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神经内科住院医师“知识技能”核心胜任力里程碑评价体系探索

Exploration of Milestone Evaluation System for Core Competencies in Knowledge and Skills of Neurology Residents

    摘要
  • 摘要:
    目的 探索构建适合我国医疗情境的神经内科住院医师“知识技能”核心胜任力里程碑评价体系，以期为神经内科住院医师的培养与评估提供精准指引。
    方法 本研究采用文献检索、现场调研与课题小组研讨后，初步构建神经内科住院医师“知识技能”核心胜任力里程碑评价体系；运用德尔菲法面向国内神经内科教育领域专家实施两轮函询；分析评价体系各指标的重要性评分均值、同意率和变异系数，筛选、优化评价指标，并最终确立评价体系。
    结果 两轮函询专家的积极系数均为100%，群体权威系数分别为0.97和0.98，Cronbach's α系数分别为0.90和0.88。所有指标的重要性评分均值为3.88~5.00，同意率为62.50%~100%，变异系数为0~0.21。最终确立包含1个一级指标、3个二级指标和17个三级指标的神经内科住院医师“知识技能”核心胜任力里程碑评价体系。
    结论 本研究构建的神经内科住院医师“知识技能”核心胜任力里程碑评价体系科学、合理，为神经内科住院医师规范化培训提供了标准化的评估工具。

     

    Abstract:
    Objective To develop a milestone-based evaluation system for the core "knowledge and skills" competency of neurology residents that is tailored to China's medical context, so as to provide precise guidance for their training and assessment.
    Methods Using the Delphi method, the study first constructed an initial framework through literature review, on-site investigation and expert-group discussion. Two rounds of expert consultation were then conducted among specialists in neurology education across China. Indicators were screened and optimized according to the mean score, agreement rate and coefficient of variation (CV), ultimately finalizing the system.
    Results The expert response rates in both rounds were 100%. The group authority coefficients were 0.97 and 0.98, with Cronbach's α of 0.90 and 0.88, respectively. The mean scores of all indicators ranged from 3.88 to 5.00, agreement rates from 62.50 % to 100 %, and CVs from 0 to 0.21. The finalized framework comprises one first-level indicator, three second-level indicators and 17 third-level indicators.
    Conclusions The milestone evaluation system for core competencies in "knowledge and skills" of neurology residents developed in this study is scientific and reasonable, providing a standardized and scientific assessment tool for the standardized training of neurology residents.

     

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