目的 探索构建肾内科专科医师置信职业行为(entrustable professional activities,EPAs)的核心指标。方法 通过文献研究初步形成肾内科专科医师(已经完成专科医师规范化培训)EPAs核心指标的初稿。2022年3月,采用德尔菲法对清华大学附属北京清华长庚医院肾内科10名专家进行函询,筛选和修订肾内科专科医师EPAs核心指标,采用Likert 5级评分法对EPAs指标进行评价,并确定第一年至第五年专科医师的预期置信级别。结果 2轮专家函询均回收有效问卷10份,专家权威系数分别为0.82和0.87,2轮函询的肯德尔协调系数分别为0.545和0.917(均P＜0.001),专家对入选的每一项EPAs指标的重要性评分均大于3.5分,变异系数(CV)均小于0.25。最终形成10项肾内科专科医师EPAs核心指标。结论 肾内科专科医师EPAs核心指标具有科学性和可靠性,能够反映不同年限肾内科专科医师的能力水平。
Objective To explore the core indicators of entrustable professional activities for specialists in nephrology. Methods Through literature research, a draft of the core indicators of EPAs for nephrology specialists (who have completed standardized training for specialist physicians) was initially formed. In March 2022, Delphi method was used to conduct a questionnaire survey among 10 experts from the Department of Nephrology of Beijing Tsinghua Changgung Hospital, School of Clinical Medicine of Tsinghua University, to screen and revise the core indicators of EPAs for nephrology specialists. The Likert 5-point scale was used to evaluate EPAs indicators and determine the confidence level of nephrology specialists from the first to the fifth year. Results Two rounds of expert consultation each retrieved 10 valid questionnaires. The expert authority coefficients of the two rounds of consultation were 0.82 and 0.87 respectively, and the Kendall's coefficient of concordance was 0.545 and 0.917 respectively (all P<0.001). The average mean value of the importance for each of the selected EPAs indicators was greater than 3.5 points, and the coefficient of variation was less than 0.25. Eventually, 10 core indicators of EPAs for nephrology specialists were formed. Conclusions The core indicators of EPAs for nephrology specialists are scientific and reliable, and can reflect the clinical levels of nephrology specialists with different years of experience.
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