入职住院医师置信职业行为指标体系的构建研究

Establishment of entrustable professional activities for entering residency

目的探索构建入职住院医师置信职业行为指标体系,为针对性开展入职住院医师培训和能力评价提供支撑。方法以国内外已有的住院医师置信职业行为指标体系为基础,经过两轮德尔菲专家咨询对入职住院医师置信职业行为指标进行筛选和优化。采用均数、变异系数描述指标评分情况,用专家权威程度和肯德尔协调系数判断结果的可靠性。结果纳入17个住院医师置信职业行为指标,确定住院医师在入职时和第一年末应达到的各指标的置信级别。结论初步构建了入职住院医师置信职业行为指标体系。

Objective To establish an indicator system of entrustable professional activities(EPAs)for entering residency,and to provide support for targeted training and ability evaluation of entering residency.Methods Based on the existing indicator systems of EPAs for entering residency in China and globally,two rounds of Delphi consultation were performed to identify and optimize the indicators for EPAs.The scores of indicators were evaluated using means and coefficient of variation,and the degree of expert authority and Kendall's W coefficient were used to test the reliability of results.Results A total of 17 indicators for EPAs were established,which defined the entrustable level of each EPA that residents should reach at the time of entry and at the end of the first year.Conclusions This study preliminarily establishes an indicator system of EPAs for entering residency.