关键词: 主治医师, 团队抢救, 胜任力, 客观结构化临床考试

Abstract: Objective To evaluate and to analyze the rescue capacity of attending physician team and to promote the the competence buidling of attending physicians. Methods In 2020, the 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) and the definition of leader in the physician competence framework were used as a basis for developing evaluation index. Using the competency evaluation of medical education and the Objective structured clinical examination (OSCE) to guide evaluation process development and content design, which were applied to evaluate and analyze the team rescue capacity of 77 attending physicians who have been promoted to the position for 3 or 4 years in Peking University First Hospital. The rescue team includes an attending physician, a resident and a nurse. Results The operational skill score of attending physicians [74.7(66.7, 80.3)] was higher than that of leadership [56.3(50.7, 69.0)], the operational skill score of internal medicine group [78.9(75.6, 86.7)] was higher than that of surgical group [67.2(62.6, 75.5)], the differences were all statistically significant (all P<0.01). Leadership capacity score of attending physicians in the internal medical group [64.7(50.7, 73.7)] was higher than that in the surgical group [53.3(49.7, 60.7)], but the difference was not statistically significant (P=0.07). Conclusions The evaluation index of team rescue capacity is basically objective. The leadership capacity of attending physicians needs to be improved, and the cultivation of leadership ability needs to be strengthened with multiple approaches. At the same time it is necessary to strengthen the discussion on the cultivation of operational skills of attending surgeons in the surgical system.

Key words: Attending physician, Team rescue, Competency, Objective structured clinical examination