目的：分析“新医科”建设背景下我国医院中医药复合型管理人才培养现状，运用德尔菲法构建中医药复合型管理人才的“双实”（实操+实践）培养模式框架，并评估其应用效果，为医院人才培养提供参考。方法：通过文献检索收集复合型人才“双实”培养的支持证据。成立研究小组，圆桌会议模式下开展头脑风暴，对相关文献进行整理，整合证据；以“背靠背”形式进行专家函询，经德尔菲法构建人才“双实”培养模式框架，并对各项意见进行协调程度评价。于2024年5月招募20名中医药专业优秀人才进行为期9个月的“双实”培养模式培训，探讨应用效果。结果：在“双实”培养模式构建中，邀请济南市15名专家进行了两轮问卷调查，两次专家函询积极系数均达到100％；第一轮函询各等级项目权威系数为0.900~0.926，肯德尔协调系数为0.186~0.387（P<0.01），第二轮函询权威系数为0.930~0.945，肯德尔协调系数为0.213~0.512（P<0.01）。第二轮函询结果的变异系数为0.10~0.17，共构建3个一级项目（A：基于“新医科”背景下选拔、培训与考核；B：增加培养投入；C：向外联动）、9个二级项目、32个三级项目。20名学员均顺利结业，理论储备能力（28.1±0.5）分，临床能力（36.4±0.2）分，科研能力（25.1±1.4）分，平均满意度评分98.7分，学员的综合能力加强。结论：“新医科”建设背景下，教学型综合医院存在不可忽视的中医药复合型管理人才培养困境，尤其是在“双实”培养方面有待提升。本研究通过德尔菲法构建的“双实”培养新模式可靠性强、实用性佳，可为医院中医药复合型管理人才培养提供参考。

Objective： This study analyzes the current situation of cultivating inter-disciplinary traditional Chinese medicine （TCM） management talents in hospitals under the background of "new medicine" construction， constructs the framework of “dual-practice” （practical operation + practice） training model for inter-disciplinary TCM management talents by using the Delphi method， and evaluates its application effect， so as to provide a reference for hospital talent cultivation.Methods： Collect supporting evidence for the “dual-practice” cultivation of inter-disciplinary talents through literature retrieval. Establish a research group， conduct brainstorming in the roundtable meeting mode， sort out relevant literature and integrate the evidence. Expert inquiries were conducted in a "back-to-back" format. The framework of the "dual-practice" talent training model was constructed using the Delphi method， and the degree of coordination among various opinions was evaluated. In May 2024， 20 TCM talents were recruited for a 9-month "dual-practice" training program to explore the application effect.Results： In the construction of the "dual-practice" training model， 15 experts from Jinan City were invited to conduct two rounds of questionnaire surveys. The positive coefficients of the two rounds of expert inquiries all reached 100%. The authority coefficients of each level of projects in the first round of inquiries ranged from 0.900 to 0.926， and the Kendall's coordination coefficients ranged from 0.186 to 0.387 （P<0.01）. The authority coefficients of the second round of inquiries ranged from 0.930 to 0.945， and the Kendall's coordination coefficients ranged from 0.213 to 0.512 （P < 0.01）. The coefficient of variation of the results of the second round of inquiries ranged from 0.10 to 0.17. A total of 3 first-level projects （A： selection， training and assessment based on the background of "New Medicine"； B： Increase investment in training； C： External linkage）， 9 second-level projects and 32 third-level projects were constructed. All the 20 trainees successfully completed their training. Their theoretical reserve ability was （28.1±0.5） points， clinical ability was （36.4±0.2） points， and research ability was （25.1±1.4） points. The average satisfaction score was 98.7 points， and the comprehensive ability of the trainees was enhanced.Conclusion： Under the background of "New Medicine" construction， the predicament in cultivating inter-disciplinary TCM management talents in teaching-oriented general hospitals cannot be ignored， especially in the aspect of "dual-practice" training. The new "dual-practice" training model constructed by the Delphi method in this study is highly reliable and practical， and can provide a reference for the cultivation of inter-disciplinary TCM management talents in hospitals.

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