高校附属医院教学质量保障是高等医学教育研究中的重点问题,其中课程教学质量直接决定人才培养质量,是提高教学质量的重要手段。当前,国内多数医学院校仍然依赖于传统的教学质量评估模式,存在着评估体系不健全、评估效果欠佳等问题。本研究以北京大学第三医院为例,在深入分析传统教学质量评估模式的基础上,引入六西格玛管理法对专家评估模式进行系统改进,从完善规章制度、制定评估指标、构建专家在线评估模式、形成闭环反馈机制等方面进行设计与实施。通过专家评估改进情况和焦点小组访谈结果进行专家在线评估模式的效果评估。结果显示,专家在线评估模式下的评估人次(2022至2023年年均414人次)是传统评估模式(2019至2021年年均24.7人次)的16.8倍;专家评估学时由2019年的50学时增长至2023年的1 170学时,增幅达22.4倍;专家在线评估分数为(93.24±0.88)分,与传统评估模式下评估分数[(93.83±1.15)分]的差异无统计学意义(P=0.653)。基于六西格玛管理法的专家在线评估模式得到授课教师、科室和医学生的认可。基于六西格玛管理法的专家在线评估模式有助于提升专家评估的效率,保障了评估成绩的稳定性,为高校附属医院教学质量保障提供了新的实践路径。

Teaching quality assurance of university-affiliated hospitals is a key issue in the study of higher education, in which the quality of course teaching directly determines the quality of personnel training, and is an important means of improving teaching quality. At present, most of the medical schools in China still rely on the traditional mode of course evaluation, and there are problems such as unsound course evaluation system and unsatisfactory effect of course evaluation. This study takes as an example Peking University Third Hospital, based on an in-depth analysis of the traditional curriculum evaluation model, the six sigma management method is introduced to systematically improve the expert evaluation model. The design and implementation are carried out from the aspects of perfecting rules and regulations, formulating evaluation indexes, constructing expert online evaluation model and forming closed-loop feedback mechanism. A comprehensive evaluation of the online expert assessment model's efficacy was conducted, incorporating longitudinal analysis of expert evaluation metrics and thematic analysis of focus group interviews. The results show that the number of assessments under the expert online assessment model (414 per year from 2022 to 2023) was 16.8 times that of the traditional assessment model (24.7 per year from 2019 to 2021). The hours of expert assessment increased from 50 hours in 2019 to 1 170 hours in 2023, an increase of 22.4 times; the average score of expert online evaluation was 93.24±0.88, which was not significantly different from that of traditional evaluation mode (93.83±1.15) (P=0.653). The expert online evaluation model based on six sigma management method has been recognized by teachers, departments and medical students. The expert online evaluation model based on six sigma management method is helpful to improve the efficiency of expert evaluation, ensure the stability of evaluation results, and provide a new practical path for the teaching quality assurance of university affiliated hospitals.