ArticleBMC medical education2026
Development of core competency indicators for emergency medicine residents based on the competency model: a Delphi and analytic hierarchy process study.
Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
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5 authors.
Funding
Abstract
backgroundStandardized residency training in emergency medicine is not well-defined in China. Establishing a core competency indicator system for emergency residency training is essential for standardizing and enhancing the quality of training and emergency care.
objectivesThis study aimed to develop a core competency indicator system for emergency residency training in China, based on the competency iceberg model.
methodsThis study employed a multi-step approach, including a literature review, semi-structured expert interviews, to formulate a list of preliminary indicators. A two-round modified Delphi method was utilized to achieve consensus, with 19 emergency experts recruited from 11 tertiary hospitals across four regions of China. Consensus was determined using a 5-point Likert scale, with a mean importance score > 3.5, a coefficient of variation < 0.20, and a full-score proportion > 20% serving as criteria for indicator retention.
resultsAll 19 invited experts completed both rounds of consultation, achieving a 100% valid response rate. The authority coefficient of the consultation was 0.895, and Kendall's W values ranged from 0.566 to 0.634 (p < 0.005), indicating strong expert consensus. The final indicator system includes 34 third-level indicators within 14 s-level indicators, categorized into 5 first-level dimensions: motivation, trait, self-concept, knowledge, and skill.
conclusionsThis study represents an initial step towards establishing a contemporary competency-based training program for emergency residency training in China, providing a scientific reference for the standardization of emergency residency training.
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