Zhongguo quanke yixue (Jan 2025)
Research on the Construction of Clinical Thinking Ability Evaluation System of General Residents Based on Delphi Method
Abstract
Background The clinical thinking of general medicine is based on the characteristics of the general medicine profession and has its uniqueness, requiring general practitioners to have "patient-centered" clinical diagnosis and treatment skills. In order to better reflect the clinical thinking ability of clinical residents in general practice, it is necessary to establish a set of effective evaluation criteria that can reflect all aspects of their ability. At present, there is no suitable method to evaluate the clinical thinking ability of residents in general practice. Objective To construct a post competency oriented clinical thinking ability evaluation system for general practice residents by Delphi method. Methods From December 2021 to February 2022, based on literature research, we preliminarily constructed the evaluation system framework of clinical thinking ability of general residents. Delphi method was used to conduct two rounds of in-depth communication with 12 experts to give objective evaluation on the importance of the indicators in the framework. Futher, we use analytic hierarchy process to determine the weight of each indicator. Results Through two rounds of expert consultations, we developed a comprehensive evaluation system consisting of 5 first-level indicators (clinical knowledge learning and extension, data collection and utilization, diagnostic analysis and utilization, treatment decision making ability, communication and collaboration ability) and 30 second-level indicators. The effective response rate of the two rounds of questionnaire was 100.0%, the expert authority coefficient was 0.85, and the expert coordination coefficient of the first and second indexes were 0.299 and 0.189 respectively (P<0.01). And the weight of 5 first-level indicators were 0.198, 0.198, 0.227, 0.227, 0.150 respectively. Conclusion Delphi method was used in this study to establish a comprehensive evaluation system of clinical thinking ability of residents. Through the analysis of the result data, it can be seen that the evaluation system is highly authoritative and scientific, which can provide reference for training high-quality general residents and improving the teaching quality of general practice in the future.
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