三级医院医师临床能力评价方法的研究

Research on evaluation methods of doctor clinical competence in tertiary hospital

目的适应三级医院医师临床能力科学评价、人才招聘与培养和确保医院医疗质量的需要,开展医师临床能力评价必要性、评价原则、主体、内容、方法等方面的研究,为完善医师临床能力的评价方法提供建议。方法综合运用文献检索、专家咨询、问卷调查等方式,对三级医院医师临床能力评价方法进行探讨,采用SPSS17.0统计软件包进行统计和分析。结果三级医院医师临床能力评价应注重定性定量相结合、主观客观相结合的评价原则,评价主体以上级医师为主体,多方共同参与评价,从临床工作能力、绩效与态度三方面内容进行评价,以考核评价为主、考试评价为辅,评价结果可应用于职称晋升、岗位配置、招聘等多项人力资源管理领域。结论建议从六方面优化三级医院医师临床能力评价方法。

Objectives： To meet the need of scientific evaluation of doctors＇ clinical competence,talents recruits and quality of medical treatment in tertiary hospital,the research on evaluation necessary,principle,evaluator,contents and methods aims to provide advice on the improvement of doctors＇ clinical competence evaluation.Methods： The study explored the status and trends of the evaluation method of clinical competence through documentation retrieval,questionnaire and expert interviews,and used SPSS 17.0 in data analysis.Results： The evaluation of doctors＇ clinical competence in tertiary hospitals should combine the qualitative method with the quantitative method and the subjective method with the objective method.Depend on participating with all parts like peers,inferiors,patients and oneself,the main body of evaluation should be superior doctors.The evaluation results should be based on the aspects of clinical capabilities,performance and attitude.The evaluation manner should be based on the performance appraisal and the subjective judgments with examination as a supplement way in the process of evaluation.Evaluation results may be applied in the area of the promotion of professional titles and the configuration of the posts.Conclusions： The study gives six aspects of suggestion to improve the method of doctors＇ clinical competence evaluation.