临床学科带头人核心能力评价指标体系的构建

Construction of core competency evaluation index system for clinical discipline leaders

目的构建临床学科带头人核心能力评价指标体系, 为完善对临床学科带头人的管理提供参考。方法以临床学科带头人、医学学科带头人、academic leaders、核心能力、评价指标等为关键词, 检索中国知网、Web of Science数据库收录的2000—2023年发表的相关文献。利用Nvivo 11.0软件进行文献分析, 并结合冰山模型初步确立临床学科带头人核心能力评价要素。2022年10—11月, 采用专家咨询法筛选评价要素。基于专家咨询结果编制调查问卷, 于2022年12月对北京市某三级甲等综合医院各临床科室的学科带头人进行问卷调查。对问卷数据进行探索性因子分析, 确定评价指标体系及指标权重, 并采用验证性因子分析对该指标体系进行验证。结果临床学科带头人核心能力评价指标体系包含知识和技能、综合能力、个性特质、动机和价值观4个一级评价指标, 个人品质、教学能力、科室建设、科研能力、临床能力和职业素养6个二级评价指标, 以及20个三级指标, 其中个人品质和职业素养属于隐性特征。验证性因子分析结果显示, χ2/df<3, CFI=0.934, TLI=0.918, RMSEA=0.066, 平均方差抽取量均>0.5, 且其平方根均大于其相互之间的相关系数, 组合信度>0.6, 信效度较好。结论本研究所构建的临床学科带头人核心能力评价指标体系具有一定的科学性和合理性, 在临床学科带头人的招聘与遴选、人才培养与能力开发方面具有一定应用价值。

ObjectiveTo construct a core competency evaluation index system for clinical discipline leaders, providing reference for improving the management of clinical discipline leaders.MethodsUsing keywords such as clinical discipline leaders, medical discipline leaders, academic leaders, core competencies, and evaluation indicators, etc., search for relevant literature published from 2000 to 2023 included in China National Knowledge Infrastructure and Web of Science databases. Using Nvivo 11.0 software for literature analysis, and combining with the iceberg model to preliminarily establish the core competency evaluation elements for clinical discipline leaders. From October to November 2022, expert consultation method was used to screen evaluation elements. A survey questionnaire was developed based on the results of expert consultation, and a questionnaire survey was conducted in December 2022 on clinical discipline leaders in various clinical departments of a tertiary grade A general hospital in Beijing. Exploratory factor analysis was conducted on the questionnaire data to determine the evaluation index system and index weights, and confirmatory factor analysis was used to validate the index system.ResultsThe core competency evaluation index system for clinical discipline leaders included four first-level evaluation indexes: knowledge and skills, comprehensive ability, personality traits, motivation and values, six second-level evaluation indexes: personal quality, teaching ability, department construction, scientific research ability, clinical ability, and professional competence, as well as 20 third-level indexes. Among them, personal quality and professional competence belong to implicit characteristics. The results of confirmatory factor analysis show that, χ2/df <3, CFI = 0.934, TLI = 0.918, RMSEA = 0.066, mean variance extraction>0.5, and their square roots were all greater than their correlation coefficients. The combination reliability was>0.6, indicating good reliability and validity.ConclusionsThe core competency evaluation index system for clinical discipline leaders constructed in this study has a certain degree of scientificity and rationality, and has certain application value in the recruitment and selection of clinical discipline leaders, talent cultivation and ability development.