Research On The Current Situation And Training Needs Of Competency Self-evaluation Of Grass-roots General Practitioners In Xinjiang

Objective: To understand the basic characteristics,post competency,current training conditions,and training needs of general practitioners in Xinjiang in order to improve their post competency and provide scientific guidance for strengthening talent construction at the basic level.Methods: Stratified cluster sampling was employed to select basic-level healthcare facilities from 14 prefectures in Xinjiang between May and June 2022,with questionnaires distributed to general practitioners in these facilities according to the inclusion and exclusion criteria.The questionnaire includes the basic information,post competency,and training needs of respondents.A total of 1,573 general practitioners were surveyed.The data acquired was analyzed with SPSS22.0 Excel and Python3.7.Results: 1)The research looks at 1,573 general practitioners in 14 prefectures in Xinjiang,nearly half of whom are from township health centers,the mean age being(37.79±9.92)and women accounting for the majority.40.05% of them do not have college degrees,and 357 of them have not obtained the certificate for medical practitioners.2)The total mean score of general practitioner post competency in Xinjiang is(6.60±2.31),with the dimension of humanistic care scoring the highest(7.17±2.39),and that of basic healthcare abilities the lowest(6.09±2.21).Among all the self-rated post competency items,professional ethics,physician-patient relationships and health education skills scored the highest,being(7.64±3.19),(7.44±2.53),and(7.34±2.53)respectively,while scientific research skills,healthcare skills for key populations in the community,and the ability to introduce new technologies obtained the lowest scores,being(5.66±319),(6.03±2.66),and(6.14±2.97)respectively.3)A total of 184 general practitioners have not received training in one year,while 556 general practitioners have attended more than 5 training sessions in the past year,accounting for 35.35% of the respondents.The number of training sessions attended by general practitioners varies with the type of institutions,their professional backgrounds and service modes,and the variance is statistically significant(P<0.05).4)statistically significant differences exist in the post competency level of general practitioners in different organizations and under different training methods(F=2.68,P=0.046;F=2.59,P=0.035).5)In terms of the content of training received by general practitioners,the highest number(1087)chose public health services,while the lowest number(261)chose medical knowledge.The content of training chosen by general practitioners with different characteristics varies,and the variation is statistically significant(P<0.05).6)While choosing the training modes,general practitioners showed a high demand for for in-person training and studying at higher-level hospitals,expressing their preference for face-to-face,hands-on learning under the guidance of clinical teachers.Meanwhile,some of the general practitioners also recognized the importance of online training and lectures.7)The total score of training content needed by general practitioners in Xinjiang is(413±0.96),with the training need for the ability for humanistic practice scoring the lowest,and that for medical knowledge and life-long learning skills scoring the highest;in all the items,the highest scores went to the diagnosis and treatment of common endemics,the ability to retrieve and utilize health information resources,and the ability to use common medications properly,being(4.28±101),(4.26±106),and(4.25±1.04)respectively.Items with the lowest training needs were immunization programs,the ability to participate in training and learning at hospitals,and medical ethics,which scored(4.04±118),(4.04±117),and(4.04±1.19)respectively.The results of linear regression analysis show that professional qualifications have an effect on the training needs of four dimensions: service modes affect the training need for basic healthcare skills;the specific regions and years of service affect the training need for the ability for humanistic practice;educational level affects the training need for medical knowledge and life-long learning skills.8)As shown by the results of the importance matrix analysis,four areas were divided according to the coefficient for post competency and the intermediate value of training needs(X=0019;Y=4120),namely,the priority area for improvement,the secondary area for improvement,the dominate area of influence,and the area to be analyzed,which contain 11,6,8,and 8 items respectively.The priority area for improvement includes routine ancillary tests and report interpretation,the treatment of common endemics,the identification and on-the-spot first aid,psychological services,community rehabilitation services,the prevention and control of infectious diseases,the screening and control of chronic diseases,health education,healthcare systems and related policies,the ability to retrieve and utilize health information resources,and the ability to teach and demonstrate specific practices.Conclusions: The post competency of general practitioners in Xinjiang is basically at high level.The level of post competency varies in different dimensions and items,and in different types of institutions and training modes;general practitioners in Xinjiang show a high level of enthusiasm for training,but the training sessions are disconnected from post competency;factors that affect the number of training sessions and the choice of contents include the type of institutions,professional backgrounds,and service modes;general practitioners call for diverse training methods;they are in need of extensive training content,and the need varies depending on their different characteristics.Therefore,more attention should be paid to those abilities that require priority improvement.