全科医生置信职业行为评价框架的初步应用研究

BackgroundAt presentan entrustable professional activitiesEPAsframework of general practitioners has been constructed at home and abroad. But there are few practical studies on the EPAs framework of general practitioners. ObjectiveTo understand the rationality and feasibility of EPAs framework for Chinese general practitioners through practical research. MethodsResidents in 6 residency training bases for general practitioners in China from September 2021 to January 2022 were included in the study. The post competency of general practitioners was evaluated and fed back by the EPAs of Chinese general practitionersusing multiple linear regression analysis to explore the influencing factors of EPAs for general practitioners. ResultsA total of 141 general practice residents were included in the study. With a total average score of 144.57 points, the lowest average score was graded in the EPA22 clinical teachingand the highest score was graded in the EPA13 key population healthcare . The total score of general practice residents under 30 years old and older than 30 years of age was 141.3033.73pointsand150.0125.04pointsrespectively. No significant difference in the total score was detected between themP>0.05. The total score of male and female residents was comparable146.6327.29points vs143.7332.42 points, P>0.05. The total score of residents with previous clinical work experience was significantly higher than those without previous clinical work experience149.4428.07points vs137.6033.69 points, P<0.05. The total EPAs scores of first-yearsecond-year and third-year residents were113.4322.07points 134.0016.72points and174.9412.35 pointsrespectively. The total scores and EPA scores of first-gradesecond-grade and third-grade residents showed a gradually increasing trendand the pairwise difference between groups was significantly differentP<0.001. The total score of undergraduate resident physicians and graduate resident physicians was not statistically significant148.3828.87 points vs139.2833.14points, P>0.05. The total scores of general practice residents in Northeast ChinaNorth China East ChinaSouth Central ChinaSouthwest China and Northwest China were139.3226.55points153.4328.61 points148.1533.44points144.8335.11 points143.3034.60points and142.9334.09points respectively. There was no significant difference in the total score of regional distributionP>0.05. The results of the multiple linear regression analysis showed that work experience and rotation grade are influencing factors for EPAs of general practitioners P<0.05. The feedback results showed that more than 80% of residents and teachers believed that EPAs evaluation was very important. The EPAs framework was comprehensive and specificwhich reflected the competency requirements of general practitioners with a good feasibility. ConclusionThe EPAs framework for Chinese general practitioners has good rationality and feasibility. In the futuremulti-center long-term continuous practice studies will be carried out to further test our findings and provide a basis for improving the evaluation framework.