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

doi:10.3760/cma.j.cn115259-20220310-00294

中华医学教育杂志 ›› 2022, Vol. 42 ›› Issue (6): 550-553.DOI: 10.3760/cma.j.cn115259-20220310-00294

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

吕涛, 刘俊, 刘瑛, 王晓茜, 曾桢, 冯岩岩, 冯宗昊, 陈华云, 张蕾, 黄振宇

清华大学附属北京清华长庚医院妇产科清华大学临床医学院,北京 102218

收稿日期:2022-03-10 出版日期:2022-06-01 发布日期:2022-05-27
通讯作者: 黄振宇, Email: hzhyhch@163.com
基金资助:
中国学位与研究生教育学会医学专业学位委员会立项课题(YX2019-03-02)

Establishment of standardized training and assessment model for residents in obstetrics and gynecology based on entrustable professional activities

Lyu Tao, Liu Jun, Liu Ying, Wang Xiaoqian, Zeng Zhen, Feng Yanyan, Feng Zonghao, Chen Huayun, Zhang Lei, Huang Zhenyu

Department of Obstetrics and Gynecology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China

Received:2022-03-10 Online:2022-06-01 Published:2022-05-27
Contact: Huang Zhenyu, Email: hzhyhch@163.com
Supported by:
Chinese Degree and Postgraduate Education Research Project (YX2019-03-02)

摘要/Abstract

摘要： 妇产科住院医师规范化培训对医师的成长十分重要,培训中依据住院医师成长规律将临床能力的要求进行量化,形成操作性强并具有学科特色的培养和考核模式是值得研究的问题。本文基于置信职业行为,构建了依年资分层递进的、可量化的妇产科住院医师规范化临床能力培养考核模式,该模式共包括37项培训内容,每项内容对应的核心能力及对不同年资住院医师要求达到的信任等级不同,考核平台可以实时考核和反馈,实践中根据住院医师的反馈对模式进行了改进。

关键词: 妇产科学, 住院医师, 置信职业行为, 毕业后教育, 培训, 考核

Abstract: The standardized residency training of obstetrics and gynecology clinicians is very important for their career development, so it is necessary to define quantitatively the clinical competency for the training according to the growth pattern and to develop a feasible training/assessment model matching disciplinary characteristics. Based on entrustable professional activities(EPA), an assessment model for a hierarchical and quantifiable standardized residency training in obstetrics and gynecology has been established. The model includes 37 training contents, and each of them has different trust level for residents with different competency and seniority. The assessment platform is used for real-time assessment as well as feedback and the training contents and methods are improved according to the feedback from the trainees.

Key words: Gynecological and obstetric, Residency, Entrustable professional activities, Post-graduate education, Training, Assessment

中图分类号:

吕涛, 刘俊, 刘瑛, 王晓茜, 曾桢, 冯岩岩, 冯宗昊, 陈华云, 张蕾, 黄振宇. 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.

Lyu Tao, Liu Jun, Liu Ying, Wang Xiaoqian, Zeng Zhen, Feng Yanyan, Feng Zonghao, Chen Huayun, Zhang Lei, Huang Zhenyu. Establishment of standardized training and assessment model for residents in obstetrics and gynecology based on entrustable professional activities[J]. Chinese Journal of Medical Education, 2022, 42(6): 550-553.

参考文献

[1] TenCate 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] 齐心. 置信职业行为与住院医师胜任力关系探讨[J].中华医学教育杂志,2020,40(4):306-310. DOI: 10.3760/cma.j.cn115259-20191008-00827.
[3] Ten Cate O. Nuts and bolts of entrustable professional activities[J]. J Grad Med Educ, 2013,5(1):157-158. DOI: 10.4300/JGME-D-12-00380.1.
[4] Jonker G, Hoff RG, Ten Cate OT. A case for competency-based anaesthesiology training with entrustable professional activities: an agenda for development and research[J]. Eur J Anaesthesiol, 2015,32(2):71-76. DOI: 10.1097/EJA.0000000000000109.
[5] Chang A, Bowen JL,Buranosky RA, et al. Transforming primary care training——patient-centered medical home entrustable professional activities for internal medicine residents[J]. J Gen Intern Med, 2013,28(6):801-809. DOI: 10.1007/s11606-012-2193-3.
[6] 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.
[7] 中国住院医师培训精英教学医院联盟. 中国住院医师培训精英教学医院联盟住院医师核心胜任力框架共识[J].协和医学杂志,2022,13(1):17-23. DOI: 10.12290/xhyxzz.2021-0755.
[8] Chen HC, van denBroek WE, ten Cate O. The case for use of entrustable professional activities in undergraduate medical education[J]. Acad Med, 2015,90(4):431-436. DOI: 10.1097/ACM.0000000000000586.
[9] 陈君霞, 马英英, 王运根, 等. 分层递进教学在妇产科住院医师规范化培训中的应用[J].浙江医学教育,2021,20(6):11-14. DOI: 10.3969/j.issn.1672-0024.2021.06.004.
[10] 王琦侠, 常文星, 雷涛. 分层递进思维导图在全科住院医师临床思维能力培养中的应用[J].中国毕业后医学教育,2021,5(3):273-277. DOI: 10.3969/j.issn.2096-4293.2021.03.020.
[11] 黄振宇, 于晓明, 王建六, 等. 妇产科住院医师临床技能培训方法的研究[J].中国高等医学教育,2017(1):86-87. DOI: 10.3969/j.issn.1002-1701.2017.01.041.

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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

Establishment of standardized training and assessment model for residents in obstetrics and gynecology based on entrustable professional activities

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