儿科住院医师岗位胜任力认知情况分析

Investigation and analysis on the cognition of pediatric residents'competencies needed for a successful practice

目的 分析儿科住院医师对岗位胜任力的认知情况,从住院医师岗位胜任力视角,为提升儿科住院医师培训质量和完善毕业后医学教育改革提供借鉴.方法 2018年12月至2019年2月,选择在上海交通大学医学院附属医院中接受儿科住院医师规范化培训的184名住院医师为研究对象.采用儿科住院医师岗位胜任力认知问卷对住院医师进行调查.结果 45.7% (84/184)的儿科住院医师完全不了解医生岗位胜任力.从儿科住院医师前11项岗位胜任力排名情况来看,沟通能力方面仅1项“有效运用沟通技巧”名列其中,其重要性评分(4.67±0.63)分,医学人文素养方面未有条目排名前11项.结论 儿科住院医师岗位胜任力的知晓率不高;在住院医师规范化培训中,对儿科住院医师医学人文和沟通能力培养方面较薄弱,阶段化、层次化的儿科住院医师胜任力评价标准有待建立.

Objective To analyze the pediatric residents'competencies aiming at providing references for improving the quality of pediatric resident training and remodeling post-graduate education.Methods One hundred and eighty-four pediatric residents from Shanghai Jiao Tong University School of Medicine Affiliated Hospital participated in this cross-section investigation from December 2018 to February 2019.Using the cognitive questionnaire of pediatric residents'post competency to investigate the resident.Results Up to 45.7%(84/184)of respondents failed to define the competency.Within the top 11 competencies pediatric residents ranked,there was only one item"effective use of communication skills"in communication ability,and its importance score(4.67±0.63),and there was no entry in the medical humanities literacy ranking in the top 11.Conclusions The awareness rate of resident positions is not high.In the standardized training of residents,the cultivation of medical humanities and communication skills were weak.Staged and hierarchical pediatric resident competency evaluation criteria should be developed.