CAJ | 학술논문

目的建立全科医师规范化培训临床教学基地师资评估标准,以保证全科医师规范化培训质量.方法在广泛文献研究和专家访谈的基础上,初步建立了由4个一级指标和45个二级指标构成的“上海市全科医师规范化培训临床教学基地师资评估标准”专家评议表,于2012年至2013年期间开展了2轮德尔菲专家咨询,以确定师资评估标准.结果咨询专家来自于上海市全科医师规范化培训临床教学基地、医学院校和卫生行政机关的,从事全科临床、教学、管理的专家共37名.其中64.8％(24/37)从事全科医师培训5年以上,78.4％(29/37)曾作为师资直接带教过全科医师,70.2％(26/37)具有高级职称.两轮咨询中专家积极系数均分别为97.3％和100.0％;权威程度分别为0.817和0.855;指标重要性的专家协调系数分别为0.188和0.278(均P＜0.01),且第二轮大于第一轮,专家意见趋于一致.最终确立了一套由4个一级指标和27个二级指标组成的全科医师规范化培训临床教学基地师资评估标准.4个一级指标为专业素养、临床医疗工作能力、教学资格与能力、全科医学基本概念,权重系数分别为0.253、0.253、0.251、0.243.结论本全科医师规范化培训临床教学基地师资评估标准科学、内容全面,可用于全科医师规范化培训临床师资综合能力的评估.
목적 건립전과의사규범화배훈림상교학기지사자평고표준,이보증전과의사규범화배훈질량.방법 재엄범문헌연구화전가방담적기출상,초보건립료유4개일급지표화45개이급지표구성적“상해시전과의사규범화배훈림상교학기지사자평고표준”전가평의표,우2012년지2013년기간개전료2륜덕이비전가자순,이학정사자평고표준.결과 자순전가래자우상해시전과의사규범화배훈림상교학기지、의학원교화위생행정궤관적,종사전과림상、교학、관리적전가공37명.기중64.8％(24/37)종사전과의사배훈5년이상,78.4％(29/37)증작위사자직접대교과전과의사,70.2％(26/37)구유고급직칭.량륜자순중전가적겁계수균분별위97.3％화100.0％;권위정도분별위0.817화0.855;지표중요성적전가협조계수분별위0.188화0.278(균P＜0.01),차제이륜대우제일륜,전가의견추우일치.최종학립료일투유4개일급지표화27개이급지표조성적전과의사규범화배훈림상교학기지사자평고표준.4개일급지표위전업소양、림상의료공작능력、교학자격여능력、전과의학기본개념,권중계수분별위0.253、0.253、0.251、0.243.결론 본전과의사규범화배훈림상교학기지사자평고표준과학、내용전면,가용우전과의사규범화배훈림상사자종합능력적평고.
Objective To develop an assessment criteria for general practitioner (GP) trainers in clinical training base.Methods Based on the extensive literature review and expert interview,a preliminary index system was established with 4 first-grade indicators and 45 second-grade indicators for GP trainers in clinical training base.During 2012 to 2013,a two-round Delphi consultation was conducted to establish the assessment criteria.Results Thirty seven experts engaged in clinical practice,training and managers of GP training program from clinical training bases,medical schools,or health bureau in Shanghai were invited for Delphi consultation.Among them 64.8 (24/37) ％ were engaged in GPs training over 5 years,78.4％ (29/37) worked as GP trainers,70.2％ (26/37) with high-level professional title.In two round consultations,the activity coefficient of the experts were 97.3％ and 100.0％,authority coefficient were 0.817 and 0.855,and harmonious coefficient of importance of the evaluation were 0.188 (P ＜ 0.01) and 0.278 (P ＜ 0.01),respectively.The opinions among the experts were consistent from the first round to the second round.The assessment criteria for GP trainers in clinical training bases was established with 4 firstgrade indicators and 27 second-grade indicators.The 4 first-grade indicators were professionalism,clinical practice components,teaching quantity & components,basic conception of general practice,with weight coefficient of 0.253,0.253,0.251 and 0.243,respectively.Conclusion The established assessment criteria for GP trainers is credible and comprehensive,which can be applied in evaluating the comprehensive capacity of trainers in clinical training bases.