国家一流专业建设背景下临床医学见习教学同质化管理评价标准的研究

Development of a homogeneous management evaluation system for clinical observership teaching under the background of national first-class discipline construction

目的构建基于国家一流专业建设背景下临床医学见习教学同质化管理评价体系内容。方法查阅国内外文献并通过专家访谈拟定初稿,采用德尔菲法对20名相关领域专家进行两轮函询,采用Excel 2016和SPSS 26.0进行数据分析,通过计算判断依据(Ca)、熟悉程度(Cs)、权威系数(Cr)、Kendall’sW协调系数和各项指标的均数、标准差、变异系数,明确了基于国家一流专业建设背景下临床医学见习教学同质化管理评价体系具体内容及权重。结果两轮专家积极系数均为100.00%;专家的权威程度分别为0.889、0.935;熟悉系数分别为0.856、0.936;判断系数分别为0.922、0.934;协调系数分别为0.476、0.563。最终形成包含7个一级条目、21个二级条目的基于国家一流专业建设背景下临床医学见习教学同质化评价体系的内容框架。结论基于国家一流专业建设背景下临床医学见习教学同质化管理评价体系构建过程完整、可靠,对临床医学见习教学同质化管理有指导意义,但仍需实证研究进一步验证与完善。

Objective To develop a homogeneous management evaluation system for clinical observership teaching under the background of national first-class discipline construction.Methods The preliminary contents of the assessment system were determined through a literature review and expert interviews,and two rounds of questionnaire-based consultation was conducted with 20 experts using the Delphi method.With the use of Excel 2016 and SPSS 26.0,we calculated the coefficient of judgement basis(Ca),the coefficient of familiarity(Cs),the coefficient of authority(Cr),and Kendall's coefficient of concordance(W)as well as the mean,standard deviation,and coefficient of variation of all parameters,to identify the specific items and weights for the homogeneous management evaluation system for clinical observership teaching under the background of national first-class discipline construction.Results In the two rounds of consultation,experts were both 100.00%active in responding to the questionnaires;the coefficients of authority of experts were 0.889 and 0.935,respectively;the coefficients of familiarity were 0.856 and 0.936,respectively;the coefficients of judgment were 0.922 and 0.934,respectively;and Kendall's coefficients of concordance were 0.476 and 0.563,respectively.Finally,7 first-level items and 21 second-level items were included in the content framework of the homogeneous management evaluation system.Conclusions The construction process of the homogeneous management evaluation system of clinical observership teaching is complete and reliable,which can provide a reference for the homogeneous management of clinical observership teaching,but further verification and improvement are needed.