协和医学杂志2025，Vol.16Issue(6)：1619-1628,10.DOI:10.12290/xhyxzz.2025-0477
神经内科住院医师"知识技能"核心胜任力里程碑评价体系探索
Exploration of Milestone Evaluation System for Core Competencies in Knowledge and Skills of Neurology Residents
摘要
Abstract
Objective To develop a milestone-based evaluation system for the core"knowledge and skills"competency of neurology residents that is tailored to China's medical context,so as to provide precise guidance for their training and assessment.Methods Using the Delphi method,the study first constructed an initial framework through literature review,on-site investigation and expert-group discussion.Two rounds of ex-pert consultation were then conducted among specialists in neurology education across China.Indicators were screened and optimized according to the mean score,agreement rate and coefficient of variation(CV),ultimately finalizing the system.Results The expert response rates in both rounds were 100%.The group au-thority coefficients were 0.97 and 0.98,with Cronbach's α of 0.90 and 0.88,respectively.The mean scores of all indicators ranged from 3.88 to 5.00,agreement rates from 62.50%to 100%,and CVs from 0 to 0.21.The finalized framework comprises one first-level indicator,three second-level indicators and 17 third-level in-dicators.Conclusions The milestone evaluation system for core competencies in"knowledge and skills"of neurology residents developed in this study is scientific and reasonable,providing a standardized and scientific assessment tool for the standardized training of neurology residents.关键词
神经内科/住院医师/核心胜任力/知识技能/里程碑评价体系/德尔菲法Key words
neurology/residents/core competencies/knowledge and skills/milestone evaluation system/Delphi method分类
医药卫生引用本文复制引用
董立羚,徐丹,曹宇泽,范思远,李航,朱以诚,周立新,倪俊..神经内科住院医师"知识技能"核心胜任力里程碑评价体系探索[J].协和医学杂志,2025,16(6):1619-1628,10.基金项目
北京协和医院教育创新与改革项目(CMB-JYCXGG03) （CMB-JYCXGG03）
北京协和医院"医学教育质量提升"专项(2025JXJX10) Peking Union Medical College Hospital Education Innovation and Reform Project(CMB-JYCXGG03) （2025JXJX10）
Peking Union Medical College Hospital"Medical Education Quality Improvement"Special Fund(2025JXJX10) （2025JXJX10）
