360°评估在社区全科师资基本能力考核中的应用

目的探讨360°评估方法在社区全科师资基本能力考核中的应用价值。方法采用自行设计的360°评估问卷，应用360°评估方法对上海市徐汇区枫林街道社区卫生服务中心16名全科师资的个人综合素质、全科医疗工作能力、教学能力等基本能力进行评分。结果社区全科师资的个人综合素质、全科医疗能力、教学能力得分分别为（7．73±0．73）、（6．91±0．91）、（6．44±1．38）分；不同评分者之间的总评分分别为：同级（6．93±0．12）分，医院管理者（6．68±0．74）分，护士（8．17±0．12）分，自评（6．43±0．89）分，不同评分者的评分差异有统计学意义（F=27．91，P=0．000）。结论在360。评估中，不同评分者之间的评分差异可避免单个考核者评分所带来的偏见；社区全科师资教学能力得分偏低，提示社区全科师资培训中需加强教学能力方面的培训。

Application of 360 degree evaluation in competency assessment of community general practice trainers

Objective To apply 360 degree evaluation in competence assessment of community general practice trainers. Methods The 360 degree evaluation questionnaire was designed by authors and the evaluation was applied to assess the personal comprehensive quality, competence in general practice and teaching of 16 general practice trainers in Fenglin Community Health Service Center of Shanghai Xuhui District. Results The scores of personal comprehensive quality, competency in general practice and teaching were 7.73±0.73, 6.91 ±0.91 and 6.44 ± 1.38, respectively. The total scores from different evaluators were 6.93 ± 0. 12 for peers, 6.68±0.74 for hospital executives, 8.17 ± 0.12 for nurses and 6. 43 ± 0.89 from self evaluation （ F = 27.91, P = 0. 000 ）. Conclusion The variance between different evaluators in 360 degree evaluation can avoid bias of single one. The results of 360 degree evaluation show that the teaching ability of community general practice trainer is relatively low, suggesting the training of teaching ability should be strengthened for these trainers.