Developing a competency framework for academic physicians

Daouk‐Öyry, Lina; Zaatari, Ghazi; Sahakian, Tina; Alameh, Boushra Rahal; Mansour, Nabil

doi:10.1080/0142159x.2017.1270429

Cited by 21 publications

(17 citation statements)

References 44 publications

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“…In addition to their potential benefits for well‐being, studies have suggested that MBIs could facilitate doctors’ performance in relation to doctors’ activities in providing patient care . In providing patient care, mindful doctors may be more likely to perform better in interpersonal domains: they are trained to have a non‐judgemental attitude towards thoughts and feelings, and therefore may more openly listen and empathically respond to patients’ worries and emotions .…”

Section: Introductionmentioning

confidence: 99%

The impact of mindfulness‐based interventions on doctors’ well‐being and performance: A systematic review

et al. 2019

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Objectives:The well-being of doctors is at risk, as evidenced by high burnout rates amongst doctors around the world. Alarmingly, burned-out doctors are more likely to exhibit low levels of professionalism and provide suboptimal patient care. Research suggests that burnout and the well-being of doctors can be improved by mindfulness-based interventions (MBIs). Furthermore, MBIs may improve doctors' performance (eg in empathy). However, there are no published systematic reviews that clarify the effects of MBIs on doctor well-being or performance to inform future research and professional development programmes. We therefore systematically reviewed and narratively synthesised findings on the impacts of MBIs on doctors' well-being and performance. Methods:We searched PubMed and PsycINFO from inception to 9 May 2018 and independently reviewed studies investigating the effects of MBIs on doctor wellbeing or performance. We systematically extracted data and assessed study quality according to the Medical Education Research Study Quality Instrument (MERSQI), and narratively reported study findings. Results:We retrieved a total of 934 articles, of which 24 studies met our criteria; these included randomised, (un)controlled or qualitative studies of average quality. Effects varied across MBIs with different training contents or formats: MBIs including essential mindfulness training elements, or employing group-based training, mostly showed positive effects on the well-being or performance of doctors across different educational and hospital settings. Doctors perceived both benefits (enhanced self-and otherunderstanding) and challenges (time limitations and feasibility) associated with MBIs.Findings were subject to the methodological limitations of studies (eg the use of selfselected participants, lack of placebo interventions, use of self-reported outcomes). Conclusions: This review indicates that doctors can perceive positive impacts ofMBIs on their well-being and performance. However, the evidence was subject to methodological limitations and does not yet support the standardisation of MBIs in professional development programmes. Rather, health care organisations could consider including group-based MBIs as voluntary modules for doctors with specific well-being needs or ambitions regarding professional development. | 139 SCHEEPERS Et al.

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Section: Introductionmentioning

confidence: 99%

The impact of mindfulness‐based interventions on doctors’ well‐being and performance: A systematic review

et al. 2019

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“…In recent years, clinical core competences, including clinical skills and patient care, mastery of medical knowledge, health promotion and disease prevention, information and management, professionalism, interpersonal communication, academic research, and teamwork have become key to de ning medical staff's ability worldwide [24][25][26]. High clinicians' competency scores have become measures of good clinical performance.…”

Section: Discussionmentioning

confidence: 99%

Association between clinical competencies and mental health symptoms among frontline medical staff during the COVID-19 outbreak: A cross-sectional study

Chang

Xia

Gao

et al. 2020

Preprint

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Abstract Background: In China, mental health of frontline medical staff might be influenced by clinicians’ ability to handle the outbreak of coronavirus disease 2019 (COVID-19). Few studies to-date have addressed the association between clinicians’ competencies and mental health in this context. This cross-sectional study has examined the prevalence of mental health symptoms among frontline medical staff handling the COVID-19 outbreak, and explored the associations between their competencies, and separate and concurrent depressive and anxiety symptoms. Methods: A total of 623 frontline medical staff were included in this study, which took place from January 20, 2020 to February 20, 2020. Competencies, depressive symptoms, and anxiety symptoms were assessed using the short form of the Chinese clinical physicians’ competency model, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7 questionnaire, respectively. Logistic regression models were used to estimate the associations between one standard deviation increase in competency scores and the prevalence of mental health problems. Multivariate-adjusted odds ratios (ORs) and corresponding 95% confidence intervals (CIs) were calculated.Results: Among 623 staff members, the prevalence of depressive, anxiety, and comorbid depressive and anxiety symptoms was 40.93%, 31.78%, and 26.00%, respectively. Among the medical staff with higher total competency scores, the prevalence of depressive (OR=0.67, 95% CI: 0.55-0.81), anxiety (OR=0.68, 95% CI: 0.56-0.83), and comorbid anxiety and depressive symptoms (OR=0.69, 95% CI: 0.55-0.83) was lower than among their lower-scoring counterparts. Subgroup analyses stratified by core competency scores revealed similar associations as the main analyses.Conclusions: The present findings highlight the association between high core competency scores and lower prevalence of depressive, anxiety, and comorbid anxiety and depressive symptoms. Improving medical staff’s core competencies might help prevent mental health problems among frontline medical staff responding to COVID-19.

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“…Section three asked the participant to rank 10 qualities from most important to least important from a provided list. We created this 10-item list in conjunction with a medical librarian and an expert in medical education by reviewing literature pertaining to CRs, academic medicine, and general leadership, generating an initial list of 71 qualities we thought might be important in a CR [2][3][4][5][6][7][8][9][10][11][12][13]. Then, we iteratively categorized, batched, and narrowed the terms to a list of 10 items that were widely represented in the literature, represented a broad range of quality types, and were felt to be important by all team members.…”

Section: Survey Development and Distributionmentioning

confidence: 99%

Qualities Important in the Selection of Chief Residents

Turner¹,

Litzau²,

Mugele³

et al. 2020

Cureus

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Background Chief resident selection occurs by numerous methods. Chief residents also fulfill multiple roles, requiring a broad skill set. However, there is little literature on which qualities various stakeholders value in chief resident selection. The objective of this study was to identify the qualities that residents and faculty believe are important for chief residents. Methods Following a literature review, educational experts conducted a multi-institutional survey that asked participants to name the qualities they felt were most important in chief residents and to rank-order a predefined list of 10 qualities. Associations were calculated between rank-order and participant age, gender, institutional position, and history of serving as a chief resident. Results The response rate for the survey was 43.9% (385/877). Leadership, organization, and communication skills were named by all participants among the most common responses. Residents additionally named approachability, advocacy, and listening skills among their most valued qualities, whereas faculty named strong clinical skills and integrity. Dependability and trustworthiness were the most valued qualities in the rank-order list, whereas strong clinical skills and self-reflection were the least valued. Females valued the ability to manage multiple demands more whereas males valued dependability more. The faculty valued strong clinical skills more than residents. Conclusion A variety of qualities are seen as being valuable in chief residents. Additional research is needed to understand what qualities are associated with effective chief resident performance.

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Developing a competency framework for academic physicians

Cited by 21 publications

References 44 publications

The impact of mindfulness‐based interventions on doctors’ well‐being and performance: A systematic review

The impact of mindfulness‐based interventions on doctors’ well‐being and performance: A systematic review

Association between clinical competencies and mental health symptoms among frontline medical staff during the COVID-19 outbreak: A cross-sectional study

Qualities Important in the Selection of Chief Residents

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