中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (9): 696-701.DOI: 10.3760/cma.j.cn115259-20240813-00848

• 住院医师规范化培训 • 上一篇    下一篇

口腔内科住院医师规范化培训中牙体牙髓专业置信职业行为指标构建

刘红艳, 曾凯, 郑思怡, 麦穗, 韦曦   

  1. 中山大学光华口腔医学院·附属口腔医院牙体牙髓病科,广州 510055
  • 收稿日期:2024-08-13 出版日期:2025-09-01 发布日期:2025-09-02
  • 通讯作者: 韦曦, Email: weixi@mail.sysu.edu.cn
  • 基金资助:
    2024年研究生教育创新计划项目(87000-12240013);2024年度中山大学本科教学质量工程类项目(87000-12220011)

Establishment of entrustable professional activities for operative dentistry and endodontics in oral medicine residency training

Liu Hongyan, Zeng Kai, Zheng Siyi, Mai Sui, Wei Xi   

  1. Departmen of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
  • Received:2024-08-13 Online:2025-09-01 Published:2025-09-02
  • Contact: Wei Xi, Email: weixi@mail.sysu.edu.cn
  • Supported by:
    Innovation Plan for Graduate Education Projects of 2024 (87000-12240013); Undergraduate Education Quality and Education Reform Project of Sun Yat-sen University of 2024 (87000-12220011)

摘要: 目的 构建口腔内科住院医师规范化培训中牙体牙髓专业置信职业行为指标。方法 通过文献研究,编制口腔内科住院医师规范化培训中牙体牙髓专业置信职业行为指标专家函询表,采用德尔菲法于2024年4至6月对22位专家进行2轮咨询,筛选、优化置信职业行为指标,采用均数、变异系数描述指标评分情况,以专家权威程度和肯德尔协调系数判断结果的可靠性。结果 2轮函询的有效问卷回收率分别为95.4%和100.0%,置信职业行为指标评分均大于3.5分、变异系数均小于0.25,专家权威程度分别为0.90和0.91,肯德尔协调系数分别为0.677和0.532(均P<0.001),最终纳入13个口腔内科住院医师规范化培训中牙体牙髓专业置信职业行为指标,确定了各项指标在住院医师不同培训阶段的预期置信级别。结论 口腔内科住院医师规范化培训中牙体牙髓专业置信职业行为指标具有科学性和可靠性,可以为胜任力导向的口腔内科住院医师牙体牙髓专业的规范化培训和客观化评价提供参考。

关键词: 住院医师规范化培训, 置信职业行为, 牙体牙髓, 胜任力

Abstract: Objective To establish the entrustable professional activities (EPAs) for operative dentistry and endodontics in oral medicine residency training. Methods Based on literature research, an expert consultation questionnaire on EPAs for the operative dentistry and endodontics in standardized residency training of oral medicine was developed. From April to June 2024, the Delphi method was used to conduct two rounds of expert letter consultation with 22 experts for screening and optimization the indicators for EPAs. The scores of indicators were evaluated using means and coefficient of variation, and the degree of expert authority and Kendall's W coefficient were used to test the reliability of results. Results The response rates for the two rounds of questionnaires were 95.4% and 100.0%, respectively. The mean scores for all indicators exceeded 3.5, and the coefficients of variation were all below 0.25. The authority coefficients were 0.90 and 0.91 for the two rounds, respectively, and the Kendall's coefficients of concordance were 0.677 and 0.532 for the two rounds (all P<0.001). A total of 13 indicators for EPAs were established, which defined the entrustable level of each EPA that residents should reach at different stages. Conclusions The EPAs for operative dentistry and endodontics in oral medicine residency training have been preliminarily established, which is scientific and reliable,and can provide reference for competency-oriented standardized training and Objective assessment.

Key words: Standardized residency training, Entrustable professional activities, Operative dentistry and endodontics, Competency

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