中国医学教育技术2025，Vol.39Issue(3)：403-408,6.DOI:10.13566/j.cnki.cmet.cn61-1317/g4.202503018
临床医学专业本科生置信职业行为指标框架的初步应用
Preliminary application of EPAs framework for undergraduates of Clinical Medicine
摘要
Abstract
Objective To understand the feasibility and rationality of entrustable professional activities(EPAs)framework for Chinese medical undergraduates through practical research.Methods 180 undergraduates of Clinical Medicine from three medical universities in eastern,central and western China were selected as the objects of research,with 60 students from each university.The EPAs framework of undergraduates majoring in Clinical Medicine was applied to evaluate the job competency of medical students.Results 180 undergraduates of Clinical Medicine were included in the study.Among 14 EPAs,the highest average score was EPA11(carrying out health education,3.02),and the lowest was EPA5(identification and management of critical illness,2.14).The average EPAs scores of grade 3,grade 4 and grade 5 were(1.70±0.22),(2.88±0.19)and(2.63±0.72),re-spectively.The average scores and EPA scores of grade 3,grade 4 and grade 5 showed a gradually in-creasing trend,and the difference was statistically significant(P<0.01).The average scores of male students and female students were(2.64±0.7)and(2.63±0.73),and the difference was not statisti-cally significant(P>0.05).The average scores of students from the eastern,central and western re-gion were(2.69±0.73),(2.59±0.72)and(2.54±0.73),respectively,indicating a descending trend.There was no significant difference between groups(P>0.05).After accepting the evaluation and feed-back of EPAs,medical students mainly mentioned that"EPAs evaluation can reflect the ability level more accurately","the description of the main points of observation and evaluation is very specific and easy to understand","many shortcomings have been found through feedback",and"some EPAs indi-cators have high requirements".The teachers mainly mentioned that"the description of the main points of observation and evaluation is very specific,which is easy to score more accurately","many deficiencies in teaching have been found through evaluation,and it is necessary to timely adjust teach-ing strategies in the future","as a clinical trainee teacher,some EPAs items are difficult to evalu-ate".Conclusion The EPAs framework for undergraduates of Clinical Medicine has good rationality and feasibility.But some items still need to be further adjusted and improved.At present,the overall level of EPAs of undergraduates of Clinical Medicine still needs to be further improved.关键词
临床医学/医学生/置信职业行为/岗位胜任力Key words
Clinical Medicine/medical students/EPAs/post competency分类
社会科学引用本文复制引用
齐殿君,佟野,阚丹..临床医学专业本科生置信职业行为指标框架的初步应用[J].中国医学教育技术,2025,39(3):403-408,6.基金项目
中华医学会医学教育分会和全国医学教育发展中心医学教育研究课题项目(2023A43 （）
2023A44) （）
中国医科大学教学改革课题(YDJG20240053) （YDJG20240053）
辽宁省教育科学"十四五"规划2024年度课题项目(JG24DB489) （JG24DB489）
中国医科大学虚拟仿真课题项目(YDXF2024032) （YDXF2024032）
