Rao Xin, Lai Jinming, Wu Hua, Li Yang, Xu Xingzhi, Browning Colette Joy, Thomas Shane Andrew
International Primary Health Care Research Institute, Shenzhen, China.
Health and Family Planning Capacity Building and Continuing Education Center of Shenzhen Municipality, Shenzhen, China.
Front Public Health. 2020 Feb 20;8:23. doi: 10.3389/fpubh.2020.00023. eCollection 2020.
This paper describes the development of a competency assessment standard for General Practitioners in Shenzhen, China. The standard is to be used for developing and delivering the training curriculum for General Practitioners and to enable rigorous assessment of the mastery of the standards by GP trainees. The requirement for the training of General Practitioners in China is mandated by government policy requires an international standard curriculum to meet the needs of patients and the community. A modified Delphi process was employed to arrive at a curriculum consensus. An expert panel and 14 expert working groups derived from the expert panel were established to review and evaluate national and international competency standards for General Practice and develop a set of standards, through a modified Delphi methodology. Forty three experts were involved in the project. The project resulted in a detailed curriculum statement. The curriculum was then used in 2017 and 2018 where pilot examinations of GP trainees ( = 298 and = 315, respectively) were conducted to assess the trainee's competencies against the Standards. The examination included two modules, a written test (Module A) and a practical test (Module B). The success rate for participants was relatively low with the majority not successfully completing the assessments. The assessments will be further refined in subsequent work. The project achieved its goal of developing a rigorously evaluated standard to support clinical practice and the training and assessment of GPs.
本文描述了中国深圳全科医生能力评估标准的制定情况。该标准将用于制定和提供全科医生培训课程，并对全科医生培训学员对标准的掌握程度进行严格评估。中国政府政策规定了全科医生培训的要求，需要国际标准课程来满足患者和社区的需求。采用了改进的德尔菲法来达成课程共识。成立了一个专家小组和14个从专家小组衍生出来的专家工作组，通过改进的德尔菲方法，审查和评估全科医学的国家和国际能力标准，并制定一套标准。43名专家参与了该项目。该项目产生了一份详细的课程说明。然后在2017年和2018年使用该课程，对全科医生培训学员（分别为298人和315人）进行试点考试，以根据标准评估学员的能力。考试包括两个模块，一个笔试（模块A）和一个实践考试（模块B）。参与者的成功率相对较低，大多数人没有成功完成评估。在后续工作中将对评估进行进一步完善。该项目实现了其制定经过严格评估的标准以支持临床实践以及全科医生培训和评估的目标。
