美国放射肿瘤学住院医师胜任力评价Milestones 2.0解读与思考  

Interpretation and reflection on Milestones 2.0:a competency-based assessment framework for radiation oncology residents in the United States

作　　者：李济时 蔡林波 岳金波[3] Wong Rebecca K 孔凤鸣 胡超苏 谢方云[6] 郭巧娟[7] 李宝生[3] 易俊林 李咏梅 Li Jishi;Cai Linbo;Yue Jinbo;Wong Rebecca K;Kong Fengming(Spring);Hu Chaosu;Xie Fangyun;Guo Qiaojuan;Li Baosheng;Yi Junlin;Lee Wing Mui Anne(Oncology Medical Center,The University of Hong Kong-Shenzhen Hospital,Shenzhen 518000,China;Department of Radiation Oncology,Guangdong Sanjiu Brain Hospital,Guangzhou 510000,China;Department of Radiation Oncology,Shandong Cancer Hospital,Jinan 250117,China;Department of Radiation Oncology,Princess Margaret Cancer Centre,University of Toronto,Toronto M5G 2M9,Canada;Department of Radiation Oncology,Fudan University Cancer Hospital,Shanghai 200000,China;Department of Radiation Oncology,Sun Yat-sen University Cancer Center,Guangzhou 510000,China;Department of Radiation Oncology,Fujian Provincial Cancer Hospital,Fuzhou 350000,China;Department of Radiation Oncology,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)

机构地区：[1]香港大学深圳医院肿瘤医学中心,深圳518000 [2]广东三九脑科医院放疗科,广州510000 [3]山东省肿瘤医院放疗科,济南250117 [4]多伦多大学玛格丽特癌症中心放疗科,多伦多M5G 2M9 [5]复旦大学附属肿瘤医院放疗科,上海200000 [6]中山大学肿瘤防治中心放疗科,广州510000 [7]福建省肿瘤医院放疗科,福州350000 [8]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院放疗科,北京100021

出　　处：《中华放射肿瘤学杂志》2025年第2期183-188,共6页Chinese Journal of Radiation Oncology

基　　金：深圳市医学重点专科(SZXK014);深圳市医疗卫生三名工程项目(SZSM202211017)。

摘　　要：以胜任力导向的住院医师规范化培训理念在全球盛行,而如何对胜任力进行过程性、连续性及终极性评价是实施难点。放射肿瘤学住院医师胜任力评价系统Milestones 2.0由美国毕业后医学教育认证委员会发布,该系统的核心目的是将核心胜任力的各项二级胜任力根据从新手到专家的不同水平的表现分为5个等级,每6个月评估一次,预期所有住院医师在培训结束时,所有二级胜任力均达到4级,以提高全美住院医师评估的标准化水平。本文谨对该胜任力框架进行解读,并思考其对于中国放射肿瘤学住院医师规范化培训的借鉴价值。The concept of competency-based standardized residency training is gaining global popularity.However,the process of assessing,continuously evaluating,and conducting final competency evaluations remains challenging.The Milestones 2.0 system,developed by the Accreditation Council for Graduate Medical Education,provides a framework for evaluating competencies in radiation oncology residents.The core objective of this system is to assess sub-competencies within core competencies,categorizing them from novice to expert across 5 levels.Evaluation occurs every 6 months,with the expectation that all residents reach level 4 in all sub-competencies by the end of their training.This approach aims to enhance the standardization of residency evaluations across the United States.This article aims to analyze the Milestones 2.0 competency framework and explore its potential applicability and reference value for standardized radiation oncology residency training in China.

关 键 词：放射肿瘤学 住院医师 胜任力 评价 

分 类 号：R73[医药卫生—肿瘤]