A Competency Model for Clinical Physicians in China: A Cross-Sectional Survey

Liu, Zhuang; Tian, Li; Chang, Qing; Sun, Baozhi; Zhao, Yuhong

doi:10.1371/journal.pone.0166252

Cited by 22 publications

(20 citation statements)

References 30 publications

(24 reference statements)

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“…Competencies among frontline medical staff were assessed using the short version of the Chinese clinical physicians' competency model, which comprised 12 items, classi ed into 8 components: clinical skills and patient care, mastery of medical knowledge, information and management, professionalism, interpersonal communication, health promotion and disease prevention, academic research, and teamwork [15][16]. Each component was weighted from 1 to 9, generating a global score from 8 to 72.…”

Section: Assessment Of Clinicians' Competenciesmentioning

confidence: 99%

Association between clinical competencies and mental health symptoms among frontline medical staff during the COVID-19 outbreak: A cross-sectional study

Chang

Xia

Gao

et al. 2020

Preprint

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Abstract Background: In China, mental health of frontline medical staff might be influenced by clinicians’ ability to handle the outbreak of coronavirus disease 2019 (COVID-19). Few studies to-date have addressed the association between clinicians’ competencies and mental health in this context. This cross-sectional study has examined the prevalence of mental health symptoms among frontline medical staff handling the COVID-19 outbreak, and explored the associations between their competencies, and separate and concurrent depressive and anxiety symptoms. Methods: A total of 623 frontline medical staff were included in this study, which took place from January 20, 2020 to February 20, 2020. Competencies, depressive symptoms, and anxiety symptoms were assessed using the short form of the Chinese clinical physicians’ competency model, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7 questionnaire, respectively. Logistic regression models were used to estimate the associations between one standard deviation increase in competency scores and the prevalence of mental health problems. Multivariate-adjusted odds ratios (ORs) and corresponding 95% confidence intervals (CIs) were calculated.Results: Among 623 staff members, the prevalence of depressive, anxiety, and comorbid depressive and anxiety symptoms was 40.93%, 31.78%, and 26.00%, respectively. Among the medical staff with higher total competency scores, the prevalence of depressive (OR=0.67, 95% CI: 0.55-0.81), anxiety (OR=0.68, 95% CI: 0.56-0.83), and comorbid anxiety and depressive symptoms (OR=0.69, 95% CI: 0.55-0.83) was lower than among their lower-scoring counterparts. Subgroup analyses stratified by core competency scores revealed similar associations as the main analyses.Conclusions: The present findings highlight the association between high core competency scores and lower prevalence of depressive, anxiety, and comorbid anxiety and depressive symptoms. Improving medical staff’s core competencies might help prevent mental health problems among frontline medical staff responding to COVID-19.

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Section: Assessment Of Clinicians' Competenciesmentioning

confidence: 99%

Association between clinical competencies and mental health symptoms among frontline medical staff during the COVID-19 outbreak: A cross-sectional study

Chang

Xia

Gao

et al. 2020

Preprint

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“…Examples of such frameworks include: the Canadian Medical Education Directives "CanMeds," the "Tomorrow's Doctor," the "Scottish Doctor" of the UK, the milestones of the Accreditation Council of Graduate Medical Education (ACGME) of the USA, and the Framework for Undergraduate Medical Education in the Netherlands [13,18]. Furthermore, many countries have attempted to embrace such initiatives in their basic as well as advanced medical training programs and the "Saudi Meds" is a notable example in the Middle East and the Arab region [19][20][21][22][23][24].…”

Section: National Competency Framework For Medical Graduatesmentioning

confidence: 99%

National competency frameworks for medical graduates: Is it time for the “SudanMeds”?

