中华医学教育杂志

中华医学教育杂志 >

2026 , Vol. 46 >Issue 5: 321 - 325

DOI: https://doi.org/10.3760/cma.j.cn115259-20260201-00156

专稿

置信职业行为全球实施的挑战与区域经验

  • 李珊 ,
  • 齐建光 ,
  • 何睿 ,
  • 齐心 ,
  • Olle ten Cate
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  • 1北京大学第一医院儿童医学中心,北京 102627;
    2北京大学第一医院整形烧伤科,北京 100034;
    3乌得勒支大学医学中心,乌得勒支 1003584

收稿日期: 2026-02-01

  网络出版日期: 2026-04-30

基金资助

美国中华医学基金项目(22-457);北京大学医学部教育教学研究立项课题(2022YB34);北京大学临床医学+X青年专项(2024-31);2025 年度北京大学医学部教育教学改革与研究课题示范智慧课程建设专项(2025SFZD10)

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Implementation challenges and regional practices of entrustable professional activities in a global context

  • Li Shan ,
  • Qi Jianguang ,
  • He Rui ,
  • Qi Xin ,
  • Olle ten Cate
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  • 1Children′s Medical Center, Peking University First Hospital, Beijing 102627, China;
    2Department of Plastic Surgery & Burns, Peking University First Hospital, Beijing 100034, China;
    3School of Medicine, University Medical Center Utrecht, Utrecht 1003584, Netherlands

Received date: 2026-02-01

  Online published: 2026-04-30

Supported by

China Medical Board (22-457); The Educational Teaching Research Project in Peking University Health Science Center (2022YB34); Clinical Medicine Plus X-Young Scholars Project, Peking University, the Fundamental Research Funds for the Central Universities (2024-31); Special Project for Demonstration Smart Course Construction under the Education Teaching Reform and Research Program, Peking University Health Science Center (2025SFZD10)

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摘要

置信职业行为已经成为连接医学教育中“胜任力”与“实际临床工作”的关键桥梁,但在具体实施过程中存在微观、中观、宏观层面的各种挑战。2025年8月24日,荷兰乌得勒支大学医学中心Olle ten Cate和Marije P. Hennus以及阿根廷布宜诺斯艾利斯意大利医院大学研究所Roberta I. Ladenheim共同组织的“置信职业行为在全球实施的挑战与区域经验”国际研讨会在巴塞罗那召开,来自世界各地的医学教育专家就置信职业行为在不同文化、政策和医疗体系下的实施挑战与策略进行了深入交流。本文系统梳理了置信职业行为全球实施过程中的共性难题和各地区的实践经验,旨在为国内医学教育者提供参考与借鉴。

关键词： 教育,医学; 置信职业行为; 胜任力导向医学教育; 全球实施; 国际医学教育联盟

本文引用格式

李珊 , 齐建光 , 何睿 , 齐心 , Olle ten Cate . 置信职业行为全球实施的挑战与区域经验[J]. 中华医学教育杂志, 2026 , 46(5) : 321 -325 . DOI: 10.3760/cma.j.cn115259-20260201-00156

Abstract

Entrustable professional activities (EPAs) have become a critical bridge connecting ″competency″ with ″actual clinical practice″ in medical education. However, various challenges arise during their implementation at the micro, meso, and macro levels. On August 24, 2025, an international symposium titled ″Entrustable Professional Activities: Issues in Global Implementation″ was organized in Barcelona by Olle ten Cate and Marije P. Hennus from the University Medical Center Utrecht in the Netherlands, along with Roberta I. Ladenheim from the University Institute of the Italian Hospital of Buenos Aires in Argentina. The symposium brought together medical education experts from around the world to engage in in-depth discussions on the challenges and strategies of implementing EPAs across different cultural, policy, and healthcare systems. This article systematically reviews the common challenges encountered in the implementation of EPAs and the practical experiences from various regions, aiming to inform and inspire medical educators.

Key words： Education, medical; Entrustable professional activities; Competency-based medical education; Global implementation; The International Association for Health Professions Education

参考文献

[1] Ten Cate O. Entrustability of professional activities and competency-based training[J].Med Educ, 2005,39(12):1176-1177. DOI:10.1111/j.1365-2929.2005.02341.x.
[2] The ins and outs of EPAs courses[EB/OL].[2026-02-01].https://amse-med.eu/courses/.
[3] Ten Cate O, Chen HC, Hoff RG, et al. Curriculum development for the workplace using Entrustable Professional Activities (EPAs):AMEE Guide No. 99[J].Med Teach, 2015,37(11):983-1002. DOI:10.3109/0142159X.2015.1060308.
[4] Schumacher DJ, Michelson C, Winn A, et al. Graduating residents′ readiness for unsupervised practice[J].Pediatrics, 2025,155(5):e2024070307.DOI:10.1542/peds.2024-070307.
[5] Carraccio C, Lentz A, Schumacher DJ. Dismantling fixed time, variable outcome education: abandoning ′ready or not, here they come′ is overdue[J].Perspect Med Educ, 2023,12(1):68-75. DOI:10.5334/pme.10.
[6] Ten Cate O, Carraccio C. Envisioning a true continuum of competency-based medical education, training, and practice[J].Acad Med, 2019,94(9):1283-1288. DOI:10.1097/ACM.0000000000002687.
[7] De Raad T, Wiersma F, Kuilman L, et al. The fate of entrustable professional activities after graduation: a survey study among graduated physician assistants[J].J Contin Educ Health Prof, 2023,43(1):28-33. DOI:10.1097/CEH.0000000000000467.
[8] Ten Cate O, Taylor DR. The recommended description of an entrustable professional activity: AMEE Guide No. 140[J].Med Teach, 2021,43(10):1106-1114. DOI:10.1080/0142159X.2020.1838465.
[9] Hennus MP, Jarrett JB, Taylor DR, et al. Twelve tips to develop entrustable professional activities[J].Med Teach, 2023,45(7):701-707. DOI:10.1080/0142159X.2023.2197137.
[10] 齐心,金哲,韩晓宁,等. 住院医师置信职业行为指标的构建研究[J].中华医学教育杂志,2021,41(2):104-108. DOI:10.3760/cma.j.cn115259-20201117-01599.
[11] Li S, Qi X, Li H, et al. Exploration of validity evidence for core residency entrustable professional activities in Chinese pediatric residency[J].Front Med (Lausanne), 2023,10:1301356. DOI:10.3389/fmed.2023.1301356.
[12] Hall AK, Oswald A, Frank JR, et al. Evaluating competence by design as a large system change initiative: readiness, fidelity, and outcomes[J].Perspect Med Educ,2024,13(1):95-107. DOI:10.5334/pme.962.
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