基于WFME认可标准的中国临床医学专业认证体系研究

发布时间：2018-04-28 03:15

本文选题：WFME + 临床医学专业认证　；参考：《大连医科大学》2017年硕士论文

【摘要】：目的医学模式的转变和社会经济的发展给医学教育带来了新的挑战。本研究参考WFME认可标准,并运用相关理论指导,通过官网信息整理、文献研究法、比较研究法和问卷调查法,分析我国临床医学专业认证体系中存在的优势与不足,提出建议,为我国临床医学专业认证体系的不断发展完善提供参考。方法1.官网信息整理:通过浏览WFME官方网站,了解WFME认可项目相关内容,浏览CAAM-HP、TEPDAD、LCME及WCAME的官方网站,获取相关信息并整理。2.文献研究法:检索中英文数据库,包括中国知网(CNKI)、万方数据库、Pub Med和Web of Science,以认证、医学教育认证、临床医学认证、medical accreditation,accrediting agency,accrediting body,accreditation system为关键词查阅认证相关文献,了解研究进展,为本研究的进行提供支持。3.比较研究法:对通过WFME认可的三个认证机构CAAM-HP、TEPDAD、LCME和我国临床医学专业认证机构WCAME进行对比分析,并比较我国临床医学专业认证工作委员会同WFME认可标准之间的差异。4.问卷调查法:基于文献研究和比较研究的结果以及我国临床医学专业认证标准《中国本科医学教育标准——临床医学专业(2016年)》制作问卷,对某省三所医科大学的教师进行问卷调查。5.统计分析:缺失值采用中位数进行补齐。利用SPSS19.0和Stata13.0统计软件进行数据统计分析。对问卷进行信效度分析,采用描述性统计分析方法,t检验及回归分析进行统计分析。结果1.CAAM-HP、TEPDAD、LCME、WCAME的比较背景方面,CAAM-HP、TEPDAD、LCME为第三方机构,WCAME为教育部下设机构;认证标准方面,四个机构对认证标准定期更新,所要求的领域基本相似,内容存在差异,细化程度不同;程序和流程方面,四个机构认证流程比较统一,CAAM-HP、TEPDAD、LCME都十分看重认证中学生的角色;政策和资源方面,CAAM-HP和LCME采取了签署书面协议的方式避免利益冲突,WCAME采用了专家回避制度来避免利益冲突。2.WCAME与WFME认可标准的比较目前我国临床医学认证机构为教育部设立,并不是第三方机构,没有上级认可机构对其进行认可。认证标准的制定基于对国际医学教育标准的研究,进行了本土化。认证流程整体遵循WFME认可标准的规范,投诉程序有待完善。WCAME制定了认证专家的回避制度,建立了“临床医学专业认证数据库”,保存有关信息和资料。3.对某省三所医科大学教师的问卷调查问卷Cronbach’sα系数为0.93,表明问卷信度较好。对问卷进行探索性因子分析,结果表明问卷具有良好的结构效度t检验结果显示正在准备认证的院校其教师对认证相关内容重要程度的评分更高。简单回归分析结果显示教师所在的学校、年龄、学历、工作年限、职称和从事工作类型影响教师对条目重要程度的评分。多元线性回归结果显示学校和从事工作类型是主要的影响因素。结论1.CAAM-HP、TEPDAD、LCME、WCAME四个机构在背景、认证标准、程序和流程、政策和资源四个方面拥有共性,同时也存在着一定的差异。2.WCAME基本符合WFME认可标准,一些方面仍有差异。3.认证能够促进教师教育与管理理念的转变。处于认证周期不同阶段的学校其教师对于认证标准相关内容重要程度的评分存在差异。同时教师的年龄、学历、工作年限、职称和从事工作类型也影响重要程度评分结果。
[Abstract]:The change of objective medical model and the development of social economy have brought new challenges to medical education. This study refers to the WFME accreditation standards, and uses the guidance of relevant theories, through the information arrangement of the official network, the literature research method, the comparative research method and the questionnaire survey method, and analyzes the advantages and disadvantages of the clinical medical professional certification system in China, and puts forward the advantages and disadvantages. Suggestions, provide reference for the continuous development and improvement of clinical medical professional certification system in China. Method 1. official website information sorting: through browsing the official website of WFME, understanding the relevant contents of WFME accreditation projects, browsing the official websites of CAAM-HP, TEPDAD, LCME and WCAME, obtaining relevant information and sorting out the.2. literature research method: retrieving Chinese and English databases, including the database of Chinese and English, including CNKI, Wanfang database, Pub Med and Web of Science, with authentication, medical education certification, clinical medical certification, medical accreditation, accrediting agency, accrediting body. The three accredited institutions approved by WFME, CAAM-HP, TEPDAD, LCME and WCAME of our country's clinical medicine professional certification body, are compared and analyzed, and the difference.4. questionnaire survey method is compared between the clinical medical professional certification committee and the WFME accreditation standard: the results based on the literature research and comparative study and the clinical medicine specialty of our country. The certification standard "Chinese undergraduate medical education standard - clinical medicine major (2016) > production questionnaire", three medical university teachers in a province, questionnaire survey.5. statistical analysis: the missing value used to make up the median, using SPSS19.0 and Stata13.0 statistical software to carry out data statistical analysis. Descriptive statistical analysis, t test and regression analysis. Results 1.CAAM-HP, TEPDAD, LCME, WCAME, CAAM-HP, TEPDAD, LCME are third party organizations, WCAME is the organization of the Ministry of education; in the standard of certification, four organizations regularly update the certification standard, the required fields are basically similar and the content is poor. CAAM-HP, TEPDAD, LCME all attach great importance to the role of authenticated middle school students in both procedures and processes. In terms of policy and resources, CAAM-HP and LCME have signed a written agreement to avoid conflicts of interest, and WCAME adopts an expert avoidance system to avoid conflicts of interest.2.WCAME and WFM. E accreditation standards are now established by our clinical medical certification body for the Ministry of education. It is not a third party organization, which is not approved by the superior accreditation institution. The formulation of the certification standard is based on the research on international medical education standards. The certification process follows the standard of the WFME accreditation standard and the complaint procedure remains to be completed. Good.WCAME formulated a certification expert's avoidance system and established a "clinical medical professional certification database". The questionnaire survey questionnaire Cronbach 's alpha coefficient of three medical university teachers in a province was 0.93, which showed that the questionnaire was good. The questionnaire was analyzed by exploratory factor analysis. The results showed that the questionnaire was good. The results of the structural validity t test showed that the teachers who were preparing for the certification were higher on the importance of certification related content. The results of simple regression analysis showed that the teachers' schools, age, education, working years, titles and types of work affected the teachers' score on the importance of the items. The results of multiple linear regression showed that the results of multiple linear regression showed that the teachers were at the higher level. Schools and working types are the main factors. Conclusion 1.CAAM-HP, TEPDAD, LCME, WCAME, four institutions in the background, certification standards, procedures and processes, policies and resources have four aspects, but there are also certain differences in.2.WCAME basically conforming to the WFME accreditation standard, and in some aspects, there are still differences in.3. authentication to promote teachers. The change of education and management concept. The school teachers at different stages of the certification cycle have different grades on the importance of the relevant content of the certification standards. At the same time, the age of the teachers, the education, the years of work, the title of the job and the type of work also affect the results of the importance.

【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R-4;G649.2

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