Table 1 The competency framework for Chinese GPs and importance score by GPs
From: Developing a competency model for Chinese general practitioners: a mixed-methods study
Dimensions | Items | Importance score (X ± S) |
|---|---|---|
A. Basic medical services | A_1 Have general practitioners′ clinical thinking | 4.56 ± 0.60 |
A_2 Collect medical history thoroughly and accurately | 4.66 ± 0.53 | |
A_3 Perform standardised physical examination and pay attention to mental state | 4.66 ± 0.53 | |
A_4 Write the medical documents following the standardisation | 4.66 ± 0.54 | |
A_5 Select the laboratory examination properly and interpret the results correctly | 4.65 ± 0.56 | |
A_6 Be proficient in basic diagnostic procedures | 4.65 ± 0.54 | |
A_7 Be able to diagnose and treat common diseases in communities | 4.68 ± 0.53 | |
A_8 Master first-aid skills | 4.65 ± 0.57 | |
A_9 Identify the patients at acute, severe stages and refer them promptly | 4.69 ± 0.53 | |
A_10 Manage chronic non-communicable diseases and follow up with the patients | 4.60 ± 0.58 | |
A_11 Provide the family-based services | 4.47 ± 0.67 | |
A_12 Use drug rationally | 4.68 ± 0.54 | |
A_13 Participate in hospice care | 4.48 ± 0.66 | |
B. Basic public health services | B_1 Be familiar with the knowledge and process of prevention and control of common infectious disease | 4.57 ± 0.59 |
B_2 Organize community health education | 4.50 ± 0.61 | |
B_3 Offer common psychological consult | 4.39 ± 0.72 | |
B_4 Manage the particular population in the community | 4.49 ± 0.63 | |
B_5 Assist in handling public health emergencies | 4.58 ± 0.58 | |
B_6 Provide community rehabilitation services | 4.46 ± 0.66 | |
B_7 Promote pre-natal and post-natal care | 4.39 ± 0.72 | |
B_8 carry out the diagnosis of the community health state | 4.47 ± 0.65 | |
C. Information utilisation ability and management ability | C_1 Be able to retrieve and analyse medical literature | 4.36 ± 0.71 |
C_2 Apply information technology effectively | 4.43 ± 0.67 | |
C_3 Establish and maintain resident health records | 4.47 ± 0.65 | |
C_4 Understand healthcare policy | 4.46 ± 0.65 | |
C_5 Know about the local cultural background | 4.28 ± 0.78 | |
C_6 Control the patients’ medical expenses scientifically | 4.48 ± 0.64 | |
C_7 Use the limited healthcare resources reasonably | 4.49 ± 0.63 | |
C_8 Possess some teaching ability | 4.38 ± 0.72 | |
D. Medical knowledge and lifelong learning | D_1 Master the basic medical knowledge | 4.67 ± 0.54 |
D_2 Master the clinical medical knowledge | 4.69 ± 0.51 | |
D_3 Be familiar with the knowledge of epidemiology and medical statistics | 4.50 ± 0.66 | |
D_4 Be familiar with the knowledge of evidence-based medicine | 4.49 ± 0.67 | |
D_5 Be familiar with some medical humanities knowledge | 4.46 ± 0.67 | |
D_6 Master one foreign language at least | 4.13 ± 0.96 | |
D_7 Participate in continuing medical education and training projects actively | 4.58 ± 0.61 | |
D_8 Have the ability of creative thinking | 4.45 ± 0.67 | |
D_9 Have critical thinking skills | 4.41 ± 0.72 | |
D_10 Write and publish scientific research papers actively | 4.13 ± 0.93 | |
E. Interpersonal communication and teamwork | E_1 Establish a mutually trusted, lasting, and stable doctor–patient relationship | 4.58 ± 0.58 |
E_2 Respect the local customs of patients | 4.47 ± 0.66 | |
E_3 Protect patient privacy and right to know | 4.61 ± 0.58 | |
E_4 Deal with ethical problems properly | 4.55 ± 0.59 | |
E_5 Prevent and resolve conflicts between doctors and patients | 4.61 ± 0.56 | |
E_6 Convey bad news to patients skillfully | 4.49 ± 0.68 | |
E_7 Make decisions together with patients and their families | 4.53 ± 0.62 | |
E_8 Explain medical information in an easily understandable way | 4.59 ± 0.58 | |
E_9 Work in harmony with colleagues | 4.62 ± 0.55 | |
E_10 Work with other teams effectively | 4.61 ± 0.55 | |
F. Professionalism | F_1 Abide the medical rules and regulations strictly | 4.66 ± 0.52 |
F_2 Have the awareness of basic services | 4.60 ± 0.56 | |
F_3 Be self-sacrificing | 4.54 ± 0.61 | |
F_4 Make good career planning | 4.53 ± 0.61 | |
F_5 Have confidence and objective self-evaluation | 4.51 ± 0.62 | |
F_6 Be loving, sympathetic, and empathetic to patients | 4.61 ± 0.54 | |
F_7 Have the ability to insight | 4.60 ± 0.55 | |
F_8 Have patience and good psychological regulating ability | 4.61 ± 0.54 | |
F_9 Provide fair medical care services | 4.60 ± 0.57 | |
F_10 Wear in good taste fit to doctors’ identity | 4.54 ± 0.59 | |
F_11 Be achievement-oriented in daily work | 4.54 ± 0.60 |