基于康复胜任力架构对北京市康复治疗师规范化培训效果的分析  

Effect of standardized training of rehabilitation therapists in Beijing based on rehabilitation competency frame‐work

作　　者：叶淼[1,2] 梁一雄 黄秋晨[1,2] 于丽丽 胡春英[1,2] 张皓[1,3] YE Miao;LIANG Yixiong;HUANG Qiuchen;YU Lili;HU Chunying;ZHANG Hao(Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China;Department of Physical Therapy,Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China;Department of Neurorehabilitation,Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China)

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院物理疗法科,北京市100068 [3]中国康复研究中心北京博爱医院神经康复中心,北京市100068

出　　处：《中国康复理论与实践》2023年第10期1233-1240,共8页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的以世界卫生组织提出的康复胜任力架构(RCF)为基础框架,结合我国康复特征和规范化培训要求,分析培训前后康复治疗师岗位胜任力和培训效果。方法2018年至2022年,于中国康复研究中心完成规范化培训的康复治疗师30例,在培训前后进行闭卷理论考核、迷你临床演练评估量表(Mini-CEX)评估,并向带教老师、同行、患者发放360度评价量表。通过多维度岗位胜任力分析,将量表与基础理论知识、临床实践能力、医学人文素养、科研教学能力、组织管理能力5个维度相结合,分析规范化培训对康复治疗师岗位胜任力的效果。结果规范化培训后,治疗师在理论考核中基础理论和病例分析成绩提高(Z>2.716,P<0.05)。在Mini-CEX方面,治疗师的医学面谈技巧、体格检查、人道关怀/专业素养、临床判断能力和总体临床水平均提高(Z>2.162,P<0.05)。在360度评价量表方面,治疗师在医德医风、日常工作、管理能力、社会能力、人际沟通能力、职业基本能力、运筹能力上均提高(Z>1.978,P<0.05)。在康复治疗师岗位胜任力分析模型方面,基础理论知识、临床实践能力和医学人文素养3个维度效果明显。结论康复治疗师规范化培训效果显著,培训后治疗师能够胜任康复日常诊疗工作。Objective To analyze the effect of standardized training on post competency of rehabilitation therapists,based on World Health Organization rehabilitation competency framework(RCF),and combined with the characteristics of rehabilitation and the requirements of standardized training in China.Methods From 2018 to 2022,a total of 30 rehabilitation therapists who participated in the standardized training were selected.Before and after the standardized training,the closed-book theoretical assessment and Mini-clinical Evaluation Exercise(Mini-CEX)assessment were carried out,and a 360-Degree Evaluation scale was distributed to their teachers,peers and patients.Through multi-dimensional post competency analysis,the data obtained from the scales were combined with the five dimensions of basic theoretical knowledge,clinical practice ability,medical humanities literacy,scientific research and teaching ability,and organizational management ability to analyze the effect of standardized training on post competency of rehabilitation therapists.Results After training,the therapists improved in theory and case analysis(Z>2.716,P<0.05).They also improved in medical interview skills,physical examination,humane care/professionalism,clinical judgment ability and overall clinical level(Z>2.162,P<0.05)according to Mini-CEX.The medical ethics,daily work,management ability,social ability,interpersonal communication ability,basic professional ability and operation ability improved(Z>1.978,P<0.05)according to the 360-Degree Evaluation scale.The effect of standardized training was significant in basic theoretical knowledge,clinical practice ability and medical humanities literacy by the post competency analysis model.Conclusion The effect of standardized training of rehabilitation therapists is significant,and the therapists can be competent for daily work in diagnosis and treatment after training.

关 键 词：康复治疗师 规范化培训 胜任力 

分 类 号：R49-4[医药卫生—康复医学] G726[医药卫生—临床医学]