Trong khudn kho cua dtf dn Hd trd ddi mdi dao tao nhan Itfc y tfi'do quy CMB tdi ird, Trtfdng Dai hpc Y td' cdng cdng DHYTCC da phdi hdp cung vdi Trtfdng Dai hoc Y Hd Npi DHYHN, Dai hoc
Trang 1Quan di^m cua ngviiii svt dung nhdn hic y t^'
yi thtfc trang nang Itfc bac sy da khoa mdi
to't nghigp
Vu Thi H o a n g Lan', Biii T h j T h u H a ' , K i m Bao Giang=, N g u y i n Thi B?ch Yen*
Bdc sy da khoa (BSDK) dong vai Ird quan trong trong viic duy tri vd ddm bdo chdt luang cda hoai ddng mang ludi y le Nghiin cdu lien hanh nhdm md id thuc trgng ve ndng luc BSDK mdi tot nghiep lgi tuyin linh vd tuyen huyin, xdc dinh nhiing nhom ndng liXc quan trgng iheo quan diem cda ngudi
sd dung nhdn lUc y ti Ap dung phucmg phdp kil hap dinh luang vd djnh tinh, nghien ciiu tiin hdnh tqi 10 linh dgi diin cho 6 vitng sinh thai cua Viit Nam Cd mdu dinh luong Id 210 cdn bo lanh dgo tuyin llnh vd 240 cdn bg lanh dgo tuyen huyin vd dinh linh la 10 phong vdn sdu (PVS) d cdn b^ ldnh dao tuyin linh, 20 cu^c thdo ludn nhdm d luyin iinh vd 20 TLN d luyen huyin Thong tin ihu thdp bao gSm thuc trang liin hdnh cdc nhdm ndng lUc tat ca sd cdng tdc hiin tgi cua cdc BSDK ciing nhU quan diem vi cdc nhdm ndng li^c quan irgng nhdt Kit qud cho thdy c6 9 nhdm ndng lyCc vdi 22/38 ndng llic du^c cho Id thyCc hiin tdt; 4 nhom ndng luc quan irgng nhdt bao gom ky ndng Idm sdng ca bdn, giao liip hiiu qud, thdi d^ va dgo diic trdch nhiem vd hgc tgp lien liic khdng ngOng Cdc chuang Irinh ddo tgo hiin tgi nin nhdn mgnh Uu tiin vdo cdc nhdm ndng luc cdn thii'l ndy cUng nhucd cdc biin phdp ddm bdo chdi lU0ig de sinh vien cd du diiu kiin thUc hdnh, ddm bdo ndng luc cdn ihiet sau khi to't nghiip
TU khda: Bdc sy da khoa, ndng lUc chinh, nhdn luc y li
Viewpoints of health personal's users on the capacity of newly graduated medical doctors
Vu T h i H o a n g Lan', Bui T h i T h u H a ' , K i m Bao Giang", N g u y e n Thi Bach Y e n '
General doctors play an important role in maintaining quality of services provided by the health core system in Vietnam This study aims to analyze the performance of core competencies of newly graduated doctors assessed by their current employers Employing mixed method design; the study was carried out in 10 provinces, representing 6 ecological regions of Vietnam The quantitative sample consisted of 210 managers at provincial level and 240 managers at district level while the quaUtative sample vfas constituted of JO in-deplh interviews at provincial level arui 20 focus group discussions al district level Collected information covered assessment of doctors' performance of core competencies at their current working position, and ranking of most important competencies
