Effect of clinical competence training for general practitioners and influencing factors / 中华全科医师杂志

ABSTRACT

Objective To evaluate the effect of clinical competence training for general practitioners in Shanghai.Methods Total 759 general practitioners participated in clinical competence training from July 2011 to October 2012 in Shanghai.The theoretical and practical operation scores of all the 759 trainees were compared before and after the training and the influencing factors of training effect were analyzed.Results The trainees,including 260 (34.26％) males and 499 (65.74％) females,had average working experiences (13.6±7.1) years.The average total scores before and after training were(67.40 ±8.57)and (73.61 ±7.20) (t =17.96,P ＜ 0.01).The practical operation scores were improved more significantly,the average scores of physical examination before and after training were (12.90 ± 3.76) and (14.00 ±3.51),scores of clinical skill before and after training were (9.41 ±4.80) and (13.40 ±4.02) (t =6.31 and 19.01,P ＜ 0.01).Among seven items of physical examination test,scores of four items (cardiopulmonary examination,abdominal examination,neurological examination and thyroid examination) were significantly higher than those before training (P ＜ 0.05 or ＜ 0.01).Scores of all 7 items of clinical skill test were higher than those before training (P ＜ 0.01).The main factors influencing the effect of training were gender,educational background,score before training and type of practice (P ＜ 0.01 or ＜0.05).Conclusions The clinical competence of general practitioners can be improved after the training.The training contents should be optimized in consistent with conditions of community health and general practitioners in the future.