Application value of the assessment system based on competency in the training of general surgical residents

ObjectiveTo evaluate the application value of the assessment system based on competency in the training of general surgical residents.

MethodsThe assessment system was designed and developed based on the job competency(including 4 first-level indicators and 20 second-level indicators), and applied in the standardized training for general surgeons in The First Affiliated Hospital of Bengbu Medical College in 2020.Among 221 trainees, 124 professional postgraduate students and 97 standardized training physicians were divided into the group A and group B, respectively.The group A and group B were subdivided into the A1 and B1(training duration for 1 year), and A2 and B2 groups(training duration for 2 years) according to the training time.After the training, the trainees' satisfaction with the evaluation system was investigated.

ResultsThe overall satisfaction with the assessment system in trainees was 97.94%.The differences of the scores of the first-level indicators of medical ethics, clinical practice ability, clinical comprehensive ability, examination and attendance, and total performance between group A and group B were not statistically significant(P>0.05).The scores of six second-level indicators(including doctor-patient relationship, medical history quality, clinical skills, surgical assistant, ability to deal with complex patients and clinical thinking ability) in group A2 and group B2 were significantly higher than those in group A1 and group B1(P < 0.05 to P < 0.01).The scores of the physical examination in group A2 were lower than that in group A1(P < 0.05).

ConclusionsThe evaluation system based on job competency plays a good guiding role in the standardized training and assessment of general surgeons, and has certain guiding value for the training of students with different seniority.