Back to Search
Start Over
A Competency Model for Clinical Physicians in China: A Cross-Sectional Survey
- Source :
- PLoS ONE, Vol 11, Iss 12, p e0166252 (2016), PLoS ONE
- Publication Year :
- 2016
- Publisher :
- Public Library of Science (PLoS), 2016.
-
Abstract
- Background Around the world, regulatory bodies have taken the lead in determining the competencies required to become a physician. As a first step in addressing this project, it was decided to develop a set of core competencies that were unique to China and that might serve as a basis for medical education. The purpose of this paper was to construct a competency model for clinical physicians in China. Methods Data was collected using a cross-sectional survey of 6247 clinicians from seven administrative regions (31 provinces, autonomous regions and municipalities directly under the central government) in China. The total sample was randomly divided into two sub-samples, an initial sample (Sample 1) and a replication sample (Sample 2). Independent exploratory factor analysis was conducted in each sample and the results were compared to determine the stability. After that the confirmatory factor analysis was used to ascertain the competency model for physicians. The reliability, convergent and discriminant validity of competency-based instrument were also examined. Results 76 items with 8 dimensions were identified, accounting for 68.41% of the construct’s total variance in the initial sample and 67.47% in the replication sample. For the two samples, the overall scale reliability (Cronbach’s alpha) was both 0.985 with dimensions from 0.905 to 0.954 for the initial sample and from 0.902 to 0.955 for the replication sample after deleting the items. In confirmatory factor analysis, the result showed that all items had acceptable goodness of fit index. RMSEA and SRMR were less than 0.08 (RMSEA = 0.046, SRMR = 0.040), while GFI, NFI, IFI, and CFI were higher than 0.9 (GFI = 0.905, NFI = 0.903, IFI = 0.909, CFI = 0.909), leading to acceptable construct validity. All construct reliability values of the factors were higher than 0.70, and all average variance extracted values exceeded 0.50. Thus, we considered the reliability and validity of the 8 dimensions were acceptable. Conclusions The instrument was shown to be both valid and reliable for measuring clinical physicians’ competency in China. The results of the competency-based instrument can be used by ministry of health and administrators of hospitals to assess physicians’ competencies, encourage and guide them to modify their behaviors according to the evaluation criteria, and also cultivate physicians with strong clinical practice, innovation and independent scientific research ability. Through these measurements and understandings, the overall level of clinical physicians will be increased in China.
- Subjects :
- Male
020205 medical informatics
Medical Doctors
Health Care Providers
Social Sciences
lcsh:Medicine
02 engineering and technology
Geographical Locations
0302 clinical medicine
Mathematical and Statistical Techniques
Sociology
Surveys and Questionnaires
0202 electrical engineering, electronic engineering, information engineering
Medicine and Health Sciences
Medicine
030212 general & internal medicine
Practice Patterns, Physicians'
lcsh:Science
Multidisciplinary
Middle Aged
Confirmatory factor analysis
Exploratory factor analysis
Professions
Scale (social sciences)
Physical Sciences
Female
Clinical Competence
Factor Analysis
Statistics (Mathematics)
Research Article
Adult
medicine.medical_specialty
China
Asia
Certification
Patients
Sample (statistics)
Research and Analysis Methods
Structural equation modeling
Education
03 medical and health sciences
Cronbach's alpha
Diagnostic Medicine
Physicians
Humans
Statistical Methods
Medical education
business.industry
lcsh:R
Discriminant validity
Administrative Personnel
Construct validity
Health Care
Cross-Sectional Studies
Medical Education
Professionalism
Family medicine
People and Places
Population Groupings
lcsh:Q
Educational Measurement
business
Medical Humanities
Mathematics
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 11
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....3d6c0d8ad879c71f61a3d3722afeadb4