Abdullah

2020

Sudan JMS

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Competency-based medical education has emerged recently as a novel model of medical training driven by its ability to reconcile the desired attributes in future physicians and address the overarching and demanding issues of the discipline in this century. The rising concerns of social accountability, patient safety, and cost effectiveness of medical education programs have contributed significantly to the popularity of this paradigm worldwide. This is translated in turn to the evolution of national competency frameworks for medical graduates that are increasingly implemented in different jurisdictions to standardize and ensure equivalent outcomes of medical curricula and readiness of their graduates to better serve their communities. Medical education in Sudan is deeply rooted in the history of the nation and the continent and is tinged with remarkable success and achievements. It is challenged nowadays with unprecedented expansion in basic medical education which may hinder the quality of medical schools’ programs and their graduates. This article explores the feasibility of one such framework in Sudan: the “SudanMeds” to ensure minimum standards and comparability of medical schools’ curricula and their outcomes across the Country. The framework would also arm the regulatory bodies with a tool for accreditation and recognition of basic medical education programs in Sudan and reflect quality assurance in their settings. Once this approach is deemed feasible, the contribution of all stakeholders from the highest top to the bottom – the government, the regulatory bodies, the public and civil organizations, and the medical schools’ community – is required to allow for creation, implementation, and follow-up of the “SudanMeds” framework. Keywords: Sudan, competency-based medical education, national competency frameworks, medical schools, basic medical education

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“…Sample sizes varied from 33 (Ketterer et al 2017) to 18,000 (National Physiotherapy Advisory Group 2017), while response rates varied from 3% (NPAG 2017) to 89% (Z. Liu et al 2016). Actual number of responses ranged from 20 (Ketterer et al 2017) to 6,247 (Z.…”

Section: Surveysmentioning

confidence: 99%

The development of competency frameworks in healthcare professions: a scoping review

Batt

Tavares

Williams³

2019

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BackgroundCompetency frameworks serve various roles including outlining characteristics of a competent workforce, facilitating mobility, and analysing or assessing expertise. Given these roles and their relevance in the health professions, we sought to understand the methods and strategies used in the development of existing competency frameworks. MethodsWe applied the Arksey and O'Malley framework to undertake this scoping review. We searched six electronic databases (MEDLINE, CINAHL, PsycINFO, EMBASE, Scopus, and ERIC) and three grey literature sources (greylit.org, Trove and Google Scholar) using keywords related to competency frameworks. We screened studies for inclusion by title and abstract, and we included studies of any type that described the development of a competency framework in a healthcare profession. Two reviewers independently extracted data including study characteristics. Data synthesis was both quantitative and qualitative. ResultsAmong 5,710 citations, we selected 190 for analysis. The majority of studies were conducted in medicine and nursing professions. Literature reviews and group techniques were conducted in 116 studies each (61%), and 85 (45%) outlined some form of stakeholder deliberation. We observed a significant degree of diversity in methodological strategies, inconsistent adherence to existing guidance on the selection of methods, who was involved, and based on the variation we observed in timeframes, combination, function, application and reporting of methods and strategies, there is no apparent gold standard or standardised approach to competency framework development. ConclusionsWe observed significant variation within the conduct and reporting of the competency framework development process. While some variation can be expected given the differences across and within professions, our results suggest there is some difficulty in determining whether methods were fit-for-purpose, and therefore in making determinations regarding the appropriateness of the development process. This uncertainty may unwillingly create and legitimise uncertain or artificial outcomes. There is a need for improved guidance in the process for developing and reporting competency frameworks.All rights reserved. No reuse allowed without permission. not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity.

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A Competency Model for Clinical Physicians in China: A Cross-Sectional Survey

Cited by 22 publications

References 30 publications

Association between clinical competencies and mental health symptoms among frontline medical staff during the COVID-19 outbreak: A cross-sectional study

Association between clinical competencies and mental health symptoms among frontline medical staff during the COVID-19 outbreak: A cross-sectional study

National competency frameworks for medical graduates: Is it time for the “SudanMeds”?

The development of competency frameworks in healthcare professions: a scoping review

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