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Development and preliminary validation of the competency model for rural general practitioner in China
Yun Wei1, Yanli Liu2, Xuexue Zhao1
1Department of General Practice, School of General Practice and Continuing Education.
Family Practice
|October 12, 2020
Summary
A new competency model for rural general practitioners (GPs) in China was developed and validated. This tool assesses GP competencies, addressing a critical need for rural healthcare training programs.
Area of Science:
- Medical Education
- Health Workforce Research
- Rural Health
Background:
- China faces a shortage of rural general practitioners (GPs).
- Existing GP training programs lack validated tools for competency assessment.
- This gap hinders effective evaluation of rural GP workforce development.
Purpose of the Study:
- To develop a Competency Model for Rural General Practitioners (CMRGP) in China.
- To rigorously examine the validity and reliability of the developed CMRGP.
- To provide a psychometrically sound tool for assessing rural GP competencies.
Main Methods:
- A multistage development process involving literature review, panel discussions, and expert consultations.
- Initial reduction from 10 domains/77 items to 7 domains/54 items.
- Pilot study with 202 rural GPs for psychometric evaluation, yielding 132 responses.
Main Results:
- The final CMRGP comprises 6 domains and 47 items.
- High item importance scores (52/54 > 4.00) supported acceptability and face validity.
- Factor analysis confirmed construct validity; excellent reliability (Cronbach's α=0.98, Spearman-Brown=0.99).
Conclusions:
- The CMRGP is a reliable and valid assessment tool.
- Demonstrated potential for application in rural general practice and training programs in China.
- A crucial step towards improving rural GP competency assessment and workforce development.
