三级综合医院全科住培医师岗位胜任力调查

Survey on the Competency of General Practitioners in Tertiary General Hospitals

目的 调查某三级综合医院全科规范化培训基地在培学员对岗位胜任力的自我评价,为进一步提升全科规培医师培训质量提供参考。方法 选取2021年10月1日-2021年12月31日在北京市某三级医院全科基地接受规范化培训的全科医师27人为调查对象,以问卷调查的形式了解全科医师对8项岗位胜任力的重要性判定及自身所达到的水平。结果 44%全科规培医师对岗位胜任力“有点了解,不是很清楚”。全科基地规培医师对8项岗位胜任力重要性评分在4分以上,其中前2项分别是基本公共卫生服务能力、医患沟通能力。对岗位胜任力自我评分均分为(4.01±0.71)分,评分最低的2项为学术研究能力及信息与管理能力。结论 全科规范化培训应引入岗位胜任力理念,8项岗位胜任力中,全科规培学员比较重视医患沟通能力的培养及基本公共卫生服务能力的培养,同时在学术研究及信息与管理等方面存在薄弱项,住培基地应对这些薄弱项及学员重视项目加强培训。

Objectives This study aims to investigate the self-evaluation of the competency of the trainees in the standardized general training base of a tertiary general hospital in order to provide a reference for further improving the training quality of general practitioners. Methods 27 general practitioners who received standardized training in a general practice base of a tertiary hospital in Beijing from October 1, 2021 to December 31, 2021 were selected as the survey subjects. The importance of the eight job competencies and the level achieved by general practitioners were collected in the form of a questionnaire survey. Results 44% of general residents had "a little understanding of clinical competency, but not very clear" about their job competencies.Physicians trained in general practice bases had a score of 4 or more on the importance of eight job competencies, of which the first two were basic public health service ability and doctor-patient communication ability. The self-score of clinical competency was(4.01±0.71),and the items with the two lowest scores were academic research ability and information management ability.Conclusions The standardized training of general subjects should introduce the concept of job competency.Among the eight job competencies, the general training students pay more attention to the cultivation of doctor-patient communication skills and the cultivation of basic public health service capabilities. At the same time, there are weaknesses in academic research, information, and management. The training base should strengthen training by combining these weaknesses and items that students value.