Establishing the Competency Development and Talent Cultivation Strategies for Physician-Patient Shared...

Area of Science:

• Medical Education
• Healthcare Management
• Patient-Centered Care

Background:

• Shared decision making (SDM) is crucial for patient-centered care.
• Physician stakeholders (attendings, residents, post-grads) may have differing views on SDM.
• Understanding physician core competence in SDM is essential.

Purpose of the Study:

• To explore physician core competence in performing shared decision making (SDM) tasks.
• To identify key aspects and criteria for SDM competency development among physicians.
• To develop a model for evaluating and enhancing SDM competence across different physician levels.

Main Methods:

• Literature review and expert interviews to identify competency aspects.
• Importance-Awareness Analysis (IAA) to evaluate stakeholder perspectives.
• Decision-Making Trial and Evaluation Laboratory (DEMATEL) to construct Network Relation Maps (NRM).
• Combined IAA-NRM approach for strategic analysis.

Main Results:

• Physician perception and practice of SDM emerged as the primary driver for SDM competence development across all stakeholder groups.
• The study identified critical competency development aspects and criteria.
• A novel IAA-NRM approach was proposed for evaluating SDM adoption strategies.

Conclusions:

• The developed model aids administrators in understanding diverse physician perspectives on SDM competence.
• It facilitates the creation of targeted development plans and talent cultivation programs for SDM.
• Provides strategic direction for enhancing SDM skills in healthcare professionals.