中国继续医学教育2024,Vol.16Issue(4) :103-108.DOI:10.3969/j.issn.1674-9308.2024.04.022

全科住培医师岗位胜任力素质模型构建及效果评价的研究

Research on the Construction and Effect Evaluation of the Competency Model of General Practitioners

董浩 解佳惠 丁晓蕊
中国继续医学教育2024,Vol.16Issue(4) :103-108.DOI:10.3969/j.issn.1674-9308.2024.04.022

全科住培医师岗位胜任力素质模型构建及效果评价的研究

Research on the Construction and Effect Evaluation of the Competency Model of General Practitioners

董浩 1解佳惠 2丁晓蕊1
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作者信息

  • 1. 山东省滨州市人民医院消化内科,山东 滨州 256600
  • 2. 山东省滨州市人民医院全科医学科,山东 滨州 256600
  • 折叠

摘要

目的 构建全科住院医师规范化培训(简称"住培")岗位胜任力素质模型,并对效果进行评价.方法选取 2019 年 4 月—2023 年 4 月在山东省滨州市人民医院全科规范化培训基地接受规范化培训的 163 名住培学员、住培指导医师、住培管理管理人员为调查对象,所有调查对象均知情同意.结合专家研讨,构建全科住培医师岗位胜任力素质模型.结果 本研究共对 163 名全科医师住培学员、住培指导医师、住培管理管理人员进行 3 轮调查,其中住培学员 80 名,管理人员 3 名,指导加教学 80 名.本科 99 名,硕士 61 名,博士 3 名.采用克朗巴哈系数检验问卷信度,问卷的信度系数为 0.96,信度较好.对问卷进行模型适宜性检验(Kaiser-Meyer-Olkin,KMO),KMO值为 0.842,统计学分析显示,数据之间具有相关性,可对其进行因子分析.医学知识与临床技能权重为 0.22,沟通与合作能力权重为 0.20,服务患者能力权重为 0.18,科研与教学能力权重为 0.08,管理与协调能力、职业精神权重为 0.16.结论 临床分析胜任力理论,可形成完善的评价指标,为临床规范性培训提供新思路,对住院医师的能力水平进行全面的评价,为医院全科住培医师培训工作的改进提供参考.

Abstract

Objective To evaluate the effect of the post competency quality model of standardized training for resident doctors in general practice(shortened to"resident training").Methods A total of 163 resident training trainees,resident training instructors,and resident training management personnel who received standardized training at the General Practice Standardization Training Base of Binzhou People's Hospital in Shandong Province from April 2019 to April 2023 were selected as the survey subjects.All survey subjects were informed and agreed.Based on expert discussions,construct a competency model for general practitioners in residential training positions.Results A total of 163 general practitioners were surveyed for three rounds of residency training,including 80 residency training trainees,3 management personnel,and 80 guidance and teaching staff.99 undergraduate students,61 master's students,and 3 doctoral students.The Cronbach coefficient was used to test the reliability of the questionnaire,with a reliability coefficient of 0.96,indicating good reliability.Conducted a model suitability test(Kaiser Meyer Olkin,KMO)on the questionnaire,with a KMO value of 0.842.Statistical analysis showed that there was a correlation between the data,and factor analysis could be performed on it.The weight of medical knowledge and clinical skills was 0.22,the weight of communication and cooperation ability was 0.20,the weight of patient service ability was 0.18,the weight of scientific research and teaching ability was 0.08,and the weight of management and coordination ability and professional spirit was 0.16.Conclusion The theory of clinical competency analysis can form comprehensive evaluation indicators,provide new ideas for clinical standardized training,comprehensively evaluate the ability level of resident physicians,and provide reference for the improvement of training work for general practice resident physicians in hospitals.

关键词

全科住培医师/岗位胜任力/模型构建/效果评价/临床技能/沟通合作/管理与协调

Key words

general resident training physician/post competency/model construction/effect evaluation/clinical skills/communication and cooperation/management and coordination

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基金项目

滨州市人民医院院级科研课题(XJ2023011402)

滨州市人民医院院级科研课题(XJ2022000906)

出版年

2024
中国继续医学教育

中国继续医学教育

影响因子:2.564
ISSN:1674-9308
参考文献量26
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