面向全周期胜任力培养的精准医学教育LEADS数据治理体系构想与初步建设OA
Conceptualization and Preliminary Development of the LEADS Data Governance System for Precision Medical Education Oriented Toward Full-Cycle Competency Development
针对教学医院全周期胜任力培养过程中存在的数据分散、标准不一及反馈滞后等问题,结合复旦大学附属中山医院贯通式医学教育管理平台建设经验,提出精准医学教育 LEADS 数据治理体系(Longitudinal foundation,Evidence-chain generation,Analytics and profiling,Decision-support and prediction,Simulation and digital-twin governance for Precision Medical Education,LEADS-PME).该体系涵盖纵向贯通、证据链形成、画像分析与识别、预测支持及孪生治理五大衔接要素.目前,复旦大学附属中山医院已建成全周期教育数据底座并实现多系统数据转化与画像评价,预测与孪生模块尚处于原型探索阶段,后续将从数据质量、管理效能及预测干预等方面开展混合方法评价.LEADS-PME 作为本土化框架,可将临床、教学、评价和管理流程中的业务数据转化为可追踪、可解释、可复用的胜任力培养证据,有助于推动医学教育管理从结果导向转为过程监测、证据驱动与精准治理,为我国教学医院精准医学教育提供理论框架与实践参考.
To address the challenges of fragmented data,inconsistent standards,and delayed feedback in the full-cycle competency development process at teaching hospitals,this paper proposes the LEADS data governance system for Precision Medical Education(LEADS-PME),drawing on the practical experience of building the integrated medical education management platform at Zhongshan Hospital,Fudan University.The LEADS-PME framework comprises five interconnected core components:Longitudinal foundation,Evidence-chain generation,Analytics and profiling,Decision-support and prediction,and Simulation and digit-al-twin governance.Currently,Zhongshan Hospital has established a full-cycle educational data infrastructure and achieved multi-system data integration and competency-based profiling and evaluation,while the prediction and simulation modules are still in the prototype exploration phase.A mixed-methods evaluation will be subse-quently conducted from the perspectives of data quality,management effectiveness,and predictive intervention.As a locally adapted framework,LEADS-PME can transform operational data derived from clinical practice,teaching,assessment,and management processes into traceable,interpretable,and reusable evidence of com-petency development.It is expected to facilitate the transformation of medical education management from a out-come-oriented approach to process monitoring,evidence-driven decision-making,and precision governance,thereby providing both a theoretical framework and practical reference for precision medical education in Chinese teaching hospitals.
张雯;张敏;马畅畅;张梦瑶;黄家祺;魏丽萍;王翔宇;郑玉英;余情
复旦大学附属中山医院教育处,上海 200032复旦大学附属中山医院教育处,上海 200032复旦大学附属中山医院教育处,上海 200032复旦大学附属中山医院教育处,上海 200032复旦大学附属中山医院教育处,上海 200032复旦大学附属中山医院教育处,上海 200032复旦大学附属中山医院教育处,上海 200032复旦大学附属中山医院教育处,上海 200032复旦大学附属中山医院教育处,上海 200032||上海市老年医学中心康复医学科,上海 201104
社会科学
全周期胜任力培养精准医学教育LEADS数据治理体系
full-cyclecompetency developmentprecision medical educationLEADS data governance system
《协和医学杂志》 2026 (5)
1215-1222,8
上海申康医院发展中心管理研究项目(2025SKMR-21)上海市卫生健康委员会2026年卫生健康行业发展课题(定向类)(2026HP30)高等教育科学研究规划课题(24CX0201) Shanghai Shenkang Hospital Development Center Management Research Project(2025SKMR-21)2026 Health In-dustry Development Project(Directed Category)of Shanghai Municipal Health Commission(2026HP30)Higher Education Sci-ence Research Planning Project(24CX0201)
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