[1]贺志宽,单 照,马昭进,等.普通外科专科医师规范化培训中置信职业行为指标构建[J].医学信息,2025,38(06):118-122.[doi:10.3969/j.issn.1006-1959.2025.06.020]
 HE Zhikuan,SHAN Zhao,MA Zhaojin,et al.Construction of the Evaluation Index System of Entrustable Professional Activities in Standardized Training of General Surgeon Specialises[J].Journal of Medical Information,2025,38(06):118-122.[doi:10.3969/j.issn.1006-1959.2025.06.020]
点击复制

普通外科专科医师规范化培训中置信职业行为指标构建()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年06期
页码:
118-122
栏目:
论著
出版日期:
2025-03-15

文章信息/Info

Title:
Construction of the Evaluation Index System of Entrustable Professional Activities in Standardized Training of General Surgeon Specialises
文章编号:
1006-1959(2025)06-0118-05
作者:
贺志宽单 照马昭进陈江涛李全营秦长江
河南大学淮河医院普通外科,河南 开封 475000
Author(s):
HE Zhikuan SHAN Zhao MA Zhaojin CHEN Jiangtao LI Quanying QIN Changjiang
Department of General Surgery, Huaihe Hospital of Henan University, Kaifeng 475000, Henan, China
关键词:
胜任力导向置信职业行为专科医师规范化培训普通外科
Keywords:
Competency-based Entrustable professional activities Standardized training of specialists General surgeon
分类号:
R192.3
DOI:
10.3969/j.issn.1006-1959.2025.06.020
文献标志码:
A
摘要:
目的 构建普通外科专科医师规范化培训中置信职业行为(EPAs)评价指标体系。方法 通过文献分析和小组讨论设计专家咨询问卷,于2022年8月-9月采用德尔菲法对25名普通外科领域专家进行两轮专家咨询。结果 专家咨询问卷回收率均为100.00%。最终形成的评价指标包括:入院评估、医患沟通、外科基本操作、科研能力、综合能力5项一级指标,21项二级指标,学员在不同阶段的二级指标预期置信级别为1~5级不等。结论 构建的普通外科专科医师规范化培训中EPAs评价指标具有可靠性、科学性和全面性,可为普通外科专科医师规范化培训临床教学及考核体系提供客观的量化依据。
Abstract:
Objective To construct an evaluation index system of the entruatable professional activities (EPAs) in standardized training of general surgeon specialists. Methods An expert consultation questionnaire was designed through literature analysis and group discussion ,and conducted two rounds of expert consultation among 25 experts in the general surgery field using Delphi technique from August to September 2022. Results The recovery rate of the questionnaires was 100.00%. The index system of the entruatable professional activities included 5 primary indicators such as admission evaluation, doctor-patient communication, basic operations of surgery, scientific research capabilities, and comprehensive ability, 21 secondary indicators, students at different stages of secondary indicators were expected to vary from level 1 to 5. Conclusion The established evaluation index system is reliable, scientific and comprehensive, which can provide an objective quantitative basis for clinical teaching and assessment systems for standardized training of general surgeon.

参考文献/References:

[1]Guerrero APS,Beresin EV,Bbalon R,et al.The competency movement in psychiatric education[J].Acad Psychiatry,2017,41(3):312-414. [2]齐心.置信职业行为与住院医师胜任力关系探讨[J].中华医学教育杂志,2020,40(4):306-310.[3]Glass JM.Competency based training is a framework for incompetence[J].BMJ,2014,348(7961):23.[4]Lurie SJ,Mooney CJ,Lyness JM.Measurement of the general competencies of the accreditation council for graduate medical education: a systematic review[J].Acad Med,2009,84(3):301-309.[5]ten Cate O.Entrustability of professional activites and copetencybased training [J].Med Educ,2005,39(12):1176-1177.[6]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.[7]Duijn CCMA,Welink LS,Mandoki M,et al.Am I ready for it ? Students′ percetions of meaningful feedback on entrustable professional activities[J].Prespect Med Educ,2017,6(4):256-264.[8]Browne K,Roseman D,Shaller D,et al.Analysis & commentary. Measuring patient experience as a strategy for improving primary care[J].Health Aff (Millwood),2010,29(5):921-925.[9]李珊,齐建光,齐心,等,基于置信职业行为的儿科住院医师形成性评价体系的构建探索[J].中国毕业后医学教育,2021,5(3):193-196,201.[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.[11]Lomis K,Amiel JM,Ryan MS,et al.Implementing an entrustable professional activities framework in undergraduate medical education :early lessons from the AAMC core entrustable professional activites for entering residency pilot[J].Acad Med,2017,92(6):765-770.[12]The Association of Faculties of Medicine of Canada(AFMC).Entrustable professional activites for the trainsition from medical school to residency[EB/OL].(2021-06-07)[2024-05-02].https://www.afmc.ca/wp-content/uploads/2022/10/AFMC_Entrustable-Professional-Activities_EN_Final.pdf.[13]Lau ST,Ang E,Samarasekera DD,et al.Development of undergraduate nursing entrustable professional activities to enhance clinical care and practice[J].Nurse Educ Today,2020,87:104347.[14]Al-Moteri M,Youssef HAM,Elryah AAI,et al.Development of undergraduate nursing entrustable professional activities through using a participatory design approach[J].J Prof Nurs,2021,37(4):721-748.[15]科技教育司.《关于开展专科医师规范化培训制度试点的指导意见》[EB/OL].(2016-01-11)[2024-05-02].http://www.nhc.gov.cn/qjjys/s3593/201601/b3954c40ef454bbc8ad3613d3e3f1f0f.shtml.[16]国务院办公厅.《国务院办公厅关于深化医教协同进一步推进医学教育改革与发展的意见》(国办发[2017]63号)[EB/OL].(2017-01-03)[2024-05-02].https://www.gov.cn/zhengce/content/2017-07/11/content_5209661.htm.[17]Peters H,Holzhausen Y,Maaz A,et al.Introducing an assessment tool based on a full set of end-of-training EPAs to capture the workplace performance of final-year medical students[J].BMC Med Educ,2019,19(1):207. [18]Ryan MS,Khan AR,Park YS,et al.Workplace-based entrustment scales for the core EPAs: a multisite comparison of validity evidence for two proposed instruments using structured vignettes and trained raters[J].Acad Med,2022,97(4):544 551. [19]Jeans EB,Brower JV,Burmeister JW,et al.Development of a United States radiation oncology curricular framework: a stakeholder Delphi consensus[J].Int J Radiat Oncol Biol Phys,2023,115(5):1030-1040.[20]Liu L,Jiang Z,Qi X,et al.An update on current EPAs in graduate medical education :a scoping review[J].Med Educ Online.2021,26(1):1981198.

更新日期/Last Update: 1900-01-01