摘要
目的:构建国内呼吸专科医师能力评价指标体系。方法:通过文献研究、专家半结构式访谈,构建国内呼吸专科医师能力评价初步框架;运用改进型德尔菲法对13位呼吸专科医师进行开放式问卷调查,并对25位专家进行了两轮正式函询,请专家对指标重要性评分,对指标进一步优化,建立呼吸专科医师能力评价指标体系。结果:本研究所选25位专家主要来自国内呼吸与危重症学、医院管理和医学教育领域,平均专业年限为22.96年,两轮正式函询的专家权威系数为0.81,专家协调系数Kendall W的范围为0.14～0.23,P值均小于0.05。最终构建的一级指标为医学知识、患者诊疗、科研教学、职业素养、沟通合作、终身学习6个指标,下设55个二级指标。结论:本研究发现函询专家对科研教学能力要求意见不一致,部分专家对控烟工作的认知和重视程度明显不足。同时,该指标体系侧重理论层面,需进一步实化评价内容,以期形成行业共识。科学有效的评价指标体系将丰富呼吸专科医师规范化培训标准的内涵与外延,对呼吸与危重症医学专培质量的提升有重大实践意义。
Objectives:To establish an indicator system for the Pulmonary and Critical Care Medicine(PCCM)specialists’competency.Methods:Literature review and semi-structured expert interview were used to establish the preliminary framework of competency evaluation.Applying the modified Delphi method,we conducted unstructured interviews with 13 PCCM Specialists and inquired 25 experts via two-round letters.The experts weighed the metric of each indicator,and based on their suggestions we adjusted and optimized the indicators,thereby establishing the evaluation indicator system.Results:This study selected 25 experts in the fields of Pulmonary and Critical Care Medicine,Hospital Management and Medical Education,with22.96 years’professional experiences on average.After two rounds of inquiry,the expert’s authority coefficient is 0.81,and the range of Kendall W is 0.14-0.23,meantime,the P values are below 0.05.The final 6 first-level indicators are Medical Knowledge,Patient Care,Scholarship and Teaching,Professionalism,Communication and Teamwork,and Life-long Learning.And there are 55 second-level indicators.Conclusion Our research showed that experts held different requirements for scholarship and teaching among PCCM Specialists,and some of the experts did not pay enough attention to tobacco control.Besides,our evaluation system mainly focuses on theory,and should be further refined in practice with the hope of becoming a consensus within respiratory community.The scientific and effective evaluation system would help to enrich the standard of PCCM fellowship training and improve its quality in China.
作者
纪婷婷
张鹏俊
尹金风
彭博
罗翔予
王辰
JI Tingting;ZHANG Pengjun;YIN Jinfeng;PENG Bo;LUO Xiangyu;WANG Chen(School of Health Administration and Education,Capital Medical University,Beijing,100069,PRC)
出处
《中国医院》
2019年第5期20-24,共5页
Chinese Hospitals
基金
中国工程院咨询研究项目(2017-XZ-21)
关键词
呼吸专科医师
能力评价
德尔菲法
评价指标
呼吸与危重症医学
PCCM Specialist
competency evaluation
Delphi
evaluation indicator
pulmonary and critical care medicine
