Bergus G R, Levy B T, Randall C S, Dawson J D, Jogerst G J
Department of Family Medicine, University of Iowa, Iowa City, USA.
Fam Med. 1997 Oct;29(9):618-24.
The importance of specific skills in primary care continues to be debated. As a result, there is not consensus on which skills need to be stressed during residency training. Our project asked community-based family physicians to rate the importance of specific skills in a new family physician partner.
Data were collected through a cross-sectional survey of all active members of the Iowa Academy of Family Physicians. Participants were surveyed by mail, using a list of 83 skills pertinent to primary care. Physicians were asked to rate the importance of a new member of their practice having the individual skills on this list.
A total of 546 family physicians (67%) completed questionnaires. Fourteen skills (seven cognitive and seven psychomotor) were reported to be "essential" or "very important" by at least 80% of the physicians. A total of 43 skills were rated as "essential" or "very important" by at least 50% of responding family physicians. Many of the hospital-based procedural skills, particularly those used in an intensive care setting, were rated as less important. The importance ratings of many skills were associated with the physicians' ages, size of their primary hospitals, and availability of other medical specialties.
Family physicians tended to rate office-based procedural skills, counseling skills, and management skills as "essential or very important" to their practices. These rating might be used to guide residency training in family practice.
基层医疗中特定技能的重要性仍存在争议。因此，对于住院医师培训期间应着重强调哪些技能，尚无共识。我们的项目邀请社区家庭医生对新入职家庭医生伙伴的特定技能重要性进行评分。
通过对爱荷华州家庭医生学会所有在职成员的横断面调查收集数据。参与者通过邮件接受调查，使用一份包含83项基层医疗相关技能的清单。医生们被要求对其诊所新成员具备清单上各项技能的重要性进行评分。
共有546名家庭医生（67%）完成了问卷。至少80%的医生报告称14项技能（7项认知技能和7项操作技能）“必不可少”或“非常重要”。共有43项技能被至少50%的参与调查的家庭医生评为“必不可少”或“非常重要”。许多基于医院的操作技能，尤其是在重症监护环境中使用的技能，被评为不太重要。许多技能的重要性评分与医生的年龄、其所在主要医院的规模以及其他医学专科的可及性相关。
家庭医生倾向于将门诊操作技能、咨询技能和管理技能评为对其执业“必不可少或非常重要”。这些评分可用于指导家庭医学住院医师培训。
