Analysis on the results of clinical skill competition for standardized residency training of general practitioners

Objective To find out the problems in the standardized residency training of general practitioners (GPs), and put forward further promoting plans. Methods All 52 general practitioners were selected from the affiliated first hospital of medical college in Zhejiang university in April 2019 to clinical skills competition. The objective structured clinical examination(OSCE) was used in the competition, including basic skills operation station, physical examination station, specialized skills operation station, clinical thinking and decision-making station, each station had a qualified score of 80 points, and the scoring table adopts the unified examination form used in the previous general education completion assessment of Zhejiang province, and the assessment time and judge setting were also consistent. Results The subjects passed the physical examination. The scores of basic skills operation station and specialized skills operation station were higher than qualified ones (84.1 vs 80.0 , 91.1 vs 80.0), the difference was statistically significant (P<0.01). The score of clinical thinking and decision-making station was lower than qualified one (62.4 vs 80.0), the difference was statistically significant (P<0.01). The results of multivariate analysis of variance showed that the clinical thinking and decision-making ability of male residents were better than that of female residents [(67.23±9.01)vs(60.65±10.88)], the difference was statistically significant (P<0.05). The general practitioner's physical examination ability and clinical thinking and decision-making ability were significantly better than assistant general practitioner's [(81.11±10.06)vs(72.58±12.45), (63.69±10.61)vs(56.06±9.52)], the difference was statistically significant (P<0.05); the provincial resident training physician's physical examination ability was better than the national resident training physician's [(83.52±4.04)vs(78.65±11.85)], the difference was statistically significant (P<0.05). Conclusions It is necessary to strengthen residency GPs' clinical thinking and decision-making ability through more practice training, to cultivate the clinical thinking and decision-making ability and physical examination ability of female and assistant general practitioners. Key words: Residency training; General practice; Clinical skills; Objective structured clinical examination