可信赖专业活动在全科住院医师分层培训中的应用初探

The step-up training model for general practice residents based on entrustable professional activities

我国住院医师规范化培训顶层设计及培训制度基本搭建完成,逐步过渡到以内涵建设和质量提升为重点的阶段,强调以岗位胜任力为导向,以质量为核心。不同类别的全科住院医师在临床能力等方面存在较大差异,应使用分层递进培养模式设置并实施递进上升、符合岗位胜任力的阶段性培训目标,以达到培养合格全科医师的总目标。在全科住院医师分层培训中,应用可信赖专业活动(EPAs)可以定量、定性地评价其胜任力并进行持续追踪,进而达到提升住院医师岗位胜任力的目标。本研究通过文献回顾和专题小组讨论初步建立了基于EPAs的全科住培医师分层培训与考核条目池,并制定了实施方案,对EPAs在全科住院医师分层培训中的应用进行了探索。

The top-level design and training system of standardized training for residents has been basically completed in China,and now is gradually transiting to connotation construction and quality improvement,with the emphasis on post competency and quality as the core.There are discrepancies in clinical ability among general practice residents of different categories,so the step-up training mode should be adapted for set up and implement of phased training objectives to achieve the overall goal of training qualified general practitioners.The step-up training based on the framework of entrustable professional activities(EPAs)can quantitatively and qualitatively evaluate the competency of general practice residents and continuously track it,so that to ensure the competency of residents.This study has developed assessment item pools of EPAs-based step-up training for general practice residents through literature review and focus group discussion,and proposed implementation plans,and explored the application of EPAs in the step-up training of general practice residents.