Objective To construct the competency model of "excellent" and "common" clinical medicine undergraduates according to the competency theory . Methods Literature search was used to screen competency model. Behavioral event interview was used to interview 32 excellent clinical experts. Open questionnaire survey was conducted to 100 clinical medical undergraduates. We compiled the primary competency dictionary based on the above results. To determine the final competency dictionary, Delphi method of 50 experts was used to determine the final competency dictionary. According to the competency dictionary, a questionnaire survey was made to test the "excellent" and "ordinary" undergraduate students. Results The 38 features of behavioral event interview and 42 features of open questionnaire survey were combined to 51 features, which were used as the first round of expert questionnaire. Two rounds of expert consultation reached a high degree of coordination. 4 first level indicators: knowledge and skills, social role+values+service characteristics, self-concept and consciousness, personality quality and motivation and 36 features were established as final compentency model. 80 "excellent" clinical medical undergraduates got score of 143.65 ±23.53, while 100 "ordinary" undergraduates got score of 133.55 ±35.31 (t=2.29,P=0.023), which indicated the competency model could distinguish excellent and ordinary clinical under-graduates . Conclusion This competency model of clinical undergraduate students is reliable and practical, which can be used in future clinical undergraduate training and evaluation.%目的 依据胜任力理论,构建区别临床医学本科生"优秀"和"普通"的特征模型.方法 文献检索初步筛选胜任力特征,对32名优秀临床专家开展行为事件访谈,对100名临床医学本科实习生进行开放问卷调查,编制初步胜任力辞典.通过德尔菲法对50名专家进行两轮咨询确定胜任力辞典.依据胜任力辞典制定问卷调查测试"优秀组"和"普通组"本科生来进行问卷效度评估.数据采用SPSS l7.0进行定量分析,计算均数、标准差、变异系数、百分率等.协调系数进行卡方检验.结果 将行为事件访谈法的38个词条和开放问卷调查法的42个词条合并,形成51个特征词条作为第一轮专家问卷.通过两轮专家咨询后专家意见达到较高的协调度.最终确立了4项一级指标:知识与技能、社会角色+价值观+服务特征、自我概念与意识、个性品质与动机,分为36个特征词条.通过调查,优秀组(80名)临床医学本科生胜任力总平均分为(143.65±23.53),普通组(100名)临床医学本科生总平均分为(133.55±35.31),组间差异有统计学意义(t=2.29,P=0.023).结论 本研究得出的临床医学本科生胜任力模型可靠并实用,可为临床医学本科生培养、评价提供帮助.
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