Objective To explore the establishment of an index system suitable for the assessment of neurosurgery specialists' standardized training completion. Methods The assessment indicators for neurosurgery specialists' standardized training completion was initially screened through literature research. A preliminary index system was established based on the Milestone system. Expert correspondence were carried out using the Delphi method to revise and score the assessment indicators. Results Two rounds of correspondence were conducted with 15 experts and 2 specialty physician standardized training administrators from three tertiary grade A comprehensive hospitals. After modification by experts, an assessment index system was ultimately formed. Six first-level indicators (professional ethics, knowledge and skills, lifelong learning, communication and cooperation, patient care, teaching and research), 18 second-level indicators, and 66 third-level indicators were included in this index system. The weights of each first-level indicator were determined to be professional ethics 16.62%, knowledge and skills 18.43%, lifelong learning 16.49%, communication and cooperation 16.66%, patient care 16.43%, and teaching and research 15.37%. The Cronbach's alpha coefficient of the expert correspondence was 0.985, and the content validity index was 0.940. Conclusions The constructed assessment index system for the completion of neurosurgery specialist standardized training was found to be scientifically and systematically reflective of the content that needs to be examined for the completion of standardized training for neurosurgery specialists and inform the assessment of standardized training completion for neurosurgery specialists.
Lin Guozhong
,
Liu Bin
,
Ma Changcheng
,
Wang Guan
,
Li Aiwei
,
Chang Qing
,
Pang Chaonan
,
Yang Jun
. Construction of a competency-based assessment index system for the completion of neurosurgery specialist training[J]. Chinese Journal of Medical Education, 2024
, 44(9)
: 707
-712
.
DOI: 10.3760/cma.j.cn115259-20230629-00637
[1] 邱秀华, 杨棉华, 边军辉. 以国际化为依托切实提高医学教育质量[J].中国高等医学教育,2011(10):7-8. DOI: 10.3969/j.issn.1002-1701.2011.10.004.
[2] 杨英, 郑丽云, 汪偌宁, 等. 北京大学医学部"专培"体系初建[J].中国卫生人才,2017(3):17-20. DOI: 10.3969/j.issn.1008-7370.2017.03.008.
[3] 刘玉村,郭晓蕙. 北京大学专科医师规范化培训[M]. 北京: 北京大学医学出版社, 2004.
[4] Holmboe ES, Edgar L, Hamstra S. The Milestones guidebook (Version 2016)[S/OL].(2017-11-03)[2024-03-05].http://www.acgme.org/Portals/0/MilestonesGuidebook.pdf.
[5] 杨英, 李烨, 汪偌宁, 等. 基于胜任力的专科医师培训考核体系设计与实施[J].中华医学教育杂志,2020,40(11):849-852. DOI: 10.3760/cma.j.cn115259-20200701-00989.
[6] 王浩, 陆璐. 统计学原理与SPSS应用[M]. 北京: 机械工业出版社, 2018: 96.
[7] Meier AH, Gruessner A, Cooney RN. Using the ACGME milestones for resident self-evaluation and faculty engagement[J]. J Surg Educ, 2016,73(6):e150-e157. DOI: 10.1016/j.jsurg.2016.09.001.
[8] Goldman RH, Tuomala RE, Bengtson JM, et al. How effective are new milestones assessments at demonstrating resident growth? 1 year of data[J]. J Surg Educ, 2017,74(1):68-73. DOI: 10.1016/j.jsurg.2016.06.009.
[9] 刘轶. 青年医师思想政治工作创新的探讨[J].青年时代,2019(30):73-74.
[10] 赵婧媛. “医教协同”背景下医学院校研究生日常思想政治教育工作开展的创新研究[J].中国当代医药,2020,27(3):196-198,202. DOI: 10.3969/j.issn.1674-4721.2020.03.059.
[11] 卢书明, 李春艳, 李琦, 等. 培养医学生临床岗位胜任力的实践与思考[J].医学与哲学,2018,39(11):61-63. DOI: 10.12014/j.issn.1002-0772.2018.06a.15.
[12] 郑希, 孙骁驰, 张倩雯, 等. 基于健康中国理念的新时代临床医学人才培养的横断面调查[J].中国循证医学杂志,2021,21(2):139-144. DOI: 10.7507/1672-2531.202006087.
[13] 孙佳, 夏云, 黄雪飞, 等. 临床医师胜任力评价指标体系的构建[J].中国卫生资源,2014(6):433-435,476. DOI: 10.3969/j.issn.1007-953X.2014.06.017.
[14] 程小燕, 王灵枢, 王月庚, 等. 北京神经外科学院专科医师培训的实践与探索[J].中华神经外科杂志,2012,28(4):416-418. DOI: 10.3760/cma.j.issn.1001-2346.2012.04.031.
[15] 中国医师协会神经外科医师分会脑胶质瘤专业委员会. 胶质瘤多学科诊治(MDT)中国专家共识[J].中华神经外科杂志,2018,34(2):113-118. DOI: 10.3760/cma.j.issn.1001-2346.2018.02.002.
[16] 夏云, 孙佳, 罗力, 等. 临床医师胜任力评价体系的实证研究[J].中国卫生资源,2018,21(2):161-166. DOI: 10.13688/j.cnki.chr.2018.17690.
[17] 方宗平,冯云,秦星,等.青年临床教师教学能力提升的思考[J].中国继续医学教育,2020,12(21):5-7 DOI:10.3969/j.issn.1674-9308.2020.21.003.
[18] 贾赤宇,周克强.外科医师需要培养科研素养[J].中华烧伤杂志, 2018, 34(3):186. DOI:10.3760/cma.j.issn.1009-2587.2018.03.102.