Riesenberg Lee Ann, Rosenbaum Paula F, Stick Sheldon L
Medical Education Research and Outcomes, Academic Affairs, Christiana Care Health System, Newark, Delaware, USA.
Acad Med. 2006 May;81(5):426-31. doi: 10.1097/01.ACM.0000222279.28824.f5.
In 1998, the Accreditation Council for Graduate Medical Education (ACGME) added the stipulation that each institution providing graduate medical education (GME) have a Designated Institutional Official (DIO). The authors conducted this study via a cross-sectional survey designed to provide descriptive data on the beliefs held by DIOs regarding required competencies, training and experience, and desired resources for the position.
The authors collected data between January 2004 and May 2004 using a multistep process that included a prenotice letter; a survey, cover letter, and stamped return envelope; a thank you/reminder postcard; and a replacement survey with new cover letter and stamped return envelope. Data were summarized using descriptive statistics.
Completed surveys were received from 243 of 363 DIOs (66.9%). Eighty-two percent indicated that DIOs should have specified minimum experience or training requirements. Ten competency items were viewed as essential by greater than 50% of respondents, with five items endorsed by over 95% of respondents: professionalism, verbal communication skills, interpersonal skills, leadership skills, and written communications skills. The percentage of responding DIOs who indicated they would be very likely to use resources were as follows: templates for GME policies, contracts, and affiliation agreements (83.1%); DIO-specific training (58.0%); data on DIO demographics (53.9%); DIO job description templates (46.9%); a clear description of DIO versus program director responsibilities (46.1%); and a DIO certification program (32.1%).
Designated Institutional Officials supported the idea that there should be minimum experience and requirements and demonstrated remarkable consistency in endorsing essential competencies for the position. DIOs, their respective institutions, the ACGME, and other GME organizations and associations may use the data from this study to develop the role further.
1998年，毕业后医学教育认证委员会（ACGME）增加规定，要求每个提供毕业后医学教育（GME）的机构都要有一名指定机构官员（DIO）。作者通过横断面调查开展了本研究，旨在提供关于DIO对所需能力、培训和经验以及该职位所需资源的看法的描述性数据。
作者在2004年1月至2004年5月期间采用多步骤流程收集数据，该流程包括一封预先通知信；一份调查问卷、附信和已付邮资的回邮信封；一张感谢/提醒明信片；以及一份附有新附信和已付邮资回邮信封的替换调查问卷。数据使用描述性统计进行汇总。
363名DIO中有243名（66.9%）完成了调查。82%的人表示DIO应有特定的最低经验或培训要求。超过50%的受访者认为十项能力项目至关重要，其中五项得到超过95%的受访者认可：专业精神、口头沟通技巧、人际沟通技巧、领导能力和书面沟通技巧。表示非常可能使用资源的受访DIO的百分比分别为：GME政策、合同和附属协议模板（83.1%）；DIO特定培训（58.0%）；DIO人口统计学数据（53.9%）；DIO职位描述模板（46.9%）；DIO与项目主任职责的清晰描述（46.1%）；以及DIO认证项目（32.1%）。
指定机构官员支持应有最低经验和要求的观点，并在认可该职位的基本能力方面表现出显著的一致性。DIO及其各自的机构、ACGME以及其他GME组织和协会可利用本研究的数据进一步明确该角色。
