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.
Sun Lu
,
Lin Qing
,
Jia Yinglei
,
Zhu Shuobin
,
Wang Ping
. Evaluation and analysis of team rescue capability of attending physicians[J]. Chinese Journal of Medical Education, 2021
, 41(3)
: 272
-275
.
DOI: 10.3760/cma.j.cn115259-20210126-00126
[1] 李海潮. 探讨临床医学教育教学改革中自主学习能力的培养[J].毕业后医学教育,2020,4(1):23-26. DOI: 10.3969/j.issn.2096-4293.2020.01.007.
[2] Link MS, Berkow LC, Kudenchuk PJ, et al. Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care[J]. Circulation, 2015,132(18 Suppl 2):S444-464. DOI: 10.1161/CIR.0000000000000261.
[3] 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.
[4] Harden RM, Stevenson M, Downie WW, et al. Assessment of clinical competence using objective structured examination[J]. Br Med J, 1975,1(5955):447-451. DOI: 10.1136/bmj.1.5955.447.
[5] 景汇泉,于晓松,孙宝志.OSCE在医学教育中的应用[J].国外医学(医学教育分册),2002(2):29-33.
[6] 梁欢, 高烨, 段鹏, 等. 智能模拟人在提升本科生心肺复苏临床急救能力中的应用[J].临床医学研究与实践,2019,4(28):192-193,196. DOI: 10.19347/j.cnki.2096-1413.201928076.
[7] 陈思仙, 芮丽丽, 彭德清, 等. OSCE在临床护士培训考核中的应用研究进展[J].护理实践与研究,2017,14(14):25-26. DOI: 10.3969/j.issn.1672-9676.2017.14.009.