目的 本研究旨在构建住院医师规范化培训(简称住培)师资老年医学培训课程大纲,以促进住培师资老年医学素养的提高。方法 2024年1月至2025年7月,邀请来自15个省级行政区住培基地的44名专家参与访谈或函询,通过文献调研、专家访谈,初步拟定住培师资老年医学培训课程大纲。采用德尔菲专家法进行了3轮函询,专家对课程大纲内容重要性进行评价,并提出具体修改和补充建议。通过专家积极系数、权威系数、组内协调系数、问卷条目均分、满分频率、变异系数等进行研究质量控制和统计分析。结果 3轮专家函询的有效问卷回收率分别为100.0%、94.4%、100.0%,专家积极程度高;专家权威系数分别为0.84、0.88、0.97,可靠性较强;组内协调系数分别为0.98、0.96、0.95,专家整体意见一致性强。培训课程大纲确定老年医学基础知识、临床特色、教学特色3个培训模块,各模块重要性赋值均数为4.91～4.97分,变异系数为0.01~0.02。3个模块包括8项培训内容,19个教学条目,其中培训内容重要性赋值均数为4.69～5.00分,变异系数为0.01~0.06;教学条目重要性赋值均数为4.71～5.00分,变异系数为0~0.05。结论 本研究设计的住培师资老年医学培训课程大纲,涵盖了老年医学核心知识和技能,具有科学性和可靠性,契合在住培师资中普及老年医学的需求。

Objective This study aims to develop a training course syllabus in geriatric medicine for resident instructors to enhance their relevant knowledge. Methods From January 2024 to July 2025, 44 experts from various resident programs in 15 provinces were invited to participate in the study. Through literature review and expert interviews, an initial outline for a training course syllabus of geriatric medicine for resident instructors was developed. Three rounds of expert consultation using the Delphi method were conducted. The experts evaluated the importance of the course syllabus content and provided specific suggestions for modification. Quality control and statistical analysis were conducted using the expert positive coefficient, authority coefficient, group coordination coefficient, average score of questionnaire items, frequency of full scores, and coefficient of variation. Results The response rates of expert consultation were 100.0%, 94.4%, and 100.0%, indicating high levels of expert participation. The authority coefficients of the experts were 0.84, 0.88, and 0.97, suggesting strong reliability. The intra-group consistency coefficients were 0.98, 0.96, and 0.95, reflecting a high degree of consensus among the experts. The training course syllabus consists of three modules: basic knowledge of geriatric medicine, clinical characteristics, and teaching features. The mean importance scores of these modules ranged from 4.91 to 4.97, with a coefficient of variation ranging from 0.01 to 0.02. The three modules included 8 training components and 19 teaching items. The average importance values for the training components ranged from 4.69 to 5.00, with a coefficient of variation from 0.01 to 0.06. The average importance values of the teaching items ranged from 4.71 to 5.00, with a coefficient of variation from 0 to 0.05. Conclusions This study designed a training course syllabus for resident instructors to develop the concept of geriatric medicine. The course syllabus covers core knowledge and skills in geriatric medicine that demonstrate scientific validity and reliability, effectively meeting the need to promote geriatric medical concepts among resident instructors.