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首页> 外文期刊>Family medicine >Assessing the Competence of Practicing Physicians in New Zealand, Canada, and the United Kingdom: Progress and Problems
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Assessing the Competence of Practicing Physicians in New Zealand, Canada, and the United Kingdom: Progress and Problems

机译：评估新西兰，加拿大和英国的执业医师能力：进展和问题

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Members of the public expect practicing physicians to be competent. They expect poorly performing physicians to be identified and either helped or removed from practice. "Maintenance of professionalstandards" by continuing education does not identify the poorly performing physician; assessment ofclinical performance is necessary for that. Assessment may be responsive—ie, following a complaint—or periodic, either for all physicians or for an identified high-risk group. A thorough review using arange of tools is appropriate for a responsive assessment but is not practical for periodic assessmentfor all. A single, valid, reliable, and practical screening tool has yet to be devised to identify physicianswhose practice is suboptimal. Further, articulate commentators are concerned about the harmthat too-intensive scrutiny of professional performance may cause. We conclude that high performanceby all physicians throughout their careers cannot be fully ensured, but it is nonetheless theresponsibility of licensing bodies to use reasonable methods to determine whether performance remainsacceptable. Such methods should be shown scientifically to be accurate, valid, and reliable forpracticing physicians. Such an approach is likely to encourage the agreement and cooperation of theprofession. To do less risks losing the trust of the public.
机译：公众期望执业医师能胜任。他们希望发现表现不佳的医生，并帮助他们或将其从实践中剔除。通过继续教育的“维持专业标准”并不能确定表现不佳的医师;为此，必须评估临床表现。对于所有医生或已确定的高危人群，评估可能是响应性的（即，在投诉之后）或定期的。使用各种工具进行全面审查适合于响应式评估，但不适用于所有人的定期评估。尚未设计出一种单一，有效，可靠和实用的筛查工具来识别其次优医生。此外，口齿不清的评论员担心过于严格的专业表现审查可能造成的危害。我们得出的结论是，不能完全确保所有医师在其整个职业生涯中都能取得高绩效，但是许可机构有责任使用合理的方法来确定绩效是否仍然可以接受。应当科学地证明这些方法对于医师而言是准确，有效和可靠的。这种方法可能会鼓励专业界的同意和合作。减少风险会失去公众的信任。

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