全科医学基层实践基地师资综合评价指标体系的构建

Construction of comprehensive evaluation index system for general practice teachers at grassroot practice bases

目的构建一套科学、系统的全科医学基层实践基地师资综合评价指标体系, 为全科基层实践基地的师资遴选、评价和考核提供参考。方法在文献研究、专家咨询和小组讨论的基础上, 初步构建全科基层实践基地师资原始指标体系。选择具有中级及以上职称, 并长期从事医学教育管理、全科医疗与教学、基层医疗卫生服务与管理工作的32名专家, 进行两轮德尔菲专家函询, 并对函询结果进行统计分析, 确定全科基层实践师资综合评价指标。运用层次分析法计算各指标权重并进行一致性检验。运用Yaahp统计学软件进行数据录入和处理。结果构建出包含3个一级指标、12个二级指标和61个三级指标的全科医学基层实践基地师资综合评价指标体系。3个一级指标分别为师资遴选纳入标准、教学能力评价标准、师资考核标准;权重系数分别为0.334、0.525、0.142。结论本研究构建的指标体系具有较好的科学性和系统性, 为进一步加强全科基层实践基地师资队伍的建设和管理、提升全科住院医师培养质量, 提供了理论依据。

Objective To construct a scientific and systematic comprehensive evaluation index system for general practice teachers at grassroot practice bases,and to provide references for their selection,evaluation,and examination.Methods On the basis of literature research,expert consultation,and group discussion,the original index system of general practice teachers at grassroot practice bases was preliminarily constructed.A total of 32 experts with intermediate or above professional titles and who had long been engaged in medical education management,general practice and teaching,and grassroot medical services and management were selected for two rounds of Delphi expert letter consultations.Through the statistical analysis of the consultation results,the comprehensive evaluation indicators of general practice teachers at grassroot practice bases were determined.Analytic hierarchy process was used to calculate the weight of each indicator and consistency test was performed.Data were imported and processed using the Yaahp software.Results A comprehensive evaluation index system for general practice teachers at grassroot practice bases was constructed,including 3 first-level indicators,12 second-level indicators,and 61 third-level indicators.The three first-class indicators were the criterion of teacher selection and inclusion,the criterion of teaching ability evaluation,and the criterion of teacher examination,with weights of 0.334,0.525,and 0.142,respectively.Conclusion The index system constructed in this study is scientific and systematic,which provides a theoretical basis for further strengthening the construction and management of the general practice teachers at grassroot practice bases and improving the quality of training resident general practitioners.