医学教育评估

临床医师综合考评方法探析

  • 林育林 ,
  • 姬忠贺 ,
  • 李鑫宝 ,
  • 赵东兵 ,
  • 李子禹 ,
  • 李雁
展开
  • 100038首都医科大学肿瘤学系 首都医科大学附属北京世纪坛医院腹膜肿瘤外科(林育林、姬忠贺、李鑫宝、李雁); 100021国家癌症中心 中国医学科学院北京协和医学院肿瘤医院胰胃外科(赵东兵); 100142北京大学肿瘤医院胃肠外科(李子禹)

收稿日期: 2018-01-28

  网络出版日期: 2020-12-09

基金资助

北京市医院管理局“登峰”人才培养计划(DFL20180701);北京市优秀人才培养资助集体项目(2017400003235J007)

The exploration on a comprehensive evaluation method for clinical doctors

  • Li Xinbao ,
  • Zhao Dongbing ,
  • Li Ziyu ,
  • Li Yan
Expand
  • Department of Oncology of Capital Medical University & Department of Peritoneal Cancer Surgery, Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing 100038, China (Lin YL, Ji ZH, Li XB, Li Y); Department of Pancreatic-Gastric Surgery, National Cancer Center & Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China (Zhao DB); Department of Gastrointestinal Surgery, Beijing Cancer Hospital, Beijing 100142, China (Li ZY)

Received date: 2018-01-28

  Online published: 2020-12-09

Supported by

Beijing Municipal Administration of Hospitals' Ascent Plan (DFL20180701);Beijing Municipal Grant for Medical Talents Group on Peritoneal Surface Oncology (2017400003235J007)

摘要

目的 建立临床医师的综合考评方法,全面、客观、准确地评价医师素质。方法 以肿瘤医师为例,根据医师的工作特点和性质构建评价指标体系,收集首都医科大学附属北京世纪坛医院肿瘤中心13名医师的临床、科研、教学、科普和业务学习情况,得出指标体系各维度评分和总分,采用雷达图分析法结合医师的实际表现进行分析。结果 医师整体素质量化评分中位数为36.5分,学科带头人综合评分122.6分,明显高于学科骨干平均的综合评分,而学科骨干平均的综合评分也高于学科主力的综合评分。学科带头人各维度得分均较高,尤其是科研维度。各层次人才的素质发展并不平衡,但与实际情况相符。结论 肿瘤医师评价指标体系结合雷达图分析法,比较全面、客观、准确地反映了13名医师的综合素质,有助于为医师的培养提供依据。

本文引用格式

林育林 , 姬忠贺 , 李鑫宝 , 赵东兵 , 李子禹 , 李雁 . 临床医师综合考评方法探析[J]. 中华医学教育杂志, 2018 , 38(5) : 782 -786 . DOI: 10.3760/cma.j.issn.1673-677X.2018.05.033

Abstract

Objective To establish a comprehensive method to evaluate clinical doctors, by which the quality of clinical doctor could be assessed comprehensively, objectively and precisely. Methods Taking clinical oncologists as the study sample, a total of 13 doctors from Cancer Center of Beijing Shijitan Hospital Affiliated to Capital Medical University were evaluated on 5-dimensional key parameters in this study, including clinical work, scientific research, medical education, popular medical science education to the public and daily work performance. The score of each dimension and an integrated score were collected. Radar chart methodology was used to analyze the doctors' comprehensive quality, based on the score collected. Results The overall median integrated score for the whole study population was 36.5. The integrated scores of academic leaders, backbone doctors and main force doctors were 122.6, 39.7 and 31.2 respectively. Academic leader got relatively high score in each dimension, especially in scientific research. The comprehensive quality among the 3 levels of doctors is not balanced, which shows the reality of daily performance. Conclusions The 5-dimensional comprehensive evaluation system combined with radar chart methodology for oncologist can reflect the comprehensive quality of 13 doctors in daily work. This comprehensive evaluation method contributes to Objective evaluation of doctors' comprehensive quality, as well as providing reliable evidence for medical talent cultivation.

