PDF(Pubmed)
Abstract：
BACKGROUND: Evaluating the professional competencies of Peruvian doctors is crucial for proposing necessary improvements. However, there is a lack of knowledge regarding the specific characteristics and competencies that are assessed in these studies.
OBJECTIVE: The objective of this study is to characterize published studies focusing on the assessment of professional competencies among physicians in Peru.
METHODS: A comprehensive scoping review was conducted, encompassing scientific journal publications that evaluated the professional competencies of physicians in Peru. The search was performed in PubMed, Google Scholar, Scopus, and SciELO, with the review period extending until 2022. The identified competencies were classified using the Accreditation Council for Graduate Medical Education (ACGME) and the Ministry of Health of Peru (MINSA) frameworks. The findings were presented using absolute and relative frequency measures.
RESULTS: A total of forty-nine studies focused on the assessment of professional competencies among physicians were identified, indicating an upward trend over the years. The primary focus of these studies was on evaluating competencies related to medical knowledge (79.6% according to ACGME classification) and the treatment of health problems (57.1% according to MINSA classification). However, there was a noticeable lack of emphasis on assessing behavioral competencies such as ethics, professionalism, and communication. Most of the included studies (65.3%) were exclusively conducted in Lima. Among the studies that disclosed their funding sources, 61% were self-funded.
CONCLUSIONS: Most studies primarily concentrated on evaluating knowledge-based competencies, specifically in the areas of diagnosis and treatment. There is a scarcity of studies assessing other important competencies. Additionally, centralization and limited funding appear to be areas that require improvement in the evaluation of professional competencies among Peruvian physicians.
OBJECTIVE: The objective of this study is to characterize published studies focusing on the assessment of professional competencies among physicians in Peru.
METHODS: A comprehensive scoping review was conducted, encompassing scientific journal publications that evaluated the professional competencies of physicians in Peru. The search was performed in PubMed, Google Scholar, Scopus, and SciELO, with the review period extending until 2022. The identified competencies were classified using the Accreditation Council for Graduate Medical Education (ACGME) and the Ministry of Health of Peru (MINSA) frameworks. The findings were presented using absolute and relative frequency measures.
RESULTS: A total of forty-nine studies focused on the assessment of professional competencies among physicians were identified, indicating an upward trend over the years. The primary focus of these studies was on evaluating competencies related to medical knowledge (79.6% according to ACGME classification) and the treatment of health problems (57.1% according to MINSA classification). However, there was a noticeable lack of emphasis on assessing behavioral competencies such as ethics, professionalism, and communication. Most of the included studies (65.3%) were exclusively conducted in Lima. Among the studies that disclosed their funding sources, 61% were self-funded.
CONCLUSIONS: Most studies primarily concentrated on evaluating knowledge-based competencies, specifically in the areas of diagnosis and treatment. There is a scarcity of studies assessing other important competencies. Additionally, centralization and limited funding appear to be areas that require improvement in the evaluation of professional competencies among Peruvian physicians.
摘要：
背景：评估秘鲁医生的专业能力对于提出必要的改进至关重要。然而,缺乏关于这些研究中评估的具体特征和能力的知识。
目的：本研究的目的是描述已发表的研究，重点是评估秘鲁医生的专业能力。
方法：进行了全面的范围审查，包括评估秘鲁医生专业能力的科学期刊出版物。搜索是在PubMed中进行的，谷歌学者，Scopus,还有SciELO,审查期延长至2022年。使用研究生医学教育认证委员会（ACGME）和秘鲁卫生部（MINSA）框架对确定的能力进行了分类。使用绝对频率和相对频率度量来呈现结果。
结果：共确定了49项专注于评估医生专业能力的研究，表明多年来呈上升趋势。这些研究的主要重点是评估与医学知识相关的能力（根据ACGME分类为79.6％）和健康问题的治疗（根据MINSA分类为57.1％）。然而,明显缺乏对评估行为能力的重视，如道德，敬业精神,和沟通。大多数纳入的研究（65.3%）仅在利马进行。在披露其资金来源的研究中，61%是自筹资金。
结论：大多数研究主要集中在评估基于知识的能力，特别是在诊断和治疗领域。缺乏评估其他重要能力的研究。此外,集中化和有限的资金似乎是秘鲁医生专业能力评估中需要改进的领域.
目的：本研究的目的是描述已发表的研究，重点是评估秘鲁医生的专业能力。
方法：进行了全面的范围审查，包括评估秘鲁医生专业能力的科学期刊出版物。搜索是在PubMed中进行的，谷歌学者，Scopus,还有SciELO,审查期延长至2022年。使用研究生医学教育认证委员会（ACGME）和秘鲁卫生部（MINSA）框架对确定的能力进行了分类。使用绝对频率和相对频率度量来呈现结果。
结果：共确定了49项专注于评估医生专业能力的研究，表明多年来呈上升趋势。这些研究的主要重点是评估与医学知识相关的能力（根据ACGME分类为79.6％）和健康问题的治疗（根据MINSA分类为57.1％）。然而,明显缺乏对评估行为能力的重视，如道德，敬业精神,和沟通。大多数纳入的研究（65.3%）仅在利马进行。在披露其资金来源的研究中，61%是自筹资金。
结论：大多数研究主要集中在评估基于知识的能力，特别是在诊断和治疗领域。缺乏评估其他重要能力的研究。此外,集中化和有限的资金似乎是秘鲁医生专业能力评估中需要改进的领域.
