全科住院医师置信职业行为指标的构建研究

doi:10.3760/cma.j.cn115259-20240506-00454

中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (7): 519-524.DOI: 10.3760/cma.j.cn115259-20240506-00454

• 住院医师与专科医师规范化培训 • 上一篇下一篇

全科住院医师置信职业行为指标的构建研究

王琪, 刘艳丽, 孙晨, 马力

首都医科大学附属北京天坛医院全科医疗科,北京 100070

收稿日期:2024-05-06 出版日期:2025-07-01 发布日期:2025-07-01
通讯作者: 刘艳丽, Email: ccliuyanli@126.com
基金资助:
北京市住院医师规范化培训质量提升项目(2021037);中国医师协会全国全科医学教育教学研究课题(A-YXGP20210202-03);北京市教育科学“十四五”规划2023年度一般课题(CDDB23206)

Research on the construction of entrustable professional activities index for general practitioner residents

Wang Qi, Liu Yanli, Sun Chen, Ma Li

General Practice Department, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China

Received:2024-05-06 Online:2025-07-01 Published:2025-07-01
Contact: Liu Yanli, Email: ccliuyanli@126.com
Supported by:
Beijing Quality Improvement Project of Residency Training (2021037); National General Practice Research Topic on Education and Teaching (A-YXGP20210202-03); Annual General Project of the “14th Five-Year Plan” for Beijing Educational Science in 2023 (CDDB23206)

摘要/Abstract

摘要： 目的构建全科住院医师置信职业行为(entrustable professional activities,EPAs)指标。方法 2021年10月至2022年3月,基于文献分析法、半结构式访谈,初步拟定置信职业行为指标;采用德尔菲法对15名专家进行2轮专家函询,筛选、优化全科住院医师置信职业行为指标。结果最终构建了19项全科住院医师置信职业行为指标及73条内容说明。专家权威系数为0.93,专家积极系数分别为100.0%、93.3%,专家意见变异系数分别为0.49、0.41。结论全科住院医师置信职业行为指标内容全面、实用,构建过程科学、可靠,可以为全科住院医师的培养提供简便可行的标准与评价手段。

关键词: 临床医学, 置信职业行为, 住院医师规范化培训, 德尔菲专家函询法, 全科医学

Abstract: Objective To construct the index of entrustable professional activities (EPAs) for general practitioner residents. Methods From October 2021 to March 2022, based on literature review, semi-structured interviews, the EPAs indicators were preliminary formulated. The Delphi method was adopted, after two rounds of letter consultation among 15 experts, the EPAs were screened and optimized. Results The established index of EPAs for general practitioner resident includes 19 items of indicators and 73 items of content descriptions. The expert authority coefficient was 0.93, the positive coefficient of two rounds of consulting experts were 100.0% and 93.0% respectively, and the variable coefficient of experts′ opinions were 0.49 and 0.41 respectively. Conclusions The index of EPAs for general practitioner resident is comprehensive and practical, and the construction process is scientific and reliable. It can provide simple and feasible standards and evaluation methods for the training of general practitioner resident.

Key words: Clinical medicine, Entrustable professional activities, Standardized training for residents, Delphi expert consultation method, General practice

中图分类号:

R-05

王琪, 刘艳丽, 孙晨, 马力. 全科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, 2025, 45(7): 519-524.

Wang Qi, Liu Yanli, Sun Chen, Ma Li. Research on the construction of entrustable professional activities index for general practitioner residents[J]. Chinese Journal of Medical Education, 2025, 45(7): 519-524.

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全科住院医师置信职业行为指标的构建研究

Research on the construction of entrustable professional activities index for general practitioner residents

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