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“新医科”与数智医学背景下临床医生统计学能力构成及教学启示

Statistical competence of clinicians in the context of emerging medical education and digital-intelligent medicine: composition and educational implications

  • 摘要: 在“新医科”建设背景下,统计学能力已成为临床医生开展循证决策与医学研究的重要核心素养。随着真实世界研究、多变量预测模型及人工智能辅助决策等数据驱动医学模式的发展,临床医生在实践中不仅需要理解统计分析结果,更需具备对模型适用性、外推性及潜在偏倚风险的判断能力。基于既往文献和“新医科”政策导向与教学实践,本文从能力结构重构视角出发,对临床医生在现代医疗环境中所需统计能力的内涵进行理论界定,提出以统计素养、统计应用能力与数据推理能力为核心的3层整合能力结构模型,并在此基础上进一步细化为6个能力维度。在上述能力框架下,探讨能力导向课程体系、情境化教学模式及评价反馈机制的教学映射路径,以期为“新医科”背景下临床医生统计学能力培养目标的界定提供理论参考。

     

    Abstract: In the context of emerging medical education, statistical competence has become an essential core competence for clinicians engaged in evidence-based decision-making and medical research. With the increasing adoption of data-driven medical paradigms such as real-world evidence, multivariable prediction models, and AI-assisted clinical decision-support systems, clinicians are required not only to understand statistical analysis results but also to assess model applicability, generalizability, and potential sources of bias in clinical practice. Drawing on available literature, policy directions, and teaching practices, this study theoretically re-conceptualizes the statistical competence required for clinicians in the current healthcare environments. We propose a three-tier competence framework consisting of statistical literacy, statistical competence, and data reasoning competence, and further delineate six corresponding competence domains. Using this integrated competence framework, this study explores potential pedagogical mappings in curriculum design, contextualized teaching strategies, and assessment approaches aligned with competence-oriented learning outcomes. This framework is intended to provide a conceptual basis for redefining the training objectives of clinicians′ statistical competence in the context of emerging medical education.

     

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