儿科住院医师岗位胜任力认知情况分析

doi:10.3760/cma.j.issn.1673-677X.2020.02.016

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (2): 143-146.DOI: 10.3760/cma.j.issn.1673-677X.2020.02.016

儿科住院医师岗位胜任力认知情况分析

李萍萍¹, 高怡瑾², 殷蕾³, 王伟⁴, 江帆⁵, 陆梅华¹

¹上海交通大学医学院附属上海儿童医学中心教学部 200127;
²上海交通大学医学院附属上海儿童医学中心血液肿瘤科 200127;
³上海交通大学医学院附属上海儿童医学中心肾脏科 200127;
⁴上海交通大学医学院附属上海儿童医学中心院长办公室 200127;
⁵上海交通大学医学院院长办公室 200025

收稿日期:2019-06-01 发布日期:2020-12-10
通讯作者: 陆梅华, Email: lumeihua@scmc.com.cn, 电话: 021-38626193
基金资助:
上海高校本科重点教学改革项目(沪教委高〔2017〕71号);上海交通大学医学院2018年儿科学专业“5+3”一体化培养课程建设项目(EKJX2018011SYL)

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

Li Pingping¹, Gao Yijin², Yin Lei³, Wang Wei⁴, Jiang Fan⁵, Lu Meihua¹

¹Department of Teaching, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China;
²Department of Hematological Tumor, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China;
³Department of Nephrology,Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China;
⁴Director's Office, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China;
⁵Director's Office, Shanghai Jiao Tong University School of Medicine,Shanghai 200025, China

Received:2019-06-01 Published:2020-12-10
Contact: Lu Meihua, Email: lumeihua@scmc.com.cn, Tel: 0086-21-38626193
Supported by:
Key Teaching Reform Projects for Undergraduates in Shanghai Universities(Shanghai Education Commission Gao〔2017〕71);Shanghai Jiao Tong University School of Medicine 2018 Pediatrics Professional “5+3” Integrated Training Course Construction Project(EKJX2018011SYL)

摘要/Abstract

摘要： 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。

关键词: 儿科, 住院医师, 胜任力, 认知

Abstract: 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.

Key words: Pediatrics, Resident physician, Competency, Cognition

中图分类号:

李萍萍, 高怡瑾, 殷蕾, 王伟, 江帆, 陆梅华. 儿科住院医师岗位胜任力认知情况分析[J]. 中华医学教育杂志, 2020, 40(2): 143-146.

Li Pingping, Gao Yijin, Yin Lei, Wang Wei, Jiang Fan, Lu Meihua. Investigation and analysis on the cognition of pediatric residents' competencies needed for a successful practice[J]. Chinese Journal of Medical Education, 2020, 40(2): 143-146.

参考文献

[1] McClelland DC. Testing for competence rather than for “intelligence”[J]. Am Psychol,1973,28(1):1-14. DOI: 10.1037/h0034092.
[2]Caverzagie KJ, Nousiainen MT, Ferguson PC,et al.Overarching challenges to the implementation of competency-based medical education[J].Med Teach,2017,39(6):588-593.DOI: 10.1080/0142159X.2017.1315075.
[3]李静, 肖延风, 杨琳, 等. 以岗位胜任力为导向的儿科住院医师一体化规范化培训实践[J].中国高等医学教育,2018(1):46-47. DOI: 10.3969/j.issn.1002-1701.2018.01.023.
[4] 胡素佩,方才妹,郑建军,等.浙江省住院医师规范化培训带教师资岗位胜任力指标的探索[J].中华医学教育杂志,2018,38(6):930-934.DOI:10.3760/cma.j.issn.1673-677X.2018.06.029.
[5]黄涔, 董志. 某医科大学几所教学医院临床医师岗位胜任力研究[J].重庆医学,2014,43(15):1954-1955. DOI: 10.3969/j.issn.1671-8348.2014.15.049.
[6]Frank JR, Snell L, Sherbino J. CanMEDS 2015 Physician Competency Framework[M]. Ottawa: Royal College of Physicians and Surgeons of Canada,2015:3-16.
[7]张煜辉,李亚楠,闵伟杰, 等.美国住院医师培训制度对我国住院医师规范化培训的启示[J].教育教学论坛,2017(36):87-88. DOI:10.3969/j.issn.1674-9324.2017.36.041.
[8]中华人民共和国国家卫生和计划生育委员会.住院医师规范化培训基地认定标准(试行)和住院医师规范化培训内容与标准(试行)[EB/OL]. (2014-08-22)[2014-10-26].http://www.nhc.gov.cn/qjjys/s3593/201408/946b17f463fa4e5dbcfb4f
7c68834c41.shtml.
[9]李文惠,陈校云,李祥文, 等.美国milestone住院医师胜任力评价系统及启示[J].中华医学教育探索杂志,2014,13(9):884-888. DOI:10.3760/cma.j.issn.2095-1485.2014.09.006.
[10]黄小钦,樊春秋,俞志鹏.神经内科住院医师规范化培训中的岗位胜任力培养[J].医学教育管理,2018,4(5):360-364. DOI:10.3969/j.issn.2096-045X.2018.05.003.
[11]徐书贤.陈昕煜:规培是医生成才必由之路[J].中国医院院长,2015(11):48-49.

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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

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