4 Tap chf Y t^ Cdng c^ng, 4.2014, S6 31
Trang 2Results indicated that 9 competencies wilh 22/38 skills were assessed as good; 4 most important competencies were diagnosis and treatment, communication, professional ethics, and continuing education Current training program should emphasize those competencies as well as apply quality assurance tn order to help students work well after graduation
Tdc gia;
TrUSng Dai hpc Y te Cfiog cOng
Tnrang Dai boc Y Hd Npi
1 D a t va'n d l
Nhan life y t^ ddng vai tro rat quan trpng trong
vifc duy tri vd dam bao ch^t IiTPng cua boat ddng
mang Itfdi y t^, dac biet mang Itfdi y te'cO sd He
thdng y t^ Viet Nam dang phai doi mat vdi cdc vd'n
d l ldn ve ca so' ltfdng vd cha't Itfpng nhdn Itfc y te'
nhtf thieu cdc cdn bp Iam viec tai cdc tuyen cd sd
cung nhtf chi't Itfdng nhan Itfc y t^chtfa dam bao[3]
Quy hoach tong the ve phdt trien he thd'ng y tfi'Vift
Nam de'n nam 2010 va tam nhin dS'n nam 2020
(I53/2006/QD-TTg) da neu ro muc tieu xdy dtfng
vd phdt trien ddi ngfl nban Itfc y t ^ d e cd dtfpc ngu6n
nhan lUc phii hdp vdi cdc muc tieu chtfdng trinh y
tfi', phuc vu chien Itfdc pbai trien con ngtfdi ciia
Dang vd Nha ntfdc Quyet dinh nay cung da quy
dinh so'ltfpng bdc sy can cd trdn 10.000 dSn la 8 bac
sy de'n thdi di^m nam 2015 va 10 bdc sy de'n thdi
diem 2020[2] Dtfa trdn tieo chuan nay, Vidt Nara
se cln dao tao them khoang 29.500 bdc sy dfi'n tbdi
di^m 2015 vd khoang 64.270 bac sy dfi'n tbdi difi'm
ndm 2020[3] Bdn canh vide dao tao dii so' Itfdng
bdc sy da khoa, viec dam bao chd't Itfpng chtfdng
trinh dao tao de cdc bdc si sau khi lot nghifp cd thfi'
lam vific tdt tai cdc cd sd y te' Id ra't quan trong
Trong khudn kho cua dtf dn Hd trd ddi mdi dao tao
nhan Itfc y tfi'do quy CMB tdi ird, Trtfdng Dai hpc
Y td' cdng cdng (DHYTCC) da phdi hdp cung vdi
Trtfdng Dai hoc Y Hd Npi (DHYHN), Dai hoc D i l u
dtfdng Nam Dinh (DHDDND) tig'n hanh nghien ctfu
vdi cdc muc tidu (1) Xac dinh cdc nhdm nang Itfc
chinh BSDK vd (2) Mo ta thtfc trang ndng Itfc
BSDK sau khi td't nghiep theo ddnh gid cua ngtfdi
SIJ- dung nhan Itfc y tfi' trong thdi gian tOf thdng
4-12/2012
2 Phtfrfng p h a p n g h i # n cihi
Nghien ctfu rad ta cat ngang, ke't hdp phtfdng
phdp dmh Itfdng va dinh tinh nham xdc dinh tam quan trgng cua cdc nang Itfc chuyen mdn vd nang Itfc hS trd khdc trong viec tuyen dung va thtfc hipn cdng vide Nghidn ctfu tien banh tai 10 tinh (Thdi Nguyen, Ha Ndi, Quang Ninh, Nam Dinh, Thai Binh, Thtfa Thien Hud, Dac Lac, TP Ho Chi Minh, Binh Dtfdng vd Can Thd) dai dien cho 6 v i n g sinh thdi cua Vifit Nam cung nhtf dai didn cho tinh mien niii/ndng thdn va thdnh thi Tai m§i tinh chpn 2 huydn de tie'n hanh d i l u tra, bao gdm mpt thi xa/ thdnh phd' trtfc thude tinh/ thdnh phd' va mpt huydn mien nui/ ndng thon
