School of Medicine, College of Medicine and Health sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Health Systems Management and Health Economics, School of Public Health, College of Medicine and Health sciences, Bahir Dar University, Bahir Dar, Ethiopia.
BMC Med Educ. 2023 Jul 19;23(1):518. doi: 10.1186/s12909-023-04510-y.
Competent health workforce, including medical doctors, is the heart of health systems. Cognizant of this, Ethiopia is implementing licensure exam as a strategy to produce competent health workforce, including medical doctors and beyond, for the provision of high quality health care, among others. However, there is a dearth of evidence on medical graduates' competence in Ethiopia in the era of Covid-19 pandemic. Hence, this study aimed to assess the competence of medical graduates-based on licensure exam results in Ethiopia.
A multi -center institution-based cross-sectional study was conducted among 1051 medical graduates (selected through cluster sampling method) from May - July 2022 in Medical Schools found in Amhara region, Northwest Ethiopia. Data were collected from secondary sources at the Ministry of Health and Medical Schools using a structured checklist. Data analysis was performed using SPSS Version 23 software. A binary logistic regression analysis was performed to identify factors associated with graduates' competence.
Nine hundred sixty-one (91.4%) medical graduates were competent. The study revealed that those graduates with older age (AOR: 0.63; 95% CI: 0.52, 0.76), being female graduates (AOR: 0.39; 95% CI: 0.22, 0.69), graduated in 2021 (AOR: 0.31; 95%; CI: 0.17, 0.60) and attending education in junior medical schools (AOR: 0.06; 95% CI : 0.01, 0.40) have lower competence as compared with that of their counterparts. Whereas, graduates with no repeating internship attachment (AOR: 2.41; 95% CI: 1.40, 4.17) and graduates with repeating academic year (AOR: 2.01; 95% CI: 1.14, 3.56) have better competence than that of their counterparts.
The proportion of competent medical graduates was relatively low as per the national strategic plan which aspires that all medical graduates to be competent. Medical graduate's competence was affected by age, gender, curriculum being implemented, and having academic as well as internship repeats. As result, policymakers should scale up competency based education in Medical Schools.
有能力的卫生人力，包括医生，是卫生系统的核心。埃塞俄比亚意识到这一点，正在实施执照考试，作为培养有能力的卫生人力的战略，包括医生和其他人员，以提供高质量的医疗保健等。然而，在新冠疫情时代，关于埃塞俄比亚医学毕业生能力的证据很少。因此，本研究旨在根据埃塞俄比亚的执照考试结果评估医学毕业生的能力。
2022 年 5 月至 7 月，在埃塞俄比亚西北部阿姆哈拉地区的医学院，采用多中心机构基础的横断面研究，对 1051 名医学毕业生（通过聚类抽样方法选择）进行了研究。数据来自卫生部和医学院的二级来源，使用结构化检查表进行收集。使用 SPSS 版本 23 软件进行数据分析。采用二元逻辑回归分析确定与毕业生能力相关的因素。
961 名（91.4%）医学毕业生有能力。研究表明，年龄较大的毕业生（AOR：0.63；95%CI：0.52，0.76）、女性毕业生（AOR：0.39；95%CI：0.22，0.69）、2021 年毕业的毕业生（AOR：0.31；95%CI：0.17，0.60）和就读于初级医学院的毕业生（AOR：0.06；95%CI：0.01，0.40）的能力较低。然而，没有重复实习的毕业生（AOR：2.41；95%CI：1.40，4.17）和重复学年的毕业生（AOR：2.01；95%CI：1.14，3.56）的能力比他们的同龄人更好。
根据国家战略计划，有能力的医学毕业生的比例相对较低，该计划希望所有医学毕业生都有能力。医学毕业生的能力受到年龄、性别、实施的课程以及学术和实习重复的影响。因此，政策制定者应扩大医学院基于能力的教育。
