Sun Shilin, Liu Min, Liu Han, He Wenyuan, Zheng Ying, Zheng Boyang, Quan Weiwei
Guangzhou Medical University, Guangzhou, China.
The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Sci Rep. 2025 Jul 7;15(1):24327. doi: 10.1038/s41598-025-09512-y.
Since the beginning of the 21st century, China's socioeconomic progress has altered lifestyles, accelerated urbanization, and population aging, significantly raising the risk of cardiovascular diseases (CVD). Currently, CVD stands as China's primary cause of death, necessitating the establishment of a high-quality cardiovascular workforce. While international research on competence models for cardiovascular physicians exists, the unique characteristics of Chinese CVD warrant a tailored approach. Despite numerous studies on competence models for clinical physicians in China, a model specific to cardiovascular physicians, aligned with the Chinese context, is lacking. This study aims to develop such a model to address CVD challenges and aid in recruitment, assessment, and training, aligning with the objectives of the "Healthy China 2030" plan. Utilizing a modified Delphi method, this study conducted two rounds of Delphi surveys involving 20 experts from renowned cardiovascular departments in Guangdong Province, China, based on literature reviews, behavioral event interviews, and expert consultations. Rigor and scientific validity were enhanced through measures such as experts' positive coefficient, experts' authority coefficient, and experts' coordination coefficient. Weightings for primary and secondary indicators were calculated using the Analytic Hierarchy Process and percentage weighting methods. The final cardiovascular physician competency model, tailored to the Chinese context, was determined. In both rounds of the Delphi surveys, the experts' positive coefficient exceeded 80%, the authority coefficient exceeded 0.7, and the p-values for the coordination coefficient were less than 0.01. These results indicate high accuracy and reliability, with strong expert consensus. The study developed a competency model comprising 8 primary indicators and 60 secondary indicators, with assigned weightings for each indicator. By utilizing an improved Delphi consensus process, the research team developed a competency model tailored to the Chinese context for cardiovascular physicians. This model encompasses various elements of clinical performance and professional behavior, and it is designed to provide effective guidance for the recruitment, evaluation, and residency training of cardiovascular physicians in China.
自21世纪初以来，中国的社会经济发展改变了生活方式，加速了城市化和人口老龄化，显著增加了心血管疾病（CVD）的风险。目前，心血管疾病是中国的主要死因，因此有必要建立一支高素质的心血管专业队伍。虽然国际上存在关于心血管内科医生胜任力模型的研究，但中国心血管疾病的独特特征需要一种量身定制的方法。尽管中国对临床医生的胜任力模型进行了大量研究，但缺乏一个符合中国国情的心血管内科医生特定模型。本研究旨在开发这样一个模型，以应对心血管疾病挑战，并为招聘、评估和培训提供帮助，与“健康中国2030”规划的目标相一致。本研究采用改进的德尔菲法，基于文献综述、行为事件访谈和专家咨询，对来自中国广东省著名心血管科的20名专家进行了两轮德尔菲调查。通过专家积极系数、专家权威系数和专家协调系数等措施提高了严谨性和科学有效性。使用层次分析法和百分比加权法计算一级和二级指标的权重。最终确定了符合中国国情的心血管内科医生胜任力模型。在两轮德尔菲调查中，专家积极系数均超过80%，权威系数超过0.7，协调系数的p值均小于0.01。这些结果表明准确性和可靠性高，专家共识强烈。该研究开发了一个包含8个一级指标和60个二级指标的胜任力模型，并为每个指标分配了权重。通过改进的德尔菲共识过程，研究团队开发了一个符合中国国情的心血管内科医生胜任力模型。该模型涵盖了临床绩效和专业行为的各个要素，旨在为中国心血管内科医生的招聘、评估和住院医师培训提供有效指导。
