基于置信职业行为构建胜任力导向的骨科住院医师规范化培训体系探索  

Construction of a competency-oriented standardized training system for orthopedic residents based on entrustable professional activities

作　　者：刘天洋 高福强 孙伟[4] 李子荣 Liu Tianyang;Gao Fuqiang;Sun Wei;Li Zirong(China-Janpan Friendship Hospital School of Clinical Medicine,Capital Medical University,Beijing 100029,China;Department of Orthopedics,China-Japan Friendship Hospital,Beijing 100029,China;China-Japan Friendship School of Clinical Medicine,Peking University,Beijing 100029,China;Department of Orthopaedic Surgery of the Perelman School of Medicine,University of Pennsylvania,Philadelphia,PA 19104,USA)

机构地区：[1]首都医科大学中日友好临床医学院,北京100029 [2]中日友好医院骨科,北京100029 [3]北京大学中日友好临床医学院,北京100029 [4]宾夕法尼亚大学佩雷尔曼医学院骨科,宾夕法尼亚州,美国PA 19104

出　　处：《中华医学教育探索杂志》2025年第1期126-131,共6页Chinese Journal of Medical Education Research

基　　金：北京大学医学部教育教学研究课题成果(2021YB18);中央高水平医院临床科研业务费专项(2024-NHLHCRF-PYI-01);首都卫生发展科研专项项目自主创新项目(首发2024-2-40611);北京市自然科学基金面上项目(7242127)。

摘　　要：当今世界范围内正在进行以“胜任力导向的医学教育(competency-based medical education,CBME)”为主要特征的第三次医学教育改革。但是,在实践过程中仍然存在无法与临床现实相联系的问题。本研究参考Mulder等提出的“基于置信职业行为(entrustable professional activities,EPAs)的CBME课程体系构建三步法”,结合国内外近年来相关政策及研究,通过细化专科临床操作EPAs的形式,构建了具有骨科专科特点的EPAs框架。并以此为基础,提出以胜任力导向的骨科住院医师规范化培训体系,辅以教学评估手段确保课程顺利实施,以期为构建外科学专科EPAs培训体系提供参考。In recent years,the third medical education reform characterized by competency-based medical education(CBME)is being carried out around the world;however,there are still challenges in bridging competency framework with clinical practice during implementation.With reference to the three-step method for constructing a CBME curriculum system based on entrustable professional activities(EPAs)and related policies and studies in China in recent years,this article constructs a framework of EPAs with the features of orthopedics by detailing the EPAs of specified clinical operation.On this basis,this article proposes a competency-oriented standardized training system for orthopedic residents,with the help of teaching evaluation methods to ensure the successful implementation of courses,so as to provide a reference for establishing a training system for surgery based on EPAs.

关 键 词：置信职业行为 胜任力导向的医学教育 住院医师规范化培训 课程体系 

分 类 号：R68[医药卫生—骨科学]