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Table 2 Results of the Delphi process

From: Development of a competency model for general practitioners after standardized residency training in China by a modified Delphi method

Competencies

Round 1

Round 2

Status

Importance

Feasibility

Importance

Feasibility

Median

Agreement (7–9)

Median

Agreement(7–9)

Median

Agreement(7–9)

Median

Agreement(7–9)

1. Knowledge and skills

 1.1 Maintain in-depth knowledge of clinical medicine

9

100%

9

100%

9

100%

9

96.4%

Included

 1.2 Maintain in-depth knowledge of general practice

9

100%

9

96.4%

9

100%

9

100%

Included

 1.3 Maintain in-depth knowledge of public health

9

100%

9

96.4%

9

96.4%

9

92.9%

Included

c1.4 Maintain in-depth knowledge of rehabilitation

-

-

-

-

8

92.9%

8

85.7%

Included

c1.5 Maintain in-depth knowledge of psychology and sociology

-

-

-

-

8.5

96.4%

8

89.3%

Included

 1.6 Be equipped with the skill of history taking

9

100%

9

92.9%

9

96.4%

9

96.4%

Included

 1.7 Be equipped with the skill of physical examination

9

100%

9

96.4%

9

100%

9

100%

Included

 1.8 Interpret basic clinical tests and images correctly

9

100%

9

96.4%

9

100%

9

100%

Included

 1.9 Be equipped with the skill of clinical operation

9

100%

9

96.4%

9

100%

9

100%

Included

 1.10 Record electronic health information (dUse electronic health record system effectively)

9

100%

9

92.9%

9

100%

9

100%

Included

2. Basic Medical Services (dPatient care)

 2.1 Manage diseases at early stage presenting in an undifferentiated way

9

100%

9

96.4%

9

100%

9

96.4%

Included

 2.2 Manage simultaneously multiple complaints and pathologies, both acute and chronic health problems in the individual

9

100%

9

100%

9

100%

9

100%

Included

 2.3 Treat patients at acute, severe and dangerous stages (dManage emergency conditions)

9

100%

9

100%

9

100%

9

100%

Included

 2.4 Arrange referrals to specialists when necessary

9

100%

9

92.9%

9

96.4%

9

92.9%

Included

c2.5 Ensure patient safety

-

-

-

-

9

100%

9

92.9%

Included

c2.6 Provide advice of rehabilitation when necessary

-

-

-

-

8

100%

8

92.9%

Included

 2.7 Sign contracts with patients (dSign contracts with patients and provide continuous service)

9

96.4%

8.5

85.7%

9

96.4%

9

92.9%

Included

 2.8 Follow-up in patients’ home (dProvide home visit and follow-up)

9

96.4%

8

78.6%

8.5

96.4%

8

85.7%

Included

 2.9 Provide home care when necessary

9

96.4%

9

92.9%

8

89.3%

8

89.3%

Included

3. Preventive care and basic public health service (dBasic public health service)

 3.1 Organize health education

9

100%

9

89.3%

9

100%

9

96.4%

Included

a3.2 Screen of at risk individuals for population health issues

8.5

92.9%

8

69.9%

-

-

-

-

Deleted

 3.3 Provide preventive care by vaccination

9

92.9%

9

92.9%

9

92.9%

9

92.9%

Included

b3.4 Provide chemoprevention care

8

85.7%

8

78.6%

-

-

-

-

Deleted

 3.5 Establish and manage the health files

9

100%

9

92.9%

9

100%

9

100%

Included

 3.6 Manage the care of special population in the community (elderly, women, children, disabled, patients with mental illness)

