Mørcke A M, Eika B
Aarhus Universitet, Det Sundhedsvidenskabelige Fakultet, Enhed for Medicinsk Uddannelse.
Ugeskr Laeger. 2001 Jun 25;163(26):3616-20.
The necessity of defining standards in medical education is increasingly recognised. The aim of the present study was to adapt the Delphi method in establishing a consensus about competence levels of basic clinical skills in the undergraduate medical curriculum.
We used a Delphi design with two postal rounds. An expert panel of 52 physicians was selected on the criteria of knowledge and practical engagement in medical education. Questionnaires were set up with lists of 213 practical skills based on literature studies. Six levels of competence were identified. The task of the panel was to select the competence level for each skill.
The panel reached a 75% level of consensus in 212 of the 213 skills. A core curriculum of basic clinical skills in the medical education of Danish undergraduates is proposed.
The Delphi method was found applicable to qualify the process of identifying goals in a medical curriculum design.
医学教育中定义标准的必要性日益得到认可。本研究的目的是采用德尔菲法,就本科医学课程中基本临床技能的能力水平达成共识。
我们采用了两轮邮寄调查的德尔菲设计。根据医学教育方面的知识和实践参与标准,挑选了一个由52名医生组成的专家小组。基于文献研究,列出了213项实践技能清单,并据此设计了问卷。确定了六个能力水平。专家小组的任务是为每项技能选择能力水平。
专家小组在213项技能中的212项上达成了75%的共识水平。提出了丹麦本科医学教育中基本临床技能的核心课程。
发现德尔菲法适用于确定医学课程设计目标的过程。