中华医学教育杂志 ›› 2024, Vol. 44 ›› Issue (2): 141-146.DOI: 10.3760/cma.j.cn115259-20230204-00094

• 住院医师规范化培训 • 上一篇    下一篇

基于置信职业行为的皮肤科住院医师规范化培训课程建设研究与实践

孙健1, 李琳娜1, 田雪1, 付玉萍1, 李珺2, 高航3   

  1. 1锦州医科大学附属第一医院皮肤科,锦州 121001;
    2锦州医科大学附属第一医院住培管理处,锦州 121001;
    3锦州医科大学附属第一医院教务处,锦州 121001
  • 收稿日期:2023-02-04 出版日期:2024-02-01 发布日期:2024-01-30
  • 通讯作者: 高航, Email: 313238016@qq.com
  • 基金资助:
    2022年辽宁省教育科学“十四五”规划课题一般课题(JG22DB276);锦州医科大学研究生教育教学研究与改革项目(YJ2022-010)

Research and practice on the construction of dermatology residency training course based on entrustable professional activities

Sun Jian1, Li Linna1, Tian Xue1, Fu Yuping1, Li Jun2, Gao Hang3   

  1. 1Department of Dermatology, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121001, China;
    2Residency Training Management Office, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121001, China;
    3Academic Affairs Office, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121001, China
  • Received:2023-02-04 Online:2024-02-01 Published:2024-01-30
  • Contact: Gao Hang, Email: 313238016@qq.com
  • Supported by:
    2022 Liaoning Province ″14th Five-Year Plan″ of Educational Science General Project (JG22DB276); Graduate Education Research and Reform Project of Jinzhou Medical University(YJ2022-010)

摘要: 置信职业行为将抽象的临床能力评估转化为对临床实践的置信等级确定,促进了胜任力导向医学教育的实施和发展。为弥合抽象、繁琐的临床胜任力评估与真实临床实践之间的鸿沟,突出皮肤科住院医师规范化培训(简称住培)课程专业教学特色,锦州医科大学附属第一医院于2021年开始探索基于置信职业行为的皮肤科住培课程建设。本文从课程建设方案、实践教学、质量评估、成效评价4个维度进行探讨。课程评价结果显示,参与皮肤科住培的住院医师55人中,54人(98.2%)对课程表示满意,49人(89.1%)认为课程可以提高技能操作能力。基于置信职业行为的皮肤科住培课程有助于增强皮肤科住培效果,提升住院医师胜任力。

关键词: 皮肤病学, 置信职业行为, 胜任力导向的医学教育, 住院医师规范化培训, 课程建设

Abstract: Entrustable professional activities (EPAs) translate abstract clinical competency assessment into entrustment decisions in clinical practice and promote the development and implementation of competency-based medical education (CBME). In order to fill the gap between abstract and complex clinical competency assessment and real clinical practice, emphasize the characteristics of dermatology learning, the First Affiliated Hospital of Jinzhou Medical University began exploring the construction of dermatology residency training courses based on EPAs in 2021. This study discussed the application of dermatology courses from curriculum design, practical teaching, quality standard construction, and evaluation. The evaluation results showed that among the 55 residents who participated in dermatology residency training, 54 (98.2%) expressed satisfaction with the course, and 49 (89.1%) believed that the courses could improve their clinical skills. The dermatology residency training courses based on EPAs could enhance the effectiveness of residency training and enhance the competence of residents.

Key words: Dermatology, Entrustable professional activities, Competency-based medical education, Standardized training for residents, Curriculum construction

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