参考文献

[1] 徐袁瑾, 曹霞, 周春艳, 等. 口腔医学人才素质测评指标体系构建[J]. 解放军医院管理杂志, 2015(1):28-29. DOI:10.16770/j.cnki.1008-9985.2015.01.018.
Xu YJ, Cao X, Zhou CY, et al.Establishment of stomatology doctor quality assessment system[J]. Hosp Admin J Chin PLA, 2015(1):28-29. DOI:10.16770/j.cnki.1008-9985.2015.01.018.
[2] 王柯亮, 张蕾, 张光鹏. 我国卫生人才评价现状与对策[J]. 中国卫生政策研究, 2011, 4(12):6-9. DOI: 10.3969/j.issn.1674-2982.2011.12.002.
Wang KL, Zhang L, Zhang GP. Status quo and countermeasures of health professional evaluation in China[J]. Chinese Journal of Health Policy, 2011, 4(12):6-9. DOI: 10.3969/j.issn.1674-2982.2011.12.002.
[3] 张瑜, 吴涛, 刘凯燕, 等. 医学科研人才评价管理制度的探讨[J]. 中国病案, 2017, 18(7):81-83. DOI: 10.3969/j.issn.1672-2566.2017.07.029.
Zhang Y, Wu T, Liu KY, et al. Discussion on the evaluation and management institutions of medical scientific talents[J]. Chinese Medical Record, 2017,18(7):81-83. DOI: 10.3969/j.issn.1672-2566.2017.07.029.
[4] 孔翊翌, 黄鹤冲, 翟理详, 等. 对中医医院高层次人才培养基本框架设计的评价与思考[J]. 中国社会医学杂志, 2016, 33(5):429-431.DOI:10.3969/j.issn.1673-5625.2016.05.009.
Kong YY, Huang HC, Zhai LX, et al. Design and thinking about the basic frame for evaluation on cultivation of high-level talents of TCM hospital[J]. Chinese Journal of Social Medicine, 2016,33(5):429-431. DOI: 10.3969/j.issn.1673-5625.2016.05.009.
[5] 朱智威, 朱亚鑫, 白雪, 等. 雷达图在医学教学质量评价中的应用[J]. 中国高等医学教育, 2017(7):42-43. DOI: 10.3969/j.issn.1002-1701.2017.07.021.
[6] 杜晓静, 刘娜, 张宏. 雷达图在医院统计分析中的应用[J].解放军医院管理杂志,2011,18(8):748,764. DOI: 10.3969/j.issn.1008-9985.2011.08.020.
[7] 郭鹏军, 郭鹏辉, 吴晨曦, 等. “雷达图”分析法在医院绩效评价中的应用[J].中国医药导报,2009,6(22):171-172. DOI: 10.3969/j.issn.1673-7210.2009.22.104.
Guo PJ, Guo PH, Wu CX, et al. Application of radar chart in hospital performance evaluation[J]. China Medical Hearald, 2009, 6(22):171-172. DOI: 10.3969/j.issn.1673-7210.2009.22.104.
[8] 李攀, 雷二庆. 科技人才评价新框架探索——以某军事医学科研机构为例[J]. 军事医学,2015,39(12):904-908. DOI: 10.7644/j.issn.1674-9960.2015.12.004.
Li P, Lei EQ. Exploration of a new evaluation framework for talented professionals in science and technology: A case study on an institution of military medical sciences[J]. Military Medical Sciences, 2015, 39(12):904-908. DOI: 10.7644/j.issn.1674-9960.2015.12.004.
[9] 刘小康, 蔡景一, 王海俊. 应用优序图法确定医学本科生一般能力评价指标体系的研究[J]. 中华医学教育杂志,2017,37(5):749-752. DOI: 10.3760/cma.j.issn.1673-677X.2017.05.024.
Liu XK, Cai JY, Wang HJ. Using precedence chart to determine index of medical undergraduates' general ability[J]. Chin J Med Edu, 2017, 37(5):749-752. DOI: 10.3760/cma.j.issn.1673-677X.2017.05.024.
[10] 唐群, 吴华, 雷久士, 等. 积分制在病理学教学中的应用及其效果评价[J]. 中华医学教育杂志, 2016, 36(4):625-628. DOI: 10.3760/cma.j.issn.1673-677X.2016.04.035.
Tang Q, Wu H, Lei JS, et al. Application and evaluation of credit system in the teaching of pathology[J]. Chin J Med Edu, 2016, 36(4):625-628. DOI: 10.3760/cma.j.issn.1673-677X.2016.04.035.
[11] 鲁娟, 史晓莹, 刘斌. 医科研究生创新能力定性与定量分析[J]. 中华医学教育杂志, 2016, 36(4):597-600,605. DOI: 10.3760/cma.j.issn.1673-677X.2016.04.029.
Lu J, Shi XY, Liu B. Quantitative and qualitative analysis of medical postgraduate students' innovation[J]. Chin J Med Edu, 2016, 36(4):597-600,605.DOI:10.3760/cma.j.issn.1673-677X.2016.04.029.
文章导航

/