住院医师规范化培训专业基地过程性评价体系的构建与思考

Construction and reflection on the process evaluation system of professional bases for standardized residency training

目的构建住院医师规范化培训(简称“住培”)专业基地过程性评价体系。方法2022年12月至2023年3月,基于背景—输入—过程—结果评价模型(context-input-process-product evaluation)(简称CIPP模型),借鉴中国住院医师核心胜任力框架,采用德尔菲法构建住院医师规范化培训专业基地过程性评价指标体系,采用克朗巴赫系数和内容效度指数计算专家咨询问卷的信度及效度。结果遴选来自中南大学3所附属医院9个专业的18位专家进行咨询,专家权威系数为0.867。构建的指标体系包括4个一级指标(背景、输入、过程、结果)、7个二级指标(培训目标、生源质量、培训方案、指导医师教学水平、住院医师胜任力水平、住培结业考核结果、住院医师就业情况)和18个三级指标,并明确了每个指标的具体内容和评分方法。第二轮专家咨询问卷的克朗巴赫系数为0.937,内容效度指数为0.960。结论基于CIPP模型构建的住培专业基地过程性评价体系具有权威性,指标体系具有良好的信度及效度,实现了对住培专业基地培训全过程的评价和动态监测,促进了住培内涵建设,有助于保障和提高住院医师的胜任力。

Objective To construct a process evaluation system of professional bases for standardized residency training(referred to as″residency training″).Methods From December 2022 to March 2023,anevaluation index system of professional bases for standardized residency training was constructed based on the context-input-process-product evaluation model(CIPP model),drawing on the core competency framework for residents in China,using the Delphi method,and Cronbach's coefficient and content validity index to calculate the reliability and validity of the expert consultation questionnaire.Results Eighteen experts from nine specialties in three hospitals of Central South University were selected for consultation,and the expert authority coefficient was 0.867.The constructed index system included four first-level indexes(content,input,process,and product),seven second-level indexes(training objectives,quality of the student population,training program,teaching level of the supervising physician,competency level of the residents,results of the residency completion assessment,and residents'employment status)and 18 tertiary indicators,and the specific content and scoring method of each indicator were clarified.The Cronbach's coefficient of the second round of expert consultation questionnaire was 0.937,and the content validity index was 0.960.Conclusions The process evaluation system of the professional base of residency training constructed based on the CIPP model is authoritative,and the index system has a good degree of credibility and validity,which realizes the evaluation of the whole process of the training in the professional base of residency training,and the dynamic monitoring of the professional base,promotes the connotation construction of residency training,and helps to guarantee and improve the competence of residents.