A survey and analysis of the current competency status of community-based public health physicians in Shanghai

doi:10.3760/cma.j.cn115259-20250515-00548

Abstract

Abstract: Objective To investigate the current status of competencies among community-based public health physicians in Shanghai and to inform targeted competency improvement strategies. Methods A structured questionnaire was designed based on the McClelland competency dictionary and informed by literature review, behavioral event interviews, and expert consultation. In February 2023, a questionnaire survey was conducted among all 1 664 community-based public health physicians from 247 community health service centers in Shanghai. Statistical analyses were performed on the collected data. The Mann-Whitney U test and the Kruskal-Wallis test were used for comparison between groups. Results The overall competency score of community-based public health physicians was 153.00 (out of a maximum of 210). The scores of each competency dimension, ranked from highest to lowest, were as follows: professional ethics 4.00 (3.43, 4.29), general competencies 3.75 (3.13, 4.00), professional skills 3.67 (3.00, 4.00), research and development ability 3.50 (3.00, 4.00), and professional knowledge 3.25 (3.00, 4.00). The competency scores of community-based public health physicians with junior, intermediate, and senior professional titles were 151.00 (130.75, 168.00), 155.00 (137.00, 168.00), and 167.50 (149.00, 173.00), respectively. The competency scores of community-based public health physicians with 0-3, 4-6, and more than 6 professional training sessions were 149.00 (128.00, 168.00), 151.00 (133.00, 167.00), and 157.00 (136.00, 168.00), respectively. Statistically significant differences in competency scores were observed both among community-based public health physicians with different professional titles and training frequencies (all P < 0.05). Conclusions The current competency level of community-based public health physicians in Shanghai was found to be generally acceptable. However, professional knowledge and research and development ability still require further improvement.It is recommended that relevant institutions provide targeted training for community-based public health physicians based on differences in professional titles and training frequencies to further enhance their overall competency level.

Key words: Public health, Physician, Competency, Community-based, Current status

CLC Number:

Zhang Ziyi, Guo Yuxin, Shi Shimiao, Shi Lili, Cai Yuyang. A survey and analysis of the current competency status of community-based public health physicians in Shanghai[J]. Chinese Journal of Medical Education, 2026, 46(4): 304-309.

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