摘要
背景社区实践基地实践教学在全科医学教育中具有极其重要的作用,但目前其质量评价存在局限性,教学质量难以得到保证,使得评教工作很难开展,亟待建立社区实践基地实践教学质量评价指标体系解决这一困难。目的构建全科医学社区实践基地实践教学质量评价指标体系,为评价全科医学社区实践基地实践教学质量提供参考。方法于2017年9月—2018年9月,采用目的抽样法,分别从熟悉医学教育管理、全科医学教学、从事基层医疗服务和管理的3类人员中遴选咨询专家22例。运用文献研究法和德尔菲法确定社区实践教学质量评价指标体系,运用层次分析法计算各指标权重。结果从社区实践基地教学管理、带教教师及全科医学生/规培生三方面构建全科医学社区实践基地实践教学质量评价指标体系。教学管理方面,包括教学条件、教学管理、教学实施3个一级指标,权重分别为0.5105、0.2829、0.2066;带教教师方面,包括教学方式、教学内容、教学能力、教学效果4个一级指标,权重分别为0.4752、0.2007、0.1775、0.1465;全科医学生/规培生方面,包括全科诊疗服务能力、临床技能水平、公共卫生服务能力、综合素质4个一级指标,权重分别为0.3183、0.1880、0.1895、0.3041。最终构建的全科医学社区实践基地实践教学质量评价指标体系包括11个一级指标、57个二级指标、110个三级指标。结论运用层次分析法构建的全科医学社区实践基地实践教学质量评价指标体系,可以为全面提高社区实践教学质量的决策、干预和改进提供依据。
Background Practical teaching in community practice base plays an extremely important role in general practice medical education.However,the quality of community-based general practice teaching may be not guaranteed to be satisfied due to limitations of quality evaluation,which poses barriers to further development of teaching quality evaluation.So it is urgently to develop an appropriate targeted teaching evaluation system.Objective To develop a quality evaluation system targeting practical teaching within the community general practice base,to provide a reference for this kind of evaluation.Methods From September 2017 to September 2018,we initially formulated a quality evaluation system targeting practical teaching within the community general practice base and then determined its indices using literature review and Delphi consultation with 22 experts purposively sampled from 3 kinds of professionals(consisting of those who know medical education management and general practice teaching well,and primary care workers,and primary care mangers).We used the analytic hierarchy process to calculate the weight of each index.Results The final system covers 3 domains(community teaching management,community teachers and general medical students or residents),11 first-level indices,57 second-level indices,and 110 third-level indices.In terms of teaching management,it included three first-class indicators:teaching conditions,teaching management and teaching implementation,with weights of 0.5105,0.2829 and 0.2066 respectively;in terms of teaching teachers,there were four first-class indicators:teaching method,teaching content,teaching ability and teaching efficacy,with weights of 0.4752,0.2007,0.1775 and 0.1465 respectively;in terms of general medical students or residents,there were four first-class indicators including general diagnostic and therapeutic ability,clinical skills,public health service ability and comprehensive quality,with weights of 0.3183,0.1880,0.1895 and 0.3041,respectively.Conclusion Our system developed using the analytic hierarchy process may provide assistance for decision-making,intervention delivery and quality improvement in community practice teaching in a comprehensive way.
作者
孔燕
左延莉
申颖
李虹
刘江华
KONG Yan;ZUO Yanli;SHEN Ying;LI Hong;LIU Jianghua(Department of General Medicine,Guangxi Medical University,Nanning 530021,China)
出处
《中国全科医学》
CAS
北大核心
2020年第34期4362-4371,共10页
Chinese General Practice
基金
教育部人文社会科学研究一般项目(15YJC880033)
广西医科大学教育教学改革一般A类项目(2016XJGA08)
2016年度广西高等教育本科教学改革工程项目(2016JGA164)
广西研究生教育创新计划项目(JGY2018045)。
关键词
全科医学
社区实践基地
实践教学
质量评价
指标体系
General practice
Community practice base
Practical teaching
Quality assessment
Index system