9

100%

8

89.3%

9

92.9%

9

96.4%

Included

 3.7 Manage chronic condition (dUndertake the continuing management of chronic health problems)

9

100%

9

96.4%

9

100%

9

100%

Included

 3.8 Identify and manage public health emergencies

9

100%

9

96.4%

9

100%

9

100%

Included

4. Communication

 4.1 Listen respectfully to patient and family (dListen carefully to patients and be empathy)

9

100%

9

92.9%

9

100%

9

92.9%

Included

 4.2 Explain things clearly and check for patients and families understanding

9

100%

9

92.9%

9

100%

8.5

92.9%

Included

 4.3 Discuss with patients and families about their health condition and thoughts

9

100%

8.5

92.9%

9

96.4%

8

85.7%

Included

 4.4 Propose treatment plan to patients and families

9

100%

9

100%

9

100%

8.5

92.9%

Included

 4.5 Engage patient and family in making decision of therapy plan (dEngage patients and families in making decision of therapy plan that reflect the their needs, value and goals)

9

96.4%

9

89.3%

9

92.9%

8

85.7%

Included

 4.6 Communicate effectively with colleagues

9

96.4%

9

96.4%

9

96.4%

8

89.3%

Included

 4.7 Communicate effectively with stuffs in other institutions

9

96.4%

8

85.7%

8

85.7%

7

82.1%

Included

5. Teamwork

 5.1 Collaborate with the members in GP team

9

100%

9

96.4%

9

96.4%

8

92.9%

Included

 5.2 Collaborate with other colleagues

9

100%

8

89.3%

8

92.9%

8

89.3%

Included

 5.3 Collaborate with stuffs in other institutions

9

100%

8

78.6%

8

92.9%

7

82.1%

Included

 5.4 Allocate internal resources of the institution for optimal patient care (dAllocate resources of the institution for optimal patient care)

8

96.4%

8

82.1%

8

89.3%

7

89.3%

Included

a5.5 Allocate external resources of the institution for optimal patient care

8

92.9%

7

71.4%

-

-

-

-

Deleted

c5.6 Encourage community personnel and social resources to help with community health services

-

-

-

-

9

96.4%

8

89.3%

Included

c5.7 Mobilize community members and social resources to provide community health services

-

-

-

-

7.5

89.3%

7

82.1%

Included

6. Professionalism

 6.1 Adhere to the medical rules and regulations strictly

9

100%

9

96.4%

9

100%

9

92.9%

Included

c6.2 Demonstrate a commitment to patients through clinical excellence and high ethical standards

-

-

-

-

9

100%

9

89.3%

Included

 6.3 Adhere to patients’ right to know

9

100%

9

96.4%

9

96.4%

9

92.9%

Included

 6.4 Adhere to confidentiality and privacy principles

9

100%

9

100%

9

96.4%

9

96.4%

Included

 6.5 Have the sense of responsibility

9

100%

8

92.9%

9

100%

8

89.3%

Included

 6.6 Self-adjust in the face of challenges

9

100%

8

78.6%

9

100%

8

89.3%

Included

7. Education, learning and research

 7.1 Teach students

9

96.4%

8

89.3%

8

92.9%

8

92.9%

Included

 7.2 Be engaged in practice-based learning and development

9

100%

8

78.6%

9

100%

8

89.3%

Included

 7.3 Be engaged in the continuous enhancement of their professional activities through ongoing learning

9

100%

8.5

96.4%

9

100%

9

100%

Included

 7.4 Demonstrate an understanding of the scientific principles of research

8

96.4%

8

89.3%

8

89.3%

7

92.9%

Included

 7.5 Search, navigate, and evaluate resources and clinical practice guidelines that are relevant to general practice

8

96.4%

8

89.3%

8

92.9%

8

82.1%

Included

 7.6 Participate in or conduct researches in general practice

8

89.3%

8

89.3%

8

92.9%

7.5

85.7%

Included

  1. Experts rated the importance and feasibility of each indicator on a 1–9 Likert scale (1 = not important/feasible and 9 = very important/feasible)
  2. aCompetencies deleted in the first round due to failure to achieve 75.0% agreement in terms of feasibility
  3. bCompetencies deleted in the first round due to experts’ recommendation
  4. c items added in the second round
  5. (d) Competencies modified in the first round