临床医学专业型研究生核心胜任力的现状与思考

目的 了解临床医学专业型研究生核心胜任力整体情况,分析医院在专业型研究生培养过程中的优势与不足,为更好地优化与修订培养目标与培养计划提供依据。方法 采用问卷调查的方式对264名临床医学专业型研究生进行匿名网络问卷调查,了解学生对于核心胜任力的认知及自评情况,比较并分析不同年级、不同类型学生核心胜任力各个指标得分差异。使用SPSS 23.0进行独立样本t检验,单因素方差分析对分类变量进行分析。结果 核心胜任力总分博士高于硕士,高年级学生高于低年级学生（P<0.05）;“系统改进能力”[硕士（2.94±1.07）,一年级（2.82±0.97）]、“病人管理”[一年级（2.77±1.22）]、“学术研究”[一年级（2.90±1.03）]等7个指标存在学生平均分不足3分的情况。结论 学生对医生职业的认同感较好,高学历、高年级学生核心胜任力总体情况优于低学历、低年级学生,可能与接受临床实践教育的深入程度不同有关。针对学生核心胜任力存在“短板”的情况,应予以重点关注并强化培养。

Research on the current situation and reflection of core competency of medical professional postgraduate

Objective To recognize the overall situation of the core competency of medical professional postgraduate, analyze the advantages and disadvantages of the training process, and provide basis for better optimization and revision of training objectives and training plans.Methods An anonymous online questionnaire was conducted among 264 postgraduates majoring in clinical medicine to recognize the cognition and self-evaluation of core competence, and analyze the differences in scores of different grades and types. SPSS 23.0 was used for independent-samples t test; and one-way analysis of variance to analyze categorical variables.Results The doctoral degree students'' core competency results were higher than those of master degree students, and those of the senior students were higher than junior students (P<0.05). "System Improvement Ability" [master degree students (2.94±1.07), first-year students (2.82±0.97)], "Patient Management" [(first-year students (2.77±1.22)], "Academic Research" [first-year students (2.90±1.03)], and 4 other indicators were the weakness of students (all less than 3 scores).Conclusion The students have a good sense of professional identity for doctors. The different depth of the clinical practice education is the possible cause which brings about the differences among students with different degrees. We should focus on strengthening the training for the "shortcomings" in the core competence of students.