上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（卫生事业管理） • 上一篇    下一篇

住院医师规范化培训后胜任力模型的构建

陈 燕1, 张艳萍2, 马 进1   

  1. 1.上海交通大学 公共卫生学院， 上海 200025； 2.上海应用技术学院， 上海 201418
  • 出版日期:2014-03-28 发布日期:2014-04-02
  • 通讯作者: 马 进, 电子信箱: majin@shsmu.edu.cn。
  • 作者简介:陈 燕（1981—）， 女， 助理研究员， 硕士生; 电子信箱: cindary@hotmail.com。

Establishment of competency model after resident doctor standardization training

CHEN Yan1, ZHANG Yan-ping2, MA Jin1   

  1. 1.School of Public Health, Shanghai Jiao Tong University，Shanghai 200025, China；2.Shanghai Institute of Technology，Shanghai 201418, China
  • Online:2014-03-28 Published:2014-04-02

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摘要：

目的 构建住院医师规范化培训后胜任力模型。方法 通过文献分析法初步确定50项特征词汇编制成住院医师胜任力特征辞典，并设计调查问卷；采用问卷调查法对上海市12家住院医师规范化培训基地医院的200名住院医师、带教老师及管理人员进行问卷调查，所获数据运用描述性统计分析与因子分析等统计学方法对数据进行处理和分析。结果 实际回收有效问卷183份，回收率为91.5%；49项胜任力特征达到“比较重要”的级别，经过主成分分析和最大方差旋转提取出医德人文素养、管理能力、综合素质、临床工作能力等9项胜任力因子。结论 住院医师规范化培训后胜任力模型与上海市住院医师规范化培训目标吻合度高，对制定合理培养路径，提升培训成效有一定参考价值。

关键词: 住院医师, 胜任力模型, 构建

Abstract:

Objective To establish the competency model for resident doctors who have received the standardized training. Methods Fifty feature terms had been preliminary determined by the literature analysis to compile the dictionary of competency of resident doctors and design the questionnaire. Two hundred resident doctors, clinical teachers, and management personnel from 12 resident doctor standardized training bases in Shanghai were surveyed. Acquired data were processed and analyzed by statistical methods, including descriptive statistical analysis and factor analysis. Results One hundred and eighty three valid questionnaires were returned and the return rate was 91.5%. Forty nine characters of competence averaged at least 4 points and reached the level of “more important” by the principal component analysis. The factor analysis identified nine essential factors that formed the competency model for resident doctors who have received the standardized training, including comprehensive quality, medical knowledge and clinical working ability, scientific research, and teaching ability. Conclusion The competency model for resident doctors who have received the standardized training is consistent with the goals of the standardized training of resident doctors. It has certain reference values for determining reasonable training methods and increasing training effects.

Key words: resident doctor, competency model, establishment