基于移动端的实时核心胜任力评估在内科住院医师规范化培训中的应用  

Real-time core competency assessment by mobile terminal in the standardized training of internal medicine residents

作　　者：李艾为 王冠[1] 孙晓燕[2] 刘园梅[3] 李丹[4] 叶珊[5] 崔常青 伍蕊[2] 李颜[1] 韩江莉[1,4] 沈宁[1,2] Li Aiwei;Wang Guan;Sun Xiaoyan;Liu Yuanmei;Li Dan;Ye Shan;Cui Changqing;Wu Rui;Li Yan;Han Jiangli;Shen Ning(Department of Education,Peking University Third Hospital,Beijing 100191,China;Department of Respiratory and Critical Care Medicine,Peking University Third Hospital,Beijing 100191,China;Department of Geriatrics,Peking University Third Hospital,Beijing 100191,China;Department of Cardiology,Peking University Third Hospital,Beijing 100191,China;Department of Neurology,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院教育处,北京100191 [2]北京大学第三医院呼吸与危重症医学科,北京100191 [3]北京大学第三医院老年内科,北京100191 [4]北京大学第三医院心血管内科,北京100191 [5]北京大学第三医院神经内科,北京100191

出　　处：《中华医学教育探索杂志》2025年第1期121-125,共5页Chinese Journal of Medical Education Research

基　　金：中华医学会医学教育分会毕业后医学教育学组/继续医学教育学组教育管理课题(21BY004);北京大学医学部专科医师培训研究课题(2022ZP09);美国中华医学基金会(Grant#22-458);北京市住院医师规范化培训质量提高项目(住培2023034)。

摘　　要：目的了解内科住院医师规范化培训学员核心胜任力,探讨移动端在核心胜任力评估中的应用效果。方法依托“学医酷”教学管理平台研发移动端形成性评价模块。基于“中国精英教学医院联盟住院医师核心胜任力里程碑评价体系”,2023年1至12月组织临床带教教师对内科在培150名住院医师开展评估工作,应用非参数检验分析评估结果。结果内科住院医师六大核心胜任力中职业素养得分最高,教学能力得分相对较低(97.50 vs.90.00;H=167.31,P<0.001)。第二年住院医师得分明显高于第一年(93.00 vs.90.00;P<0.001),而第三年和第二年之间差异无统计学意义(93.00 vs.93.00;P>0.05)。不同医学教育背景学员间得分差异无统计学意义(P>0.05)。结论需重视内科住院医师教学能力培养,分层递进培养模式仍需进一步落实,基于移动端开展核心胜任力评估是及时了解住院医师综合能力的有效手段。Objective To assess the core competencies of internal medicine residents undergoing standardized residency training and to explore the effectiveness of core competency evaluation on mobile devices.Methods The mobile formative evaluation module was developed based on the"Xueyiku"teaching management platform.From January to December 2023,clinical teachers were asked to evaluate 150 internal medicine residents based on the"Resident Core Competency Milestone Evaluation System in China Consortium of Elite Teaching Hospitals",and the results were analyzed using non-parametric tests.Results Among the six core competencies of internal medicine residents,professionalism received the highest score,whereas teaching skill received a lower score(97.50 vs.90.00;H=167.31,P<0.001).Second-year residents had significantly higher scores than first-year residents(93.00 vs.90.00;P<0.001),but similar scores to third-year residents(93.00 vs.93.00;P>0.05).In addition,there was no significant difference in score among residents with different medical education backgrounds(P>0.05).Conclusions More emphasis should be placed on improving the teaching skills of internal medicine residents,along with the implementation of tiered progressive training.The mobile core competency evaluation is an effective means for assessing the comprehensive skills of residents in a timely manner.

关 键 词：住院医师规范化培训 核心胜任力 形成性评价 

分 类 号：R-05[医药卫生]