摘要
目的构建全科医学硕士研究生社区导师遴选标准。方法2020年1-12月,通过深入访谈定性研究及文献检索,初步提炼主题指标体系,随后邀请全科医学相关领域专家参与2轮德尔菲专家咨询,形成全科医学硕士研究生社区导师遴选标准指标体系,并运用层次分析法计算指标权重系数和一致性检验。结果通过对11名全科师资和11名全科医学研究生的个人深入访谈及文献检索,提炼出5个一级主题(职业素养、基本素质、临床能力、教学能力和科研能力)及35个次级主题。经过对17名全科专家2轮德尔菲法咨询,最终构建出包含5个一级指标(职业素养、基本素质、医疗实践能力、教学指导能力、学术科研能力)和28个二级指标在内的全科医学硕士研究生社区导师遴选标准。专家积极系数分别为85%(17/20)、100%(17/17),专家权威系数分别为0.825、0.860,专家意见协调系数W分别为0.486、0.515(均P<0.05)。5个一级指标的权重系数分别为0.345、0.210、0.138、0.210、0.097。结论本研究构建了比较合理的全科医学硕士研究生社区导师遴选标准指标体系。
Objective To establish selection criteria of community mentors for postgraduates in general medicine.Methods A subject index system of selection criteria of community tutors for general practice postgraduates was drafted and refined based on literature retrieving and in-depth interviews during January to December 2020.Twenty experts in general practice related fields were invited for two rounds of Delphi consultation.Analytic hierarchy process was used to calculate index weight coefficient and consistency test;and the developed selection criteria were evaluated.Results Through the in-depth interviews with 11 general practice faculty and 11 general practice postgraduates,the following five first-level thematic frameworks were refined:(1)the professional qualities;(2)the basic qualities;(3)the clinical ability;(4)the teaching ability;(5)the scientific research ability.After two rounds of Delphi expert consultation,the selection criteria of community tutors for postgraduates in general practice were finally constructed,including 5 first-level indicators(professional quality,basic quality,medical practice ability,teaching and guidance ability,academic research ability)and 28 second-level indicators.The positive coefficients of experts were 85%and 100%;the expert authority coefficients were 0.825 and 0.860;and the expert opinion coordination coefficients were 0.486 and 0.515,respectively(all P<0.05).the weight coefficients of the five first-level indicators were 0.345,0.210,0.138,0.210 and 0.097,respectively.Conclusion The criteria and index system on the selection of community mentors for general practice postgraduates has been successfully developed in the study.
作者
郑辉超
周敬
杨华
彭明辉
刘瑶
江孙芳
Zheng Huichao;Zhou Jing;Yang Hua;Peng Minghui;Liu Yao;Jiang Sunfang(Department of General Practice,Zhongshan Hospital Afiliated to Fudan University,Shanghai 200032,China;Health Management Center,Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China)
出处
《中华全科医师杂志》
2023年第6期614-619,共6页
Chinese Journal of General Practitioners
基金
上海市医学领军人才项目(2019LJ15)
复旦大学附属中山医院青年基金(住培基金-079)。
关键词
导师
社区卫生中心
德尔菲技术
定性研究
全科医学
Mentors
Community health centers
Delphi technique
Qualitative research
General practice
