Nursing Department, the Third Hospital of Mianyang ▪ Sichuan Mental Health Centre, Mianyang, Sichuan Province, 621000, People's Republic of China.
Department for prevention and control of mental illness, the Third Hospital of Mianyang ▪ Sichuan Mental Health Centre, Mianyang, Sichuan Province, 621000, People's Republic of China.
BMC Med Educ. 2022 Nov 10;22(1):777. doi: 10.1186/s12909-022-03860-3.
The great economic and social changes have resulted in the prevalence of mental disorder increasing year by year in China. Mental health medical service resources of China are significantly insufficient. The program of Transfer Training for psychiatrist was launched in China in October 2015. Thousands of physicians completed the transfer training and obtained certificates. To date, there is little evidence to identify the status and related factors of clinical competence among scope-of-practice transfer psychiatrists in China.
This study aimed to investigate the status and related factors of clinical competence among scope-of-practice transfer psychiatrists of Sichuan Province, China.
The sample was composed of 291 physicians who certificated the transfer training. Data were collected between September and November 2021, using self-made questionnaire with a total of 22 items to record demographic characteristics, practice status and workplace of participants. Descriptive statistics analysis, independent sample T-test, one-way ANOVA, Spearman rank correlation, and multiple regression analysis were used to analyze the data.
The clinical competence of participants score was (8.02 ± 1.48). Significant differences were found in clinical competence scores among: the subgroups of practice category, reasons for attending in the transfer training for psychiatrists, whether transfer to/ add mental health practice registration, whether engage in mental / psychological work after training, whether the level of transfer training meeting participants' job needs, whether the level of transfer training meeting their theoretical learning needs, whether the level of transfer training meeting their clinical practice needs, salary change compared with pre-training, whether join in continuing education after training, whether wanted to join in continuing education after training, whether the workplace before training has mental / psychological department, whether the workplace after training has mental / psychological department, institutional nature, institutional level and institutional affiliation. Multiple regression analysis identified that level of transfer training meeting participants' job needs, level of transfer training meeting their clinical practice needs, Whether the workplace before training has mental / psychological department, whether wanted to join in continuing education after training, institutional nature were the contributors of clinical competence.
The study demonstrated that clinical competence of scope-of-practice transfer psychiatrists needed to be improved. Whether workplace has mental/psychological departments was an important factor of clinical competence. Besides, interest of physicians is another crucial factor for their clinical competence. The continuing education of those psychiatrists may be one effective measure considering their factual working conditions.
中国经济和社会的巨大变革导致精神障碍的患病率逐年上升。中国的精神卫生医疗服务资源明显不足。2015 年 10 月，中国启动了精神科医生转岗培训项目。数千名医生完成了转岗培训并获得了证书。迄今为止，几乎没有证据表明中国执业范围转岗精神科医生的临床能力状况及其相关因素。
本研究旨在调查中国四川省执业范围转岗精神科医生的临床能力状况及其相关因素。
样本由 291 名获得转岗培训证书的医生组成。数据收集于 2021 年 9 月至 11 月之间，采用自制问卷，共 22 项，记录参与者的人口统计学特征、实践状况和工作场所。采用描述性统计分析、独立样本 t 检验、单因素方差分析、Spearman 秩相关和多元回归分析对数据进行分析。
参与者的临床能力得分为（8.02±1.48）。在以下方面发现了参与者临床能力得分的显著差异：实践类别亚组、参加精神科医生转岗培训的原因、是否转/增加精神卫生执业注册、培训后是否从事精神/心理工作、转岗培训水平是否满足参与者的工作需求、转岗培训水平是否满足他们的理论学习需求、转岗培训水平是否满足他们的临床实践需求、培训前与培训后的薪资变化、培训后是否参加继续教育、培训后是否有继续参加继续教育的意愿、培训前的工作场所是否有精神/心理部门、培训后的工作场所是否有精神/心理部门、机构性质、机构级别和机构隶属关系。多元回归分析确定，转岗培训水平满足参与者工作需求、转岗培训水平满足其临床实践需求、培训前的工作场所是否有精神/心理部门、培训后是否有继续参加继续教育的意愿、机构性质是临床能力的贡献者。
研究表明，执业范围转岗精神科医生的临床能力有待提高。工作场所是否有精神/心理部门是临床能力的一个重要因素。此外，医生的兴趣也是其临床能力的另一个关键因素。考虑到这些精神科医生的实际工作情况，继续教育可能是一项有效措施。
