目的构建八年制临床医学专业学生(以下酌情简称八年制医学生)置信职业行为(entrustable professional activities,EPAs)框架,以解决传统的临床胜任力评价抽象、模糊的问题,并弥合胜任力导向教育与临床实践之间的差距。方法基于EPAs理论...目的构建八年制临床医学专业学生(以下酌情简称八年制医学生)置信职业行为(entrustable professional activities,EPAs)框架,以解决传统的临床胜任力评价抽象、模糊的问题,并弥合胜任力导向教育与临床实践之间的差距。方法基于EPAs理论模型,采用文献分析方法和德尔菲专家咨询方法确定八年制医学生EPAs框架核心指标,运用SPSS 26.0软件进行统计学处理。结果选择28名临床教学专家和教学管理专家,针对八年制医学生EPAs框架各项指标进行2轮德尔菲函询。2轮专家函询的有效问卷回收率均为100.0%(28/28)。第1轮专家函询针对置信职业行为重要性和可行性评分的W值分别为0.127和0.164(均P<0.05),第2轮专家函询的置信职业行为重要性和可行性评分的W值分别为0.228和0.140(均P<0.05)。经过2轮专家函询后,初步构建了八年制医学生EPAs框架,具体包括19项指标和67个指标内涵的观测评价要点。结论本研究初步构建了八年制医学生EPAs框架,实现了临床任务与能力标准的精准映射,为八年制医学生临床能力培养提供了可量化、可追踪的评价标准,对深化医学教育改革具有参考价值。展开更多
Purpose:The 8-year medical education program(EYMEP)is China's path to training high-level medical talents.In retrospect,this study systematically reviewed the developmental process of China's EYMEP.The status ...Purpose:The 8-year medical education program(EYMEP)is China's path to training high-level medical talents.In retrospect,this study systematically reviewed the developmental process of China's EYMEP.The status quo and characteristics,and threats and challenges,were analyzed,along with the program’s prospects.Design/Approach/Methods:This study analyzed relevant textual materials and policy documents dating back to the time of hosting of China's EYMEP,as well as conducted various specific interviews and field trips.Findings:The exploration of China's high-level medical talent training has been conducted over a century.EYMEP can be divided into five periods:the Only Host Period,the Duplication Pilot Host Period,the Expansion Period,the Joint Exploration Period,and the In-Depth Promotion Period.Currently,there are 14 universities and institutes hosting the EYMEP approved by the Ministry of Education of the People's Republic of China.However,they differ greatly in training ideas and goals,enrollment processes,and training phases.China's EYMEP is faced with some external threats and internal challenges.In the future,China's EYMEP should consider five aspects.Originality/Value:In the new era of the reform and development of China's medical education,a systematic review of the development of EYMEP in China is of great significance to the promotion of high-level medical talent training in China.Meanwhile,the exploration course of China's highlevel medical talent training represented by the EYMEP may be an enlightenment for other countries,especially developing countries like China,in their training of high-level medical talents.展开更多
文摘目的构建八年制临床医学专业学生(以下酌情简称八年制医学生)置信职业行为(entrustable professional activities,EPAs)框架,以解决传统的临床胜任力评价抽象、模糊的问题,并弥合胜任力导向教育与临床实践之间的差距。方法基于EPAs理论模型,采用文献分析方法和德尔菲专家咨询方法确定八年制医学生EPAs框架核心指标,运用SPSS 26.0软件进行统计学处理。结果选择28名临床教学专家和教学管理专家,针对八年制医学生EPAs框架各项指标进行2轮德尔菲函询。2轮专家函询的有效问卷回收率均为100.0%(28/28)。第1轮专家函询针对置信职业行为重要性和可行性评分的W值分别为0.127和0.164(均P<0.05),第2轮专家函询的置信职业行为重要性和可行性评分的W值分别为0.228和0.140(均P<0.05)。经过2轮专家函询后,初步构建了八年制医学生EPAs框架,具体包括19项指标和67个指标内涵的观测评价要点。结论本研究初步构建了八年制医学生EPAs框架,实现了临床任务与能力标准的精准映射,为八年制医学生临床能力培养提供了可量化、可追踪的评价标准,对深化医学教育改革具有参考价值。
基金supported by the Key Project for Medical Education Research in 2018 of the Medical Education Branch of the Chinese Medical Association and Specialty Committee of Medical Education in China Association of Higher Education(2018A-N02095).
文摘Purpose:The 8-year medical education program(EYMEP)is China's path to training high-level medical talents.In retrospect,this study systematically reviewed the developmental process of China's EYMEP.The status quo and characteristics,and threats and challenges,were analyzed,along with the program’s prospects.Design/Approach/Methods:This study analyzed relevant textual materials and policy documents dating back to the time of hosting of China's EYMEP,as well as conducted various specific interviews and field trips.Findings:The exploration of China's high-level medical talent training has been conducted over a century.EYMEP can be divided into five periods:the Only Host Period,the Duplication Pilot Host Period,the Expansion Period,the Joint Exploration Period,and the In-Depth Promotion Period.Currently,there are 14 universities and institutes hosting the EYMEP approved by the Ministry of Education of the People's Republic of China.However,they differ greatly in training ideas and goals,enrollment processes,and training phases.China's EYMEP is faced with some external threats and internal challenges.In the future,China's EYMEP should consider five aspects.Originality/Value:In the new era of the reform and development of China's medical education,a systematic review of the development of EYMEP in China is of great significance to the promotion of high-level medical talent training in China.Meanwhile,the exploration course of China's highlevel medical talent training represented by the EYMEP may be an enlightenment for other countries,especially developing countries like China,in their training of high-level medical talents.
