中华医学教育杂志

中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (2): 156-160.DOI: 10.3760/cma.j.cn115259-20240126-00095

• 医学教育评估 • 上一篇    

北京市助理全科医师规范化培训临床培训基地评估指标体系构建

李卉1, 李海瑾1, 穆韵浓2, 梁名扬1, 邵爽1, 杜娟1   

  1. 1首都医科大学全科医学与继续教育学院,北京 100069;
    2雄安宣武医院科研教育处,保定 070001
  • 收稿日期:2024-01-26 发布日期:2025-01-25
  • 通讯作者: 杜娟, Email: cuckoo@ccmu.edu.cn
  • 基金资助:
    首都医科大学教改重点课题(2023JYZ013)

Construction of an indicator system for standardized clinical training base of assistant general practitioners in Beijing

Li Hui1, Li Haijin1, Mu Yunnong2, Liang Mingyang1, Shao Shuang1, Du Juan1   

  1. 1School of General Practice and Continuing Education, Capital Medical University, Beijing 100069, China;
    2Department of Science and Education, Xiong′an Xuanwu Hospital, Baoding 070001, China
  • Received:2024-01-26 Published:2025-01-25
  • Contact: Du Juan, Email: cuckoo@ccmu.edu.cn
  • Supported by:
    Key Project in Education and Teaching Reform of Capital Medical University (2023JYZ013 )

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摘要： 目的 构建北京市助理全科医师规范化培训临床培训基地评估指标体系。 方法 2023年9至12月,基于决策导向评价模型,采用德尔菲法构建评估指标体系,对北京市从事临床医学教学管理和全科医学规范化培训基地评估的20名专家进行3轮函询。采用层次分析法计算指标权重及一致性率。结果 3轮专家函询问卷回收率均＞0.7,3轮专家函询的权威系数分别为0.90、0.91、0.91。Kendall′s W值分别为0.244、0.059、0.129(第一轮、第三轮均P＜0.001),3轮函询所有条目的重要性和可行性变异系数(CV)均＜0.25。最终构建的评估指标体系包含5项一级指标(资质与条件、教学组织与制度、师资队伍、运行管理、质量监控)、12项二级指标和32项三级指标。各级指标的一致性率(CR)均<0.1。 结论 基于决策导向评价模型构建的北京市助理全科医师规范化培训临床培训基地评估指标体系具有科学性,可以为评价临床培训基地同质化建设和管理效果提供依据。

关键词: 临床医学, 助理全科医师, 临床培训基地, 评估指标体系, 构建

Abstract: Objective To establish an indicator system for standardized clinical training base of assistant general practitioners in Beijing. Methods From September 2023 to December 2023, an indicator system was constructed based on the CIPP (context, input, process and product) model, using the Delphi method. Twenty experts were selected for consultation from the professionals who engaged in clinical teaching management and general practice standardized training base evaluation in Beijing. The index weight and consistency rate (CR) were calculated by analytic hierarchy process. Results The questionnaire recovery rates of the three rounds of consultation were all over 0.7. The expert authority coefficients were 0.90,0.91,0.91, and Kendall′s W values were 0.244,0.059,0.129 (both the first round and the third round had P<0.001). The coefficient of variation (CV) of importance and feasibility of all items in the three rounds of consultation were less than 0.25. The constructed evaluation index system includes 5 first-level indicators (qualifications and conditions, teaching organization and system, teaching staff, operation management, quality monitoring), 12 second-level indicators and 32 third-level indicators. The CR of each level of indexes was <0.1. Conclusions The evaluation indicator system of standardized clinical training base for assistant general practitioners in Beijing based on CIPP model is scientific and authoritative, which can provide basis for objectively evaluating the homogenization construction and management effect of clinical training base.

Key words: Clinical medicine, Assistant general practitioners, Clinical training base, Evaluation index system, Construction

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