全科医生安宁疗护专科规范化培训临床教学基地师资标准的构建  

Development of accreditation standards for clinical teaching faculty in hospice care training of general practitioners

作　　者：虞莹 郑辉超 杨华 虞智杰 唐跃中 竺琼 江孙芳 祝墡珠[1] Yu Ying;Zheng Huichao;Yang Hua;Yu Zhijie;Tang Yuezhong;Zhu Qiong;Jiang Sunfang;Zhu Shanzhu(Department of General Practice,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Kangjian Community Health Center of Xuhui District,Shanghai 200233,China;Department of Health Management Centre,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院全科医学科,上海200032 [2]上海市徐汇区康健社区卫生服务中心,上海200233 [3]复旦大学附属中山医院健康管理中心,上海200032

出　　处：《中华全科医师杂志》2025年第4期420-425,共6页Chinese Journal of General Practitioners

基　　金：上海医学领学人才项目(2019LJ15);2023-2025年徐汇区光启人才行动计划“光启名医”项目。

摘　　要：目的制定全科医生安宁疗护专科规范化培训临床教学基地师资标准。方法该研究为定性研究。2022年4—8月,采用德尔菲专家咨询法选取全国从事全科医学和安宁疗护工作的专家29名进行两轮函询。根据咨询结果制定全科医生安宁疗护专科规范化培训临床教学基地师资标准。结果咨询专家年龄(52.9±8.9)岁,工作年限(17.0±7.2)年,正高级职称占比69.0%(20/29)。两轮专家咨询中专家积极系数分别为100.0%(29/29)和96.6%(28/29),专家权威系数分别是0.765和0.813,所有指标重要性专家意见协调系数W分别为0.112和0.196(P<0.05),专家意见趋于一致。最终建立了一套由4个一级指标和24个二级指标组成的全科医生专科培训临床教学基地师资标准,4个一级指标分别为基本素养、临床资格和能力、教学资格和能力、科研能力,权重系数分别为0.253、0.255、0.254和0.241。结论该研究建立了全科医生专科培训临床教学基地师资标准,可有助于临床培训基地师资的综合评估。Objective To develop accreditation standards for clinical faculty in general practitioner specialized training of hospice care.Methods This was a qualitative study.Twenty nine experts in fields of general practice and hospice care were invited for two rounds of Delphi consultation from April 2022 to August 2022.Based on the consultation results,the accreditation standards for clinical faculty in general practitioner training bases of hospice care specialty was preliminarily developed.Results The mean age of the consulting experts was(52.9±8.9)years with a mean working year of(17.0±7.2),and 69.0%(20/29)of them held senior professional titles.In the two rounds of consultation,the expert positive coefficient was 100.0%(29/29)and 96.6%(28/29),the expert authority coefficient was 0.765 and 0.813,and the expert opinion coordination coefficient W for the importance of all indicators was 0.112 and 0.196,respectively.The expert opinions tended to be consistent.Finally,a set of clinical base faculty standards for general specialty training was developed,which consisted of 4 first-level indicators and 24 second-level indicators.The 4 first-level indicators were basic literacy,clinical qualification and ability,teaching qualification and ability,scientific research ability,with the weight coefficients of 0.253,0.255,0.254 and 0.241,respectively.Conclusion The standards for clinical teaching faculty in general practitioner specialty training base of hospice care has been established in this study,which is conducive to the comprehensive quality evaluation for training faculty.

关 键 词：全科医学 安宁疗护 临床师资 德尔菲法 

分 类 号：R192[医药卫生—卫生事业管理] R47[医药卫生—公共卫生与预防医学]