Investigation on the evaluation of post competency and countermeasures of general practition residents from Tibet

Zhou Xiaoming; Wang Zhiyi; Weng Jie; Hou Ruonan; Zhou Zhiliang; Chen Ying

doi:10.3969/j.issn.2096-4293.2023.11.014

Abstract：Objective To improve the quality evaluation system of standardized training of general practitioners from Tibet,the quality of residency training and the competency of general practitioners,so as to enable the general practitioners to meet the local medical needs.Methods This paper constructed a general practitioner post competency evaluation index system.A total of 24 general practitioners from Tibet who had completed assessment in this hospital from 2019 to 2021 were taken as the research subjects.Through questionnaire survey,post competency self-assessment and continuing education demand survey of them were carried out,and descriptive analysis was made of the collected data.Results The study showed that all the general practitioners were to work in Tibet,and 60.9%of them were currently engaged in general practice.The overall score of post competency of the general practitioners was good,and the self-evaluation of basic clinical skills of the residents was the highest,followed by the evaluation of basic clinical diagnosis and treatment ability,emergency critical illness identification and management ability,and medical humanistic literacy.The scores of public health service ability and chronic disease management ability were low,and the score of post promotion ability was the lowest.83%of the general practitioners chose to support Tibet residents to complete residency training in coastal areas such as Zhejiang Province.Conclusion General practitioners from Tibet have a high overall recognition of the standardized residency training system in this hospital,and they are qualified for the current clinical posts after graduation.It is suggested that the training content of emergency critical illness recognition ability,public health service ability and chronic disease management ability should be appropriately added to the training program of general practitioners,and the content of post improvement ability should be added to the continuing education of general practitioners after graduation.