肾脏病理专科医师置信职业行为指标的构建

doi:10.3760/cma.j.cn115259-20250806-00900

中华医学教育杂志 ›› 2026, Vol. 46 ›› Issue (8): 622-627.DOI: 10.3760/cma.j.cn115259-20250806-00900

肾脏病理专科医师置信职业行为指标的构建

蒋镭¹, 刘刚¹, 郑茜子¹, 喻小娟¹, 任雅丽², 王素霞², 齐心³, 吕继成¹, 杨莉¹

¹北京大学第一医院肾内科北京大学肾脏疾病研究所卫生部肾脏疾病重点实验室慢性肾脏病防治教育部重点实验室(北京大学),北京 100034;
²北京大学第一医院电镜室暨超微病理中心,北京 100034;
³北京大学第一医院整形烧伤科,北京 100034

收稿日期:2025-08-06 发布日期:2026-07-29
通讯作者: 杨莉, Email: li.yang@bjmu.edu.cn
基金资助:
北京大学第一医院教育教学研究课题(2023YJ06);北京大学医学部教育教学改革与研究课题(2025SFZD09)

A study on developing entrustable professional activities for renal pathologists

Jiang Lei¹, Liu Gang¹, Zheng Xizi¹, Yu Xiaojuan¹, Ren Yali², Wang Suxia², Qi Xin³, Lyu Jicheng¹, Yang Li¹

¹Renal Division, Peking University First Hospital &Institute of Nephrology, Peking University &Key Laboratory of Renal Disease, Ministry of Health of China & Key Laboratory of CKD Prevention and Treatment, Ministry of Education of China, Beijing 100034, China;
²Laboratory of Electron Microscopy, Pathological Center, Peking University First Hospital, Beijing 100034, China;
³Department of Plastic Surgery &Burns, Peking University First Hospital, Beijing 100034, China

Received:2025-08-06 Published:2026-07-29
Contact: Yang Li, Email: li.yang@bjmu.edu.cn
Supported by:
Peking University First Hospital Medical Education Research Funding Project (2023YJ06); Peking University Health Science Center Educational Reform and Research Projects(2025SFZD09)

摘要/Abstract

摘要： 目的构建肾脏病理专科医师置信职业行为指标。方法于2024至2025年基于文献研究法初步拟定置信职业行为指标,采用改良德尔菲法对12名专家进行2轮专家函询和1次专家咨询会,筛选、优化肾脏病理医师置信职业行为指标。结果共构建了11项肾脏病理医师置信职业行为指标及其内容说明,并确定了各项指标在不同阶段的预期置信级别。专家权威系数为(0.89±0.09),专家积极系数均为100.0%,专家协调系数分别为0.448和0.510。结论肾脏病理医师置信职业行为指标内容全面、实用,构建过程科学、可靠,可以为肾脏病理专科医师的培养提供简便可行的标准与评价手段。

关键词: 肾脏病学, 肾脏病理专科医师, 置信职业行为, 德尔菲法, 胜任力导向的医学教育

Abstract: Objective To establish specialty-specific Entrustable Professional Activities (EPAs) for renal pathologists. Methods From 2024 to 2025, preliminary EPA indicators were drafted through literature review. A modified Delphi method was employed, involving two rounds of expert consultation and one consultation meeting with 12 specialists to refine the EPA framework. Results Eleven EPA indicators with content descriptions were developed, alongside expected entrustment levels for different training stages. The expert authority coefficient was 0.89±0.09, with 100.0% response rates across consultations. Kendall′s W coefficients for consensus were 0.448 and 0.510, respectively. Conclusions The established EPA framework is comprehensive and applicable. The development process demonstrates methodological rigor and reliability, offering a simple and practical standardized tool for competency-based training and assessment in renal pathology.

Key words: Nephrology, Renal pathologist, Entrustable professional activities, Delphi expert consultation method, Competency-based medical education

中图分类号:

R-05

蒋镭, 刘刚, 郑茜子, 喻小娟, 任雅丽, 王素霞, 齐心, 吕继成, 杨莉. 肾脏病理专科医师置信职业行为指标的构建[J]. 中华医学教育杂志, 2026, 46(8): 622-627, DOI: 10.3760/cma.j.cn115259-20250806-00900.

Jiang Lei, Liu Gang, Zheng Xizi, Yu Xiaojuan, Ren Yali, Wang Suxia, Qi Xin, Lyu Jicheng, Yang Li. A study on developing entrustable professional activities for renal pathologists[J]. Chinese Journal of Medical Education, 2026, 46(8): 622-627, DOI: 10.3760/cma.j.cn115259-20250806-00900.

