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秘鲁医生专业能力评估:已发表研究的范围综述。

Assessment of professional competencies of Peruvian physicians: A scoping review of published studies.

机构信息

Sociedad Científica de Estudiantes de Medicina del Centro, Universidad Nacional del Centro del Perú, Huancayo, Peru.

Sociedad Científica de Estudiantes de Medicina Agustinos, SOCIEMA; Universidad Nacional de San Agustín de Arequipa, Arequipa, Peru.

出版信息

PLoS One. 2024 May 23;19(5):e0299465. doi: 10.1371/journal.pone.0299465. eCollection 2024.

Abstract

INTRODUCTION

Evaluating the professional competencies of Peruvian doctors is crucial for proposing necessary improvements. However, there is a lack of knowledge regarding the specific characteristics and competencies that are assessed in these studies.

OBJECTIVE

The objective of this study is to characterize published studies focusing on the assessment of professional competencies among physicians in Peru.

METHODS

A comprehensive scoping review was conducted, encompassing scientific journal publications that evaluated the professional competencies of physicians in Peru. The search was performed in PubMed, Google Scholar, Scopus, and SciELO, with the review period extending until 2022. The identified competencies were classified using the Accreditation Council for Graduate Medical Education (ACGME) and the Ministry of Health of Peru (MINSA) frameworks. The findings were presented using absolute and relative frequency measures.

RESULTS

A total of forty-nine studies focused on the assessment of professional competencies among physicians were identified, indicating an upward trend over the years. The primary focus of these studies was on evaluating competencies related to medical knowledge (79.6% according to ACGME classification) and the treatment of health problems (57.1% according to MINSA classification). However, there was a noticeable lack of emphasis on assessing behavioral competencies such as ethics, professionalism, and communication. Most of the included studies (65.3%) were exclusively conducted in Lima. Among the studies that disclosed their funding sources, 61% were self-funded.

CONCLUSION

Most studies primarily concentrated on evaluating knowledge-based competencies, specifically in the areas of diagnosis and treatment. There is a scarcity of studies assessing other important competencies. Additionally, centralization and limited funding appear to be areas that require improvement in the evaluation of professional competencies among Peruvian physicians.

摘要

简介

评估秘鲁医生的专业能力对于提出必要的改进措施至关重要。然而,对于这些研究中评估的具体特征和能力,我们知之甚少。

目的

本研究的目的是描述已发表的研究,这些研究侧重于评估秘鲁医生的专业能力。

方法

我们进行了全面的范围综述,包括评估秘鲁医生专业能力的科学期刊出版物。检索在 PubMed、Google Scholar、Scopus 和 SciELO 中进行,检索时间截至 2022 年。使用美国毕业后医学教育认证委员会(ACGME)和秘鲁卫生部(MINSA)的框架对确定的能力进行分类。研究结果采用绝对频率和相对频率进行描述。

结果

共确定了 49 项专注于评估秘鲁医生专业能力的研究,表明这些研究呈逐年上升趋势。这些研究的主要重点是评估与医学知识(根据 ACGME 分类为 79.6%)和健康问题处理(根据 MINSA 分类为 57.1%)相关的能力。然而,明显缺乏对评估行为能力(如伦理、专业精神和沟通)的重视。大多数纳入的研究(65.3%)仅在利马进行。在披露资金来源的研究中,61%为自筹资金。

结论

大多数研究主要集中于评估基于知识的能力,特别是在诊断和治疗领域。评估其他重要能力的研究较少。此外,集中化和有限的资金似乎是秘鲁医生专业能力评估中需要改进的领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5732/11115292/d06ad4038a5b/pone.0299465.g001.jpg

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