Objective Discuss the entrance and exit standards for the training of general practitioners with a special interest on cardiovascular diseases. Methods The first draft of entrance and exit standards was initially formed through literature research and interviews. From July to December 2021, using the Delphi method, 23 experts are invited to participate in two rounds of consultation, from which the importance assignment of each indicator was counted. Results The response rate of the two rounds of consultation questionnaires was 100.0%, and the expert authority coefficients were 0.89 and 0.88 respectively, with a Kendall coordination coefficient W values being 0.137 and 0.134 (all P<0.001), respectively. Finally, a total of 17 indicators and evaluation contents in 8 dimensions are confirmed. Among them, the entrance standard includes 6 indicators and evaluation contents in 4 dimensions, and the exit standard includes 11 indicators and evaluation contents in 4 dimensions. Conclusions The initially constructed entrance and exit standards for the training of general practitioners with a special interest on cardiovascular diseases are both scientifically sound and reasonably practical, and can serve to inform the professional development of this particular group of trainees.
Zheng Yuanyuan
,
Liu Ying
,
Yin Pei
,
Ye Kangli
,
Ren Jingjing
. Construction of entrance and exit standards for the training of general practitioners with a special interest on cardiovascular diseases based on Delphi method[J]. Chinese Journal of Medical Education, 2024
, 44(6)
: 462
-466
.
DOI: 10.3760/cma.j.cn115259-20230824-00162
[1] 刘颖, 邱艳, 任菁菁. 英国亚专科全科医师培养简介[J].中华全科医师杂志,2016,15(11):893-895. DOI: 10.3760/cma.j.issn.1671-7368.2016.11.020.
[2] 刘颖, 邱艳, 任文, 等. 我国全科医师亚专长培养现状及发展思考[J].中华医学教育探索杂志,2021,20(4):406-408. DOI: 10.3760/cma.j.cn116021-20191227-00451.
[3] 李金慧, 赵欣欣, 李觉, 等. 基于德尔菲法构建全科医学专业学位博士生导师遴选标准[J].中华全科医师杂志,2022,21(7):662-667. DOI: 10.3760/cma.j.cn114798-20211125-00877.
[4] 齐殿君,江南,于晓松.我国高校附属医院开展全科医学住院医师规范化培训情况调查[J].中华医学教育杂志, 2023, 43(4): 298-302.DOI:10.3760/cma.j.cn115259-20220610-00763.
[5] 刘颖, 陈韶华, 邱艳, 等. 中国亚专长全科医师培养现状及建议[J].中国全科医学,2018,21(22):2664-2667. DOI: 10.12114/j.issn.1007-9572.2018.22.004.
[6] 包鹏, 王燕, 费爱华, 等. 美国全科医生亚专科培训现况及对我国全科医学教育的启示[J].中华全科医师杂志,2023,22(6):629-633. DOI: 10.3760/cma.j.cn114798-20220913-00916.
[7] 徐庆, 钱茜. 基层心血管疾病领域首席医生培养的实施和思考[J].江苏卫生事业管理,2019(12):1537-1539.
[8] 孟文. 全国范围县级医院医师技能培训项目案例[J].继续医学教育,2021,35(6):8-9. DOI: 10.3969/j.issn.1004-6763.2021.06.005.
[9] 安康, 张林, 毛婷睿, 等. 卓越全科医学专科医师规范化培训方案的探索与实践[J].四川大学学报(医学版),2022(3):431-436. DOI: 10.12182/20220560303.
[10] 杨建强, 张菊英, 方玉红, 等. 医共体模式下全科医师皮肤亚专长的培养实践[J].全科医学临床与教育,2021,19(5):385-387. DOI: 10.13558/j.cnki.issn1672-3686.2021.005.001.
[11] 黄俊, 薛兰凤, 曾阳, 等. 蓝激光内镜联动成像联合京都胃炎分类构建全科医生消化亚专长培训模式[J].现代消化及介入诊疗,2021,26(8):944-948. DOI: 10.3969/j.issn.1672-2159.2021.08.002.
[12] 葛剑力, 耿莎莎, 蒲琳, 等. 融合式教学在全科住院医师规范化培训老年共病管理中的应用[J].中华医学教育杂志,2022,42(12):1143-1147. DOI: 10.3760/cma.j.cn115259-20220520-00655.
[13] 屈京楼, 朱亚鑫, 曲波. 德尔菲法在医学教育研究中的应用[J].中华医学教育杂志,2019,39(3):227-230. DOI: 10.3760/cma.j.issn.1673-677X.2019.03.017.
[14] 应美珂, 刘颖, 任菁菁. 专科医生对全科医生发展亚专长的态度研究[J].中国全科医学,2019,22(16):1936-1939. DOI: 10.12114/j.issn.1007-9572.2019.00.288.
[15] 施榕, 郭爱民. 全科医生科研方法[M].2版.北京:人民卫生出版社,2017:200-202.
[16] Bradley S, David McKelvey S. General practitioners with a special interest in public health; at last a way to deliver public health in primary care[J]. J Epidemiol Community Health, 2005,59(11):920-923. DOI: 10.1136/jech.2005.034405.
[17] Jiwa M, Ee HC, Beilby JJ. Will promoting general practitioners with special interests threaten access to primary care?[J]. Med J Aust, 2007,187(2):71-72. DOI: 10.5694/j.1326-5377.2007.tb01142.x.
[18] 翟佳燚, 陆媛, 葛许华, 等. 基于胜任力的全科临床诊疗思维课程设计与实施[J].中华医学教育杂志,2022,42(12):1079-1082. DOI: 10.3760/cma.j.cn115259-20220502-00566.
[19] 巫蓉, 陆婷婷, 胡丹, 等. 基于需求和期望的基层卫生人员培训优化对策探讨[J].中华医学教育杂志,2022,42(11):969-972. DOI: 10.3760/cma.j.cn115259-20220420-00513.
[20] 杨森, 王俊鹏, 张含之, 等. 西藏日喀则地区基层医疗机构全科医生培训需求分析[J].中华医学教育杂志,2023,43(5):381-385. DOI: 10.3760/cma.j.cn115259-20220617-00795.