住院医师规范化培训招收考核评价框架构建和考核方式探索  

Construction of the evaluation framework and methods for resident recruitment

作　　者：李兰[1] 曹怡[1] 黄丹丹[1] 程春燕 赵茜[2] Li Lan;Cao Yi;Huang Dandan;Cheng Chunyan;Zhao Qian(Post Graduation Training Department,Sichuan University,Chengdu 610041,Sichuan,China;General Practice Medical Center,West China Hospital,Sichuan University,Chengdu 610041,Sichuan,China)

机构地区：[1]四川大学华西医院毕业后培训部,四川成都610041 [2]四川大学华西医院全科医学中心,四川成都610041

出　　处：《中国毕业后医学教育》2025年第1期37-41,共5页Chinese Journal of Graduate Medical Education

基　　金：抓质量促内涵,构建住院医师规范化培训教育体系(2021JDR0181)。

摘　　要：目的为提高住院医师招收质量,以《住院医师规范化培训内容与标准(2022年版)》的住院医师六大核心胜任力为基础,选择住院医师招收考核评价指标,构建住培招收考核评价框架,并对考核方式给出适当建议。方法以住院医师六大核心胜任力作为招收考核评价指标范围,对指标条目内涵进行细化。随后对条目内涵、考核的必要性和可行性,以及考核方式征求专家意见。对专家反馈意见采用变异系数(CV)进行一致性检验,选择适用于住院医师招收阶段的评价指标,构建住培招收考核评价框架。对专家建议的考核方式反馈意见进行统计分析,并推荐适用的考核方式。结果在住培招收考核评价框架方面,住院医师六大核心胜任力中的职业素养、专业能力、沟通合作和学习提升4个方面的8个条目,专家评价的一致性较好(CV<0.3)。在考核方式方面,专家建议包括简历筛选、笔试、面试和客观结构化临床考试等。结论住培招收考核评价框架,应至少包含住院医师六大核心胜任力中的职业素养、专业能力、沟通合作和学习提升4个方面。考核方式建议以简历筛选、笔试、面试相结合的方式,可采取OSCE考查考生的临床技能。Objective To enhance the quality of resident recruitment,we created an evaluation framework based on the 6 core competencies and gathered expert opinions to suggest appropriate evaluation methods.Methods A competency-based evaluation framework based on the evaluation system of standardized residency training was established.The consistency of expert feedback using the coefficient of variation and selected suitable evaluation criteria for resident recruitment were used.Statistical analysis was used to choose assessment methods based on expert recommendations.Results The evaluation framework showed good consistency in 4 aspects and 8 items within 6 core competencies(CV<0.3).Recommended assessment methods included resume screening,written tests,interviews and the objective structured clinical examination.Conclusion When constructing a competency-based evaluation framework for resident recruitment,it is essential to include at least 4 aspects and 8 items from the 6 core competencies.Assessment methods should primarily include resume screening,written tests and interviews,with the addition of the objective structured clinical examination for assessing clinical skills.

关 键 词：住院医师 招收 评价框架 考核 

分 类 号：G40-034[文化科学—教育学原理] R4[文化科学—教育学]