目的 构建调控本科临床医学专业招生规模的院校教育资源指标体系。方法 基于教育生产理论,初步构建指标池并以此为基础设计本科临床医学专业招生规模的院校教育资源专家咨询问卷,采用模糊德尔菲法与最优赋权法构建指标体系。结果 对来自9个省、自治区和直辖市共20位具有丰富专业理论知识或实践经验的专家进行2轮咨询,确定了由3个一级指标、8个二级指标和14个三级指标构成的指标体系。2轮专家咨询问卷的克朗巴赫系数分别为0.95和0.89,专家权威系数分别为0.82和0.87。结论 指标体系较为科学与系统地反映了确定本科临床医学专业招生规模需要考虑的教育资源,明确了不同院校教育资源对招生规模的影响程度,为医学院校根据自身教育资源合理确定招生规模提供了依据。
Objective To establish an educational resource indicator system to regulate the enrollment scale of undergraduates in clinical medicine for colleges and universities. Methods Based on the theoretical indicator pool of educational production, a questionnaire for expert consultation on educational resources in undergraduate clinical medical education was designed. Finally, based on the fuzzy Delphi method and the optimal weighting method, the indicator system was constructed. Results Through two rounds of expert consultation with a total of 20 experts from 9 provinces and cities with rich professional theoretical knowledge or practical experience, an indicator system consisting of 3 first level indicators, 8 second level indicators, and 14 third level indicators were determined. The Cronbach coefficients of the two rounds of expert consultation questionnaires were 0.95 and 0.89, respectively, and the expert authority coefficients were 0.82 and 0.87, respectively. Conclusions The indicator system scientifically and systematically reflects the educational resources that need to be considered in determining the enrollment scale of undergraduates in clinical medicine, clarifies the impact of educational resources from different universities on the enrollment scale, and provides a basis for medical colleges to reasonably determine the enrollment scale based on their own educational resources.
[1] Kelly CM, Vins H, Spicer JO, et al. The rapid scale up of medical education in Ethiopia: medical student experiences and the role of e-learning at Addis Ababa University[J]. PLoS One, 2019,14(9):e0221989. DOI: 10.1371/journal.pone.0221989.
[2] Mengistu BS, Vins H, Kelly CM, et al. Student and faculty perceptions on the rapid scale-up of medical students in Ethiopia[J]. BMC Med Educ, 2017,17(1):11. DOI: 10.1186/s12909-016-0849-0.
[3] 侯建林, 廖凯举, 谢阿娜, 等. 我国医学院校发展的回顾与展望[J].中华医学教育杂志,2021,41(12):1062-1066. DOI: 10.3760/cma.j.cn115259-20210706-00851.
[4] 胡咏梅. 学校资源配置与学生学业成绩关系研究[D]. 北京:北京师范大学, 2007.
[5] 任玉丹,吴瑞林.学校教育资源对少数民族学生汉语成绩的影响——基于新疆大规模教育测评结果的分析[J].民族教育研究,2017,28(5):65-72.DOI:10.15946/j.cnki.1001-7178.2017.05.010.
[6] 薛海平, 闵维方. 中国西部教育生产函数研究[J]. 教育与经济, 2008(2): 18-25. DOI: 10.3969/j.issn.1003-4870.2008.02.005.
[7] Shea BJ, Grimshaw JM, Wells GA, et al. Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews[J]. BMC Med Res Methodol, 2007,7:10. DOI: 10.1186/1471-2288-7-10.
[8] 彭张林,张爱萍,王素凤,等.综合评价指标体系的设计原则与构建流程[J].科研管理,2017,38(S1):209-215.DOI:10.19571/j.cnki.1000-2995.2017.s1.030.
[9] Ren P, Xi L, Jingwei L. Research on construction of indicator system for evaluation of the ecological civilization education in Chinese universities[J].Cogn Syst Res, 2018, 52:747-755.DOI:10.1016/j.cogsys.2018.08.025.
[10] Krueger AB. Experimental estimates of education production functions[J].Q J Econ, 1999(2):497-532.DOI:10.1162/003355399556052.
[11] 田汉族. 中国教育经济学研究与教育观念创新[J].教育经济评论,2021(4):3-29.
[12] Wilson Kathryn. The determinants of educational attainment: modeling and estimating the human capital model and education production functions [J]. South Econ J, 2001, 67(3): 518-551. DOI: 10.1002/J.2325-8012.2001.TB00355.X.
[13] Field Steve. Tomorrow's doctors [EB/OL]. (2009-07-15) [2022-05-11]. https://www.bmj.com/content/339/bmj.b2696.
[14] Strand P, Sjöborg K, Stalmeijer R, et al. Development and psychometric evaluation of the undergraduate clinical education environment measure (UCEEM)[J]. Med Teach, 2013,35(12):1014-1026. DOI: 10.3109/0142159X.2013.835389.
[15] 王维民. 中国本科医学教育标准重点解读[EB/OL]. (2021-04-29) [2022-05-31]. http://wcame.bjmu.edu.cn/show.php?cid=43&id=462.
[16] Cooke A, Smith D, Booth A. Beyond PICO: the SPIDER tool for qualitative evidence synthesis[J]. Qual Health Res, 2012,22(10):1435-1443. DOI: 10.1177/1049732312452938.
[17] 黄崇斐, 拜争刚, 吴淑婷, 等. 定性系统评价的撰写方法介绍[J].中国循证医学杂志,2015,15(9):1106-1111. DOI: 10.7507/1672-2531.20150183.
[18] 杨敏, 胡伟, 王运生. 基于最优组合赋权和模糊综合评价法的杂谷脑河下游泥石流危险性评价[J].黑龙江大学自然科学学报,2017,34(3):271-278. DOI: 10.13482/j.issn1001-7011.2016.07.230.
[19] 殷欣, 刘泉声, 王心语, 等. 基于组合赋权和属性区间识别理论的岩爆烈度分级预测模型[J].煤炭学报,2020,45(11):3772-3780. DOI: 10.13225/j.cnki.jccs.2019.1250.
[20] 张奇勇, 闫志英, 卢家楣. 高校教师科研倦怠感问卷的编制与信效度检验[J].心理学探新,2015,35(1):84-89. DOI: 10.3969/j.issn.1003-5184.2015.01.016.
[21] 沈绮云, 欧阳河, 欧阳育良. 产教融合目标达成度评价指标体系构建——基于德尔菲法和层次分析法的研究[J].高教探索,2021(12):104-109. DOI: 10.3969/j.issn.1673-9760.2021.12.015.
[22] 马广信. 临床医学本科毕业生质量评价指标体系研究[D]. 重庆:第三军医大学, 2007.
[23] 沈昊, 赵俊. 医教协同背景下省域临床教学基地建设状况及问题对策研究[J].中国医院,2022,26(1):51-53. DOI: 10.19660/j.issn.1671-0592.2022.1.16.
[24] 王韧, 夏海鸥. 上海市ICU专科护士实践学习体验的质性研究[J].护理学杂志,2016,31(1):70-72,88. DOI: 10.3870/j.issn.1001-4152.2016.01.070.
[25] 刘艳荣, 安秋月, 刘玉荣, 等. 护生对实习环境满意度的调查分析[J].护理学杂志,2013,28(1):71-73. DOI: 10.3870/hlxzz.2013.01.071.
