基于德尔菲法构建以胜任力为导向的麻醉科专科医师置信职业行为指标  

Development of competency-oriented entrustable professional activities indicators for anesthesiology specialists based on Delphi method

作　　者：王玉洁[1] 毛明峰 丁利刚 徐懋[1] 郭向阳[1] Wang Yujie;Mao Mingfeng;Ding Ligang;Xu Mao;Guo Xiangyang(Department of Anesthesiology,Peking University Third Hospital,Bejing 100191,China;Department of Otorhinolaryngology,the Six Medical Center of PLA General Hospital,Beijing 100142,China;Department of Anesthesiology,Peking University Third Hospital Qinhuangdao Hospital,Qinhuangdao 066000,China)

机构地区：[1]北京大学第三医院麻醉科,北京100191 [2]中国人民解放军总医院第六医学中心耳鼻喉科,北京100142 [3]北京大学第三医院秦皇岛医院麻醉科,秦皇岛066000

出　　处：《国际麻醉学与复苏杂志》2025年第3期286-292,共7页International Journal of Anesthesiology and Resuscitation

基　　金：北京大学医学部专科医师规范化培训重点招标课题(2022ZP01);北京市住院医师规范化培训质量提高项目(2024-30);北京大学第三医院教育教学研究课题(2024bysyxykzp04)。

摘　　要：目的构建适用于麻醉科专科医师的以胜任力为导向的置信职业行为(EPA)指标。方法通过文献回顾和德尔菲专家函询的方法,确定麻醉科专科医师的置信职业指标清单条目及年度信任级别。使用SPSS 22.0统计学软件进行数据分析。结果3轮咨询专家积极程度分别为100%、100%、96%,权威系数(CV)分别为0.93、0.94、0.95,第1轮咨询的变异系数(Cr)<0.24。最终构建包括37个指标的EPA指标及信任级别。结论专家的积极程度、权威程度以及意见协调程度均较高,结果可信;初步构建了较高质量的以胜任力为导向的麻醉科专科医师EPA指标及在不同时间节点的预期置信级别,为麻醉科专科医师胜任力导向的培训及评价提供参考。Objective To construct competency-oriented entrustable professional activity(EPA)indicators for anesthesiology specialists.Methods A literature review and Delphi expert consultation were conducted to define EPA indicator items and annual entrustment levels for anesthesiology specialists.Data analysis was performed using SPSS 22.0 statistical software.Results The expert response rates for three rounds of consultation was 100%,100%and 96%.The authority coefficients(CV)was 0.93,0.94 and 0.95,and coefficient of variation(CV)in the first round was<0.24.A final set of 37 EPA indicators with corresponding entrustment levels was constructed.Conclusions The high expert engagement,authority and consensus coordination ensure reliable results.The positive degree and coordination degree of experts are high,and the results are credible.The competency-oriented EPA indicators and expected entrustment levels at different training stages provide valuable reference for competency-oriented training and evaluation of anesthesiology specialists.

关 键 词：麻醉 专科医师 规范化培训 置信职业行为 德尔菲法 岗位胜任力 

分 类 号：R192.3[医药卫生—卫生事业管理]