Volume 3, Issue 1 (2-2019)                   GMJ Medicine 2019, 3(1): 146-151 | Back to browse issues page


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Ghffari R, Ansari M, Farahbakhsh M, Asghari M, Ranjbarzadeh Salek F. Comparies the Clinical Competencies of General Practitioners who are Working in Health Complexes in Tabriz City with the Standard Clinical Competencies. GMJ Medicine. 2019; 3 (1) :146-151
URL: http://gmjpress.de/article-1-52-en.html
1- Medical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
2- Educational Development Center, Department of Medical Education , Tabriz University of Medical Sciences, Tabriz, Iran
3- Tabriz Health Services Management Research Center, Tabriz Universityof Medical Science,Tabriz, Iran
4- Road Traffic Injury Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract:   (55 Views)
Background: Evaluation of clinical competencies of general practitioners (GPs) in comprehensive healthcare centers provides a clear manifestation of their performance in the delivery of healthcare services. The present study aimed to compare the clinical competencies of GPs working in the health centers of Tabriz with the Standard clinical competencies.
Methodology: Out of 110 physicians working in the health centers, 50 physicians participated in this cross-sectional analytical-comparative study. In the first phase, the participants completed a self-assessment questionnaire. In the second phase, they took the OSCE test designed within a framework with 14 stations. This study used descriptive statistics, Pearson correlation coefficient, two-way ANOVA, and t-test.
Results: The mean scores of self-assessment and OSCE test were, respectively, 54±17.87 and 33.63±3.57. Regarding the self-assessment results, the mean scores of clinical skills, communication skills, and patient care were 63.02±18.73, 34.64±22.31, and 36.81±25.39, respectively. Regarding the OSCE test results, the mean scores of clinical skills, communication skills, and patient care were 24.47±4.61, 58.12±6.19, and 25.99±2.56, respectively. Results suggested a significant relationship between self-assessment and OSCE (p≤0.05). There was no significant difference between the public and private sectors (p=0.254).
Conclusion: The findings showed that the self-assessment scores were lower than the OSCE scores. The participants’ scores in clinical and patient care skills were high in the self-assessment and low in the OSCE test; whereas, the participants’ scores in communication skills was low in the self-assessment and high in the OSCE test. Therefore, authorities and managers of the Department of Health, Treatment, and Medical Education need to improve the way physicians are used in the system, identify educational needs, hold preservice training courses, and recruit GPs according to their competencies in the delivery of health care services.
     
Type of Study: Original Article | Subject: Public Health
Received: 2019/05/25 | Accepted: 2019/08/15 | Published: 2019/08/20

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