Dd'i ttfdng nghien cu'u bao gdm cac cdn bd lanh dao cdng tdc tai ca tuye'n tinh vd tuyen huyen nhtf Ianh dao Sd Y td, lanh dao pbu trach trtfc tiep cdc khoa/ phdng dieu tri tai c a c dia ban nghidn ctfu cd BSDK cdng tac tai cdc tuyd'n tinh, huydn (benh vien tinh, huyen) C 3 mdu ciia nghien ctfu dinh Itfdng la 210 can bd Ianh dao tuyen tinh vd 240 cdn
bd lanh dao tuyen huydn (Ii^a chpn loan bd cdc cdn
bd tbda man tieu chi ciia nghidn ctfu) Sdlidu dinh Itfdng dtfdc thu thap bang phid'u ttf dien Nghidn
ctfu dinh tinh tidn h a n h 20 phong van sau (PVS) d
can bd Ianh dao tuydn tinh (mdi tinh 2 PVS cua gidm ddc Sd Y te va trtfdng phdng To' chtfc can bd),
10 cudc thao luan nhdm (TLN) 6 tuyd'n tinh (mdi tinh I TLN bao gdm giam ddc benh vidn tinh va cdc trtfdng khoa phdng trong vidn) vd 20 TLN d tuydn huyfn (mdi huydn 1 TLN bao gdm gidm ddc bdnh vidn huy^n va cdc trtfdng khoa phdng trong vien), Nghien ctfu dmh tinh xdc dinb cdc nhdm nang Ii^c chinh ciia BSDK va nghien ctfu dinh Itfdng siJ dung bp cdng cu vdi thang diem likert ttf 1-5 de ddnh gid mtfc dd quan trpng cung nhtf thtfc trang thtfc hi$n cdc nhdm n h i n Itfc chinh ciia BSDK tai
cd sd hien tai cua ngtfdi sd dung nhdn lu'c y td'
Tap chi Y t^ Cfing cdng, 4.2014, Sd' 31 5
Trang 3Ndng Itfc cbinh bao gdm nang Itfc chuyen mdn, hd
trd va ndng Itfc khac
Tbdng tin tCr phdng van sdu vd thao ludn nbdm
dtfdc tach bdng va siJ dung p h i n mdm NVIVO phan
Uch theo chii dd ciia nghien ctfu Sdlidu vd nang Itfc
cua nhdn Itfc dtfdc lam sach vd n h | p vao may tinh
bang p h i n m e m Epidata 3.0, sau dd dtfdc pban tich
bSng p h i n mem SPSS 18.0, dp dung cac thudt toan
thd'ng kd md ta va phdn tich nham dtfa ra cac nhan
dinh ciia ngtfdi sd dung ve ndng Itfc cua cdc can bp
y td mdi luyen dung tai cd quan
3 K&'t q u a
3.1 Thtfc trgng ndng life bdc sy da khoa
Kdt qua PVS va thao luan nhdm cho thl'y cd 12
nhdm nang Itfc chinh ciia BSDK bao gdm: (l)Ky
nang chan doan )am sdng cd ban, (2) Thtfc bien quy
trinh ky thugt vd tid'u thti t h u | t , (3)Thgrc hifn cdc ky
thuat hd trd chan doan benh, (4)Quan Iy bdnh
nhln,(5) Nang cao stfc khde va phdng benh,
(6)Giao tie'p hidu qud vdi bfnh nhan va cpng ddng
(7) Xu-1^ thdng tin thich hpp, (8) Hifi'u bidt ve y xa
hpi hoc vd cac nguyen 1^ cd ban cua y t d c d n g cdng,
(9) Tbdi dd, dao dtfc, hieu bie't phdp l u | t va trdch
nhifm, (10) KJ ndng ra quydt dinh, ( U ) Vai tro ciia
