临床医师胜任力评价体系的实证研究

Empirical study on the competency evaluation system of physicians

目的借助课题组前期构建的"临床医师胜任力评价体系",选取上海市某三级甲等综合医院进行临床医师胜任力现况调查,探索临床医师培养方面的不足之处,并提出合理建议。方法采用问卷调查法对临床医师胜任力进行评价。结果临床医师总体胜任力处于高水平,但人文知识、临床科研能力等处于中等水平。纳入人才培养计划是影响胜任力评分的关键因素,年龄、学历、职称、操作机会是胜任力的相关因素。结论在临床医师培养过程中应重视人文知识教育,着力提高临床带教人员的人文素养。建立以完善临床诊治水平,提高医疗质量为科研根本目的的理念,加强基础研究与临床的合作。通过打造创新团队,培养激发临床医师的临床研究能力,促进学科发展。

Objective The research group selected a tertiary general hospital in Shanghai to make a cross-sectional survey and investigate the deficiency of physicians training based on the competency evaluation system made before.Reasonable suggestions were also put forward.Methods Questionnaire survey was used to assess the competency of physicians.Results Overall competency of the physicians was high.However,their humanities knowledge and scientific research ability were at the middle level.The key element factors influencing competency was whether physicians were included in the training program.Ages,education,professional titles and clinical operation chances were related factors of competency.Conclusion Firstly,it is suggested to focus on humanistic knowledge education during the process of physician training,and improve humanistic quality of clincal teaching staff.Secondly,establishing the idea of setting the final goal of scientific research as enhancing the diagnosis and treatment level and improving the quality of care.Cooperation between clinical and basic research is to be reinforced.Thirdly,it is also suggested to bulid an innovative team to motivate the clinical research ability of physicians,so as to promote the vitality of the discipline development.