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Background <p>Standardized 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.</p> Objectives <p>This study aimed to develop a core competency indicator system for emergency residency training in China, based on the competency iceberg model.</p> Methods <p>This 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 &gt; 3.5, a coefficient of variation &lt; 0.20, and a full-score proportion &gt; 20% serving as criteria for indicator retention.</p> Results <p>All 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 (<i>p</i> &lt; 0.005), indicating strong expert consensus. The final indicator system includes 34 third-level indicators within 14&#xa0;s-level indicators, categorized into 5 first-level dimensions: motivation, trait, self-concept, knowledge, and skill.</p> Conclusions <p>This 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.</p>

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Development of core competency indicators for emergency medicine residents based on the competency model: a Delphi and analytic hierarchy process study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月7日

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  • Caixia Yu,
  • Wanwei Guo,
  • Linna Yu,
  • Chongming Huang,
  • Guoxiang Zhao

摘要

Background

Standardized 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.

Objectives

This study aimed to develop a core competency indicator system for emergency residency training in China, based on the competency iceberg model.

Methods

This 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.

Results

All 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.

Conclusions

This 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.