The impact of international certification of medical education on resident competency-based training after graduation

doi:10.3760/cma.j.cn115259-20220919-01197

Abstract

Abstract: Objective To study the impact of international certification of medical education after graduation on the competency-based training of residents. Methods In September 2017 and November 2021, that is, two years before and after the Peking University First Hospital obtained the international certification of post-graduate medical education in 2019, a competency questionnaire survey was conducted for the guidance physicians responsible for the standardized training of residents in hospital, to study the impact of the certification process on the cognitive level of the guidance physicians' competency and the training results of residents. The data of rates were compared by Chi-square test. Results This study included 348 valid questionnaires in 2017 and 196 valid questionnaires in 2019. The results showed that after the certification, the rate of meeting the standards of the three roles of leader, health advocate and scholar who guide the competency indicators of doctors has been greatly improved, among which, the selection of leadership that can be demonstrated in clinical practice has increased from 265 (76.1%) to 183 (93.4%), the promotion of the health of patients, communities and people from 283 (81.3%) to 188 (95.9%), and the promotion of the development and dissemination of medical knowledge from 306 (87.9%) to 190 (96.9%), all P<0.05. In terms of the evaluation of resident training effect, the evaluation of the guidance physician on the three roles of resident medical experts, leaders and health advocates has been greatly improved. Among them, the selection and reasonable use of prevention and treatment measures has increased from 268 (77.0%) to 173 (88.3%), and the ability to demonstrate leadership in clinical practice has increased from 220 (63.2%) to 143 (73.0%), which can promote the health of patients, communities and people was from 246 (70.7%) to 162 (82.7%), all P<0.05. Conclusions The international certification of medical education after graduation is helpful to improve the teaching ability of doctors and the competency evaluation of residents, and promote the quality of standardized training of residents.

Key words: Education, medical, Authentication, Resident physician, Instructors, Competence, Teaching ability

CLC Number:

R-05

Liu Jiashuai, Qi Xin, Wang Ying, Yan Hui, Li Haichao. The impact of international certification of medical education on resident competency-based training after graduation[J]. Chinese Journal of Medical Education, 2023, 43(3): 208-212.

References

[1] McClelland DC. Testing for competence rather than for ″intelligence″[J]. Am Psychol, 1973,28(1):1-14. DOI: 10.1037/h0034092.
[2] 李庆林, 张进, 张淑娥, 等. 临床教师胜任力研究现状分析[J].中华医学教育杂志,2021,41(4):314-317. DOI: 10.3760/cma.j.cn115259-20200629-00980.
[3] 刘佳帅, 王颖, 李海潮. 北京大学第一医院住院医师规范化培训接受国外机构认证的回溯与思考[J].中国毕业后医学教育,2021,5(5):403-406. DOI: 10.3969/j.issn.2096-4293.2021.05.005.
[4] 冯攀. 国外医师能力标准研究进展及启示[J].中华医学教育探索杂志,2013,12(3):248-249. DOI: 10.3760/cma.j.issn.2095-1485.2013.03.011.
[5] 李海潮. 第二代医学教育改革与胜任力导向医学教育的关系分析[J].中华医学教育杂志,2019,39(11):801-806. DOI: 10.3760/cma.j.issn.1673-677X.2019.11.001.
[6] 李海潮, 高嵩, 王颖, 等. 胜任力导向的医学教育一从国际合作到国际认证[J].中国毕业后医学教育,2017,1(2):96-98.
[7] 刘佳帅, 王颖, 齐心, 等. 住院医师规范化培训带教教师胜任力模型研究[J].中华医学教育杂志,2022,42(4):372-375. DOI: 10.3760/cma.j.cn115259-20211110-01376.
[8] 曾庆奇, 刘婧, 陈声宇, 等. 规范化培训对住院医师胜任力影响的研究[J].中华医学教育杂志,2022,42(5):468-472. DOI: 10.3760/cma.j.cn115259-20210915-01163.
[9] 王雨嘉, 焦莉平, 王爱华, 等. 北京市儿科住院医师规范化培训效果的评价[J].中华医学教育杂志,2020,40(5):377-381. DOI: 10.3760/cma.j.cn115259-20190625-00503.
[10] 宋文文, 师琳, 李鸿鹤, 等. 美国宾州大学医师职业精神量表的引进及其效度和信度的评价研究[J].中华医学教育杂志,2019,39(11):868-871. DOI: 10.3760/cma.j.issn.1673-677X.2019.11.016.

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