目的 制定消化内科专科医师规范化培训细则中的培训内容。方法 以The Gastroenterology Core Curriculum第3版为基础,通过德尔菲法制定消化内科专科医师规范化培训细则中的培训内容。结果 专家积极系数为100.0％,权威系数(Cr)为0.91,第一轮专家意见协调程度W=0.281,第二轮W=0.397。最终形成的培训细则涵盖“消化性溃疡疾病”“胆道疾病和胰腺疾病”“内镜”“肝脏疾病”“炎症和肠道传染病”“恶性肿瘤”“运动和功能疾病”“营养”“病理”“放射”“手术”“儿童消化系统疾病”“女性消化系统疾病”“老年消化系统疾病”等14类,共129条;其中,学习程度要求为“掌握”的指标36条,学习程度要求为“熟悉”的指标80条,学习程度要求为“了解”的指标13条。结论 本研究制定的消化内科专科医师规范化培训细则中的培训内容具有较好的参考意义,可以为我国消化内科专科医师规范化培训的开展和研究提供参考依据。

Objective To formulate the regulation guiding the content for standardized resident training in gastroenterology. Methods The regulation guiding the content for the standardized resident training in gastroenterology was formulated based on The Gastroenterology Core Curriculum (3rd edition) through Delphi expert consultation. Results The positive coefficient of experts was 100%, and authority coefficient (CR) was 0.91. The coordination degree for the first round of expert advice was W=0.281 and that for the second round of expert advice was W=0.397. The final version of regulations cover 14 categories, i.e., “peptic ulcer disease”, “biliary tract disease and pancreatic disease”, “endoscopy”, “liver disease”, “inflammation and intestinal infectious diseases”, “malignancy”, “sports and functional disorder”, “nutrition”, “pathology”, “radiation”, “operation”, “digestive system diseases in children”, “digestive system diseases of female” and “digestive system diseases of elderly people” and 129 rules for training concerning knowledge level ranked as 36 indicators for “proficient”, 80 indicators for ”familiar” and 13 indicators for “understanding”. Conclusions The regulation used for standardized resident training in gastroenterology has been formulated which may function as a good reference to guide the training of competent gastroenterologists in China.