目的 着眼《国民营养计划(2017—2030 年)》加强营养能力建设要求,旨在培养具有岗位胜任力的当代临床医学本 科人才,构建符合新医科课程建设理念的《临床营养学》课程内容,全面提升《临床营养学》课程质量,为临床营养教学提供参 考,以期更好地提高综合医疗水平,解决公共卫生健康问题,推进临床医学本科临床营养教育改革。 方法 于 2020 年 12 月至 2021 年 3 月,运用 Delphi 法,遴选全国 11 省(直辖市)25 位专家(最终纳入 22 位),通过两轮问卷函询,计算专家积极系数和 权威系数,各项指标的满分率、重要性均数、变异系数和肯德尔协调系数(Kendall's W)。 结果 构建了适于临床医学本科生的 《临床营养学》课程内容,包括一级指标 4 个,二级指标 12 个,三级指标 27 个。 两轮问卷函询,专家的积极系数分别为 88%和 100%,权威系数均>0. 7,Kendall's W 值分别为 0. 082(χ 2 = 82. 947,P= 0. 001)、0. 277( χ 2 = 274. 585,P<0. 001)。 结论 本研究设 计构建的《临床营养学》课程内容可提升医学生的临床营养学知识水平和临床营养诊疗技能,突显价值营养治疗,具有临床实 用性,推动临床营养学科发展,推进我国临床营养学教育迈向新台阶。

Objective Focusing on the National Nutrition Plan 2017 - 2030 to strengthen the nutritional capacity building requirements aimed at cultivating contemporary clinical medical undergraduate talents with post competency. This study designed and constructed the course content of Clinical Nutrition in line with the concept of new medical curriculum construction comprehensively improved the quality of Clinical Nutrition course and provided reference for clinical nutrition teaching. Through this study in order to better improve the comprehensive medical level solve public health problems and promote the reform of clinical nutrition education in clinical medicine. Method From December 2020 to March 2021 the study using the Delphi method 25 experts 22 actually participated from 11 provinces were selected. Through two rounds of questionnaire consultation the enthusiasm coefficient and authoritative coefficient of experts the full score rate the mean of importance score the coefficient of variation of each index and coordination coefficient Kendall's W were calculated. Result The curriculum content of Clinical Nutrition including 4 first-level indicators 12 second-level indicators and 27 third-level indicators were designed and constructed for clinical medical undergraduates. In the two rounds of questionnaire the enthusiasm coefficients of experts were 88% and 100% and the authoritative coefficients were >0. 7. The Kendall's W values were 0. 082 χ 2 = 82. 947 P = 0. 001 and 0. 277 χ 2 = 274. 585 P< 0. 001 respectively. Conclusion The Clinical Nutrition course content designed and constructed in this study can improve the clinical nutrition knowledge level and clinical nutrition diagnosis and treatment skills of medical students highlight the value of nutritional therapy have clinical practicability promote the development of clinical nutrition discipline and promote our country's clinical nutrition education to a new level.