普通外科专科医师规范化培训中置信职业行为指标构建  

Construction of the Evaluation Index System of Entrustable Professional Activities in Standardized Training of General Surgeon Specialises

作　　者：贺志宽[1] 单照 马昭进 陈江涛[1] 李全营[1] 秦长江[1] HE Zhikuan;SHAN Zhao;MA Zhaojin;CHEN Jiangtao;LI Quanying;QIN Changjiang(Department of General Surgery,Huaihe Hospital of Henan University,Kaifeng 475000,Henan,China)

机构地区：[1]河南大学淮河医院普通外科,河南开封475000

出　　处：《医学信息》2025年第6期118-122,共5页Journal of Medical Information

基　　金：河南省医学教育研究项目(编号:Wjlx2021374)。

摘　　要：目的构建普通外科专科医师规范化培训中置信职业行为(EPAs)评价指标体系。方法通过文献分析和小组讨论设计专家咨询问卷,于2022年8月-9月采用德尔菲法对25名普通外科领域专家进行两轮专家咨询。结果专家咨询问卷回收率均为100.00%。最终形成的评价指标包括:入院评估、医患沟通、外科基本操作、科研能力、综合能力5项一级指标,21项二级指标,学员在不同阶段的二级指标预期置信级别为1~5级不等。结论构建的普通外科专科医师规范化培训中EPAs评价指标具有可靠性、科学性和全面性,可为普通外科专科医师规范化培训临床教学及考核体系提供客观的量化依据。Objective To construct an evaluation index system of the entruatable professional activities(EPAs)in standardized training of general surgeon specialists.Methods An expert consultation questionnaire was designed through literature analysis and group discussion,and conducted two rounds of expert consultation among 25 experts in the general surgery field using Delphi technique from August to September 2022.Results The recovery rate of the questionnaires was 100.00%.The index system of the entruatable professional activities included 5 primary indicators such as admission evaluation,doctor-patient communication,basic operations of surgery,scientific research capabilities,and comprehensive ability,21 secondary indicators,students at different stages of secondary indicators were expected to vary from level 1 to 5.Conclusion The established evaluation index system is reliable,scientific and comprehensive,which can provide an objective quantitative basis for clinical teaching and assessment systems for standardized training of general surgeon.

关 键 词：胜任力导向 置信职业行为 专科医师规范化培训 普通外科 

分 类 号：R192.3[医药卫生—卫生事业管理]