ngtfdi bdc sy trong hd thdiig y td'va (12) Hpc t i p lidn
tuc khdng ngtfng phdt trien
Bang 1 trinh bay ddnh gid thtfc hifn 3 nhdm
nang Itfc I, 2, 3 cua BSDK mdi ra trtfdng Trong
nhdm 3 ndng Itfc ndy, nhdm nang Itfc v l thtfc hidn
cac quy trinh ky thult cd diem trung binh thap nhl't
PVS vd TLN cho tha'y cdc nhd quan IJ deu cho rang
kha ndng thtfc hifn quy trinh ky thult ydu Mpt sd
Bdng 1 Kit qud ddnh gid thifc hiin nhdm ndng life
1,2, vd 3 cua BSDK mid ra triidng
CA c i t i n g li^c I d b a n
NLl Cac 1^ adng ISm sing cabin
1.1 K h a m e h j f n i l o a n v S x i Iri duvc cSc W n h
•hdng Ihuiing
KL 2, Cdc quy irlnh ky lbu4l
2 I Thttc bi^n <tifctc m p l %6 [bu I h u j i k> IhuSt
y khoa OOn g i i n
2.2 T h i K hi^ti m S i s S ' k y l h u J I don g i i n
KL3 Siding In/IhuflhSlrf of chdndoiin
} 1, ThJc h i l n mftl sSxH nghiem ddn gidn
3.2 O i i dinh vit nhiin dmh K Q xtt nghiem
\
N
420
3B0
380 38.1
411
Vleao (SD)
M e a n ( S D I 3,77 (.S61
3 7 7 ( 8 6 ) 3.1S ( M )
3 181.93)
3 , 4 3 ( 9 5 1
3SA{33t
3 6 2 ( 1 00)
J 7 f 164)
ky thudt ddn gian nhtf chpc hut dich mang bung, tran dich mang phdi, npi khi quan, nao tuy hoac chat gdt, khau vet thtfdng tieu phau khdng thtfc hien dtfdc Ngay ca vide khdm thai ciing khdng Idm tdt Dd'i vdi cac BSDK mdi ra trtfdng, b i u nhtf tl't ca mpi thu thult ddu phai bat dau lai tij" d i u
"Hdu nhu tdt cd moi thu thugt deu bdt ddu Igi tU
dflM"(TLN_BV_Huyen l_Ha Ndi) Hoac PVS lanh
dao tinh C i n ThO cho th^y "Cdc BSDK cdn khodng
2 ndm hgc hdi, kem cap thi BSDK mdi thifc hiin du<?c quy trinh ky thugt don gidn nhu mo rugt thiia"
Bang 2 trlnh bdy ddnh gid thtfc hidn 3 nhdra nang Itfc 4, 5, 6 ciia BSDK mdi ra trtfdng Trong nhdm 3 nang Itfc nay, nhdm nang Itfc ve quan I^ benh nhan cd die'm trung binh thap nhat Ke't q u i dinh tinh cung cho thay BSDK cd tham gia trtfc vd xii* 1$ cdc tinh hudng cdTp ctfu cung nhtf tham gia bdi chan, nhutag khi gap nhi7ng finh hud'ng hdi khd th) thtfdng rut re, thieu quye't dodn Vi du trtfdc nhfflig tinh hudng nhtf bpnh n h i n ret run, b$nb nhdn khd thd, nhiTng van de thtfdng gap hang ngdy thi cac BS mdi ra Irtfctng rat lung tung
"Trong nhiing liic true co nhUng tinh hudng hOi kho thi hg chug ldm duac " (TLN_BV_ Tinh_ Hud)
"Cdc ndng life vi diiu tri "^ chdm sdc binh nhdn ngogi tru, sd difng y hoc co truyen cho diiu trj binh diu duac nhdn xel Id yeu " PVS Ianh dao Sd Y td'tinh
Thai Nguyen
Bdng 2 Kit qud ddnh gid thifc hifn nhdm nang life 4,5, vd 6 cua BSDK mdi ra IrU^g
NL4 Quia^btnh nhaa
4.] Phit hi^n xi ly v^ cSp ciia ihong tbirOng
4.2 Chan do^n chuydn luy^n
4.3 Bieu tn chim idc bfnh nhan ngoi)i tni
4.4 Sil dung 5 hpc co miy^n cho dilu Hi
