天津市住院医师职业岗位胜任力评价指标体系构建研究

Study on construction of post competency evaluation index system of standardized training for resident physicians in Tianjin

目的衡量天津市住院医师规范化培训工作的质量效果,为改善住院医师规范化培训质量提供指导依据。方法通过查阅文献、专家访谈等方法构建评价体系指标池,对29名专家进行两轮德尔菲法咨询,运用Excel和SPSS 25.0处理数据,采用层次分析法确定指标权重,以构建住院医师职业岗位胜任力评价指标体系。结果两轮专家咨询问卷的有效回收率均为100%;专家权威系数均为0.914;两轮一级指标协调系数相等;二级指标的协调系数分别为0.213和0.235,均P<0.01。最终确定了一级指标8项和二级指标50项。结论该岗位胜任力评价指标体系全面合理、科学可行,可为改善医院的住院医师岗位胜任力水平提供参考。

Objective To measure the quality effect of standardized training for resident physicians in Tianjin,so as to provide guidance for improving the quality of standardized training for resident physicians.Methods The index pool of evaluation system was constructed through literature review,expert interview and other methods,and 29 experts were consulted by Delphi method for two rounds,the data were processed by Excel and SPSS 25.0,and the index weights were determined by analytic hierarchy process,so as to construct the post competency evaluation index system of resident physicians.Results The effective recovery rates of the two rounds of expert consultation questionnaire were 100%.The expert authority coefficients was 0.914.The coordination coefficient of the first level index of the two rounds was equal.The coordination coefficients of the secondary indexes were 0.213 and 0.235 respectively,with P<0.01.Finally,8 first-level indicators and 50 second-level indicators were determined.Conclusion The post competency evaluation index system is comprehensive,reasonable,scientific and feasible,which can provide reference for improving the post competency level of resident physicians in hospitals.