临床医学专业本科生置信职业行为框架的构建

Construction of an entrustable professional activities framework for medical undergraduates

目的构建一种比较符合我国国情的临床医学专业本科生置信职业行为评价框架。方法采用德尔菲法构建临床医学专业本科生置信职业行为评价框架。选择来自全国各地的21名临床专家作为德尔菲法函询对象。拟进行两轮德尔菲咨询。结果 21名专家全部完成了两轮德尔菲咨询。两轮函询的有效问卷回收率均为100.0%(21/21)。第一轮函询专家的置信职业行为重要性和可行性得分的W值分别为0.182和0.173(均P<0.05), 第二轮函询专家的置信职业行为重要性和可行性得分的W值分别为0.167和0.152(均P<0.05)。第二轮德尔菲咨询结果显示, 全部14个置信职业行为指标的重要性、可行性得分均>3.5分, 变异系数均<0.25分。初步构建了12项临床医学专业本科生置信职业行为指标和42个观测评价要点, 并确定了各置信职业行为在不同阶段的预期置信级别。结论初步构建了临床医学专业本科生置信职业行为评价框架, 为我国临床医学专业本科生培养提供了一种新型评价手段。

Objective To construct an entrustable professional activities(EPAs)assessment framework for undergraduate medical students suited to the national conditions in China.Methods The Delphi method was used to construct an EPAs assessment framework for medical undergraduates.Twenty-one clinical experts across China were invited to participate in two rounds of Delphi consultation.Results All the 21 experts completed the two rounds of Delphi consultation.The effective questionnaire response rates of the two rounds of consultation were 100.0%(21/21).For the first-round expert consultation,the W values of importance and feasibility scores of EPAs were 0.182 and 0.173(both P<0.05),respectively.For the second-round expert consultation,the W values of importance and feasibility scores of EPAs were 0.167 and 0.152(both P<0.05),respectively.According to the second-round Delphi consultation,the importance and feasibility scores of all 14 EPAs indicators were>3.5 points,with the coefficients of variation<0.25 points.We preliminarily established 12 EPAs indicators and 42 key assessment points and determined the expected entrustment levels of each EPA at different stages for medical undergraduates.Conclusion This study preliminarily constructed an EPAs assessment framework for medical undergraduates,which provides a new evaluation method for the cultivation of medical undergraduates in China.