Zhang Xiaoning, Meng Kun, Cao Junli, Chen Youhua
Zhejiang Philosophy and Social Science Laboratory for Research in Early Development and Childcare, Hangzhou Normal University, 2318, Yuhangtang Road, Yuhang District, Hangzhou, Zhejiang, 311121, China.
School of Nursing, Hangzhou Normal University, 2318, Yuhangtang Road, Yuhang District, Hangzhou, Zhejiang, 311121, China.
BMC Med Educ. 2025 Jan 2;25(1):9. doi: 10.1186/s12909-024-06324-y.
Standardized postgraduate medical education (PGME) in anesthesiology is not well-defined in China. Establishing a competency framework for postgraduate anesthesia training (PGAT) is essential for standardizing and enhancing the quality of training and patient care.
This study aimed to develop a competency framework for PGAT in China.
This study employed a multi-step approach, including a literature review, semi-structured interviews, to formulate a list of preliminary competencies. This initial list included seven roles, 26 enabling competencies, and 162 competency items. A modified Delphi method was utilized to achieve consensus involving three rounds. Experts were recruited from the Chinese Society of Anesthesiology (CSA) across various regions of the country. Consensus was determined using a 5-point Likert scale, with a mean score of ≥ 4 and a consensus rate of ≥ 80% serving as criteria for agreement.
Forty-seven experts accepted the invitation to participate, with 46 returning scores for round 1 (90.2% response rate) and 45 returning scores for rounds 2 and 3 (88.2% response rate). The final competency framework includes 140 competency items within 23 enabling competencies, categorized into seven roles: medical expert, communicator, collaborator, professional leader, health advocate, academic scholar, and specialized professional.
This study represents an initial step towards establishing a contemporary competency-based medical education and training (CBMET) program for PGAT in China.
中国麻醉学专业研究生医学教育（PGME）的标准化定义尚不明确。建立研究生麻醉培训（PGAT）的能力框架对于规范和提高培训质量及患者护理水平至关重要。
本研究旨在制定中国PGAT的能力框架。
本研究采用多步骤方法，包括文献综述、半结构化访谈，以制定初步能力清单。该初始清单包括七个角色、26项促成能力和162项能力条目。采用改良德尔菲法进行三轮以达成共识。专家来自中华医学会麻醉学分会（CSA），分布于全国不同地区。使用5点李克特量表确定共识，以平均得分≥4分且共识率≥80%作为达成一致的标准。
47名专家接受邀请参与，46名在第1轮返回评分（回复率90.2%），45名在第2轮和第3轮返回评分（回复率88.2%）。最终的能力框架包括23项促成能力中的140项能力条目，分为七个角色：医学专家、沟通者、协作者、专业领导者、健康倡导者、学术学者和专业专家。
本研究是在中国建立当代基于能力的医学教育与培训（CBMET）PGAT项目的第一步。
