization of training quality.Post graduation medical education consists of six core competences:professionalism,medical knowledge and skill,patient care,communication and collaboration,teaching and and learning improvement,make the standardized training of residents targeted and specific.Guiding physicians to refine and implement competency training requirements can enhance the level of homogenization.Competency oriented teaching is closely related to clinical work,and formative evaluation continuously observes and provides feedback on the competence of students in the workplace,clarifying their shortcomings and promoting teaching improvement.The summative evaluation conducted through entrance exams,annual exams and graduation exams can fully reflect the training objectives.The milestone evaluation follows the principle of procedural evaluation,comprehensively assessing the growth of resident physician competence,and ensuring that resident physicians achieve the ability to practice.

关 键 词：毕业后教育 医学教育 住院医师 规范化培训 岗位胜任力 教学评价 

分 类 号：G642[文化科学—高等教育学]