基于德尔菲法的新医科医学学科核心素养指标体系构建研究:伦理意蕴与教育启示
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南京医科大学

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国家社科基金高校思想政治理论课研究专项“医学院校课程思政与思政课程协同育人模式创新及成效评价研究”(24VSZ133);江苏省社科基金“新医科背景下医学拔尖创新人才学科核心素养的培养与构建”(23JYD009);中国高等教育学会2025年度高等教育科学研究规划重点课题“基于中国实践的高校哲学社会科学多维科研评价体系研究”(25SK0201)


Research on the Construction of a Core Competency Indicator System for New Medical Education Disciplines Based on the Delphi Method: Ethical Implications and Educational Insights
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NanJing Medical University

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National Social Science Fund Special Project on Ideological and Political Education in Colleges and Universities: "Research on the Innovation of Collaborative Education Models and the Evaluation of Their Effectiveness between Ideological and Political Education in Specialized Courses and Dedicated Ideological and Political Courses in Medical Colleges" (24VSZ133);Jiangsu Social Science Fund Project: "Cultivation and Construction of Disciplinary Core Competencies for Top- tier Innovative Medical Talents under the Background of New Medicine" (23JYD009);2025 Key Project of Higher Education Research Planning by the China Association of Higher Education: "Research on a Multidimensional Evaluation System for University- based Philosophy and Social Sciences Based on Chinese Practices" (25SK0201)

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    摘要:

    研究针对新医科建设对医学人才培养的新要求,旨在构建一套体现中国特色、融合医学伦理的医学学科核心素养指标体系,为医学教育改革提供理论依据。首先通过国际比较与政策文本分析提取素养要素;运用凝聚子群分析法聚类形成“知、情、意”三维度雏形;采用德尔菲法进行三轮专家咨询(15名专家),对指标进行筛选、修正与共识检验。结果构建了包含3个一级维度(知识获取、价值认同、思维与行动)、18个二级指标的医学学科核心素养指标体系,其中“医学人文素养”“医者道德观”“医学伦理知识”等伦理指标重要性获得专家高度共识。三轮咨询专家权威系数分别为0.865、0.875、0.859,协调系数显著(P<0.001),最终指标变异系数均小于0.25,体系具有良好的科学性与共识度。研究指出未来医学教育应以“医学是人学”为统领,以伦理自觉与人文关怀为主线,实现学科知识与生活实践的双向融合。

    Abstract:

    This study sought to construct a disciplinary core competency indicator system for medical education that embodies Chinese characteristics and integrates medical ethics, in response to the new requirements for talent cultivation under the New Medical Education initiative, thereby providing a theoretical foundation for medical education reform. Initial competency elements were extracted through international comparisons and policy text analysis. The cohesive subgroup method was employed to cluster these elements into a preliminary three-dimensional framework of "knowledge, attitude, and volition." Three rounds of Delphi expert consultation (with 15 experts) were conducted to screen, revise, and establish consensus on the indicators. The final system comprises 3 primary dimensions (Knowledge Acquisition, Value Identification, Thinking and Action) and 18 secondary indicators. Ethics-related indicators—such as "Medical Humanistic Literacy," "Medical Ethics Awareness," and "Medical Ethical Knowledge"—achieved a high level of expert consensus on their importance. The expert authority coefficients for the three consultation rounds were 0.865, 0.875, and 0.859, respectively, with significant coordination coefficients (P<0.001). The coefficients of variation for all final indicators were below 0.25, indicating strong scientific validity and expert consensus. The study suggests that future medical education should be guided by the principle that "Medicine is Humanism," with ethical consciousness and humanistic care as the central thread, aiming to achieve the two-way integration of disciplinary knowledge and life practice.

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  • 收稿日期:2026-02-17
  • 最后修改日期:2026-03-20
  • 录用日期:2026-03-24
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