参考文献

[1] ten Cate O. Entrustability of professional activities and competency-based training[J]. Med Educ, 2005,39(12):1176-1177. DOI:10.1111/j.1365-2929.2005.02341.x.
[2] Nuts and bolts: entrustable professional activities[J]. Acad Pediatr, 2023,23(7):1307-1308. DOI:10.1016/j.acap.2023.05.018.
[3] 陈心航, 吴红斌, 江哲涵, 等. 国际置信职业行为研究在医学教育中的发展与启示[J]. 中华医学教育杂志,2020,40(12):945-950. DOI:10.3760/cma.j.cn115259-20201012-01447.
[4] Liu L, Jiang Z, Qi X, et al. An update on current EPAs in graduate medical education: a scoping review[J]. Med Educ Online, 2021,26(1):1981198. DOI:10.1080/10872981.2021.1981198.
[5] McCloskey CB, Domen RE, Conran RM, et al. Entrustable professional activities for pathology: recommendations from the College of American Pathologists Graduate Medical Education Committee[J]. Acad Pathol, 2017,4:2374289517714283. DOI:10.1177/2374289517714283.
[6] Pinsk M, Karpinski J, Carlisle E. Introduction of competence by design to Canadian nephrology postgraduate training[J]. Can J Kidney Health Dis, 2018,5:2054358118786972. DOI:10.1177/2054358118786972.
[7] White K, Qualtieri J, Courville EL, et al. Entrustable professional activities in hematopathology pathology fellowship training: consensus design and proposal[J]. Acad Pathol, 2021,8:2374289521990823. DOI:10.1177/2374289521990823.
[8] 李珊, 周文静, 齐心, 等. 置信职业行为在儿科住院医师培训中的实践研究[J]. 中华医学教育杂志,2022,42(3):263-267. DOI:10.3760/cma.j.cn115259-20210704-00839.
[9] 吕涛, 刘俊, 刘瑛, 等. 基于置信职业行为的妇产科住院医师规范化培训与考核模式的构建[J]. 中华医学教育杂志,2022,42(6):550-553. DOI:10.3760/cma.j.cn115259-20220310-00294.
[10] 冯莉莉, 陈旭岩, 张向阳, 等. 急诊住院医师置信职业行为指标构建及应用初探[J]. 中国毕业后医学教育, 2021,5(3):197-201. DOI:10.3969/j.issn.2096-4293.2021.03.002.
[11] 齐心, 金哲, 韩晓宁, 等. 住院医师置信职业行为指标的构建研究[J]. 中华医学教育杂志,2021,41(2):104-108. DOI:10.3760/cma.j.cn115259-20201117-01599.
[12] 金哲, 齐心, 李海潮, 等. 置信职业行为在临床医学教育中的应用[J]. 中华医学教育杂志,2019,39(4):314-320. DOI:10.3760/cma.j.issn.1673-677X.2019.04.018.
[13] 邹万忠. 我国肾活检病理学回顾与展望[J]. 中华病理学杂志,2015,44(7):455-458. DOI:10.3760/cma.j.issn.0529-5807.2015.07.005
[14] Naritoku WY, Alexander CB. Pathology milestones[J]. J Grad Med Educ, 2014,6(1 Suppl 1):180-181. DOI:10.4300/JGME-06-01s1-10.
[15] Knollmann-Ritschel B, Huppmann AR, Borowitz MJ, et al. Pathology competencies in medical education and educational cases: update 2023[J]. Acad Pathol, 2023,10(3):100086. DOI:10.1016/j.acpath.2023.100086.
[16] 肾活检病理规范化诊断共识专家组. 肾活检病理规范化诊断的专家共识[J]. 中华肾脏病杂志,2018,34(12):941-946. DOI:10.3760/cma.j.issn.1001-7097.2018.12.013.
[17] Aggarwal A, Bharadwaj S, Corredor G, et al. Artificial intelligence in digital pathology-time for a reality check[J]. Nat Rev Clin Oncol, 2025,22(4):283-291. DOI:10.1038/s41571-025-00991-6.
[18] Pantanowitz L, Hanna M, Pantanowitz J, et al. Regulatory aspects of artificial intelligence and machine learning[J]. Mod Pathol, 2024,37(12):100609. DOI:10.1016/j.modpat.2024.100609.
[19] Ye Z, Lu Q, Wang J, et al. A quantitative study of pathologists′ perceptions towards artificial intelligence-assisted diagnostic system[J]. PLOS Digit Health, 2025,4(10):e0001052. DOI:10.1371/journal.pdig.0001052.
[20] Vos S, Hebeda K, Milota M, et al. Making pathologists ready for the new artificial intelligence era: changes in required competencies[J]. Mod Pathol, 2025,38(2):100657. DOI:10.1016/j.modpat.2024.100657.
[21] Xu H, Usuyama N, Bagga J, et al. A whole-slide foundation model for digital pathology from real-world data[J]. Nature, 2024,630(8015):181-188. DOI:10.1038/s41586-024-07441-w.
[22] Vorontsov E, Bozkurt A, Casson A, et al. A foundation model for clinical-grade computational pathology and rare cancers detection[J]. Nat Med, 2024,30(10):2924-2935. DOI:10.1038/s41591-024-03141-0.

肾脏病理专科医师置信职业行为指标的构建

A study on developing entrustable professional activities for renal pathologists

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