4 J Tlieo dBi quill IJ BN niSn linh
NLS N&ng am sOc khoi ri phdng binh
5 1 Hoai dSngdi/phang vaNCSK
5 J Til vao va Uwc hj^n TTCDSK
NL 6 Giao liep hifu qud
£.1 (3iao uej] l^i vdi b^nh nhfin ngirdi ohi
6 J GiHO ti^p loi vd] coDg d^ng
6 3 Ciao rifip t6i vdi dfing nghifp
6 4 SitdvDg phiARig tifn giao tifip cd ban
6 5 Giao Q^p ifkt vdi cjc cd quan to chile 6ti C6ky nang so«nihaa viin t)an biocdo
N
401
410
397
366
402
415
421
430
431
432
412
424
434
Mean (SD) 3J6(55)
3 73 1.93)
3 64 (.89)
3 57 {94) 3.0£tl 15) 3.491108)
3.46(1.01)
3_'i3(102j
3 49 (.99)
3£7 (.781
3 83 (.961
3 69 (.901
3 75 (.91) 3'i0(.97) 329(1.05)
3 86(97)
Trang 4Bang 3 trinh bay ddnh gid thtfc hien 3 nhdm ndng
Itfc 7, 8, 9 cua BSDK mdi ra trtfdng Trong nhdm 3
ndng Itfc nay, nhdm ndng Itfc vd hieu biet y xa hdi hoc
va cdc nguyen 1;^ cd ban ciia y tdcdng cgng cd didm
trung binh thap nhl't Nhdm ndng Itfc nay bao gdm 6
tidu muc trong dd cdc boat dong nhtf lap kd hoach va
to chtfc chdm sdc sdc khde (CSSK), lap kdhoach hop
tac vdi cdc ban ngdnh va phdt Men vd chin doan van
de stfc khoe cdng ddng (SKCD) Id cdc hoat ddng hidn
tai BSDK thtfc hien yeu nhd't
Bdng 3 Kit qud ddnh gid thuc hiin nhdm ndng life
7,8, vd 9 cua BSDK mdi ra trUdng
NL 7 Xi If thing nu ihkh h^p
7 1 Thue hitn ghi ch<p hfi so bfnh dn pho hop
7 2 Li/u ihlcfic hfi »tbfnh dn
7 3 Thyc hifn cSc hieu m5ii thong ke.bdo cao
7.4 Ap dung hcJp 1* cflng nghf Ihong tin
NLS Hiiu biii viy a hfi hpe vi cdc ngnyfit ly co
bdn ciia ylc cbng dng
8 ] Tham gia phjlng chong dich i a dap dich
8 2 Tham gia gidm >Jl > l Janh gia CSSKND
S3 PfafiihifnsdmsJxil'iridichbfnh
84 LSpkchoachvitfichircCSSK
85 LapkEhoachhdpliictdibaiing^oh
E 6 Phdt hifn v^ chin doin vfn ii SKCD
NL9 Thii at, dfo ditc trdch nhifm
9 I.Tuanihucdcqu;dinhif d^odilcBS
9 2 ThiTc hieo diing cic quy dmh phip luai
S
399
378
415
420
408
399
403
405
387
391
435
433
Mean(SD)
3M (JU)
3 69 (90)
3 fi) f 90)
3 61 (.94)
3 74 1941 3.14 (1 OA)
3 46 (1 02)
3 63(100)
3 SO I 99)
3.28 fl 04)
3 17 11 10)
3 28 (1 05) 4.12 (.85)
4 17 (.85)
4 1! ( 90)
Bang 4 trlnh bay kdt qua ddnh gid thtfc hien 3
nhdm ndng Itfc cdn lai cua BSDK Trong 3 nhdm
Bdng 4 Kit qud ddnh gid thifc hiin nhdm ndng life
10,11, vd 12 cua BSDK mdi ra trUdng
NLIB Ky tting ra quyfl t^nh
10.1 K^ ndng phbi Uch vd I9p lu^n lam sJng
10.2 llnh toin vd phifn gidi nhiing chi ^ T K
10 3 Tham gia nghifn cihi Lhoa hoc lao
NL 11 Vai Iri cua ngiOi bdc sj Irong HTYT
11 1 Hiiu bifi v£ hf Ihdng y te
11 2 NhSn ihilc vai Irfl ria bic sJ cia HTYT
11.3 Tliam gia hu^ng dSn va dao i^o cbo nhdn vifn
11.4 Chim sdc site khoe pbii hop vdi b ^ canh
NL 12 Hqc lip liin Ifu khSag ngOng
I2.L Tu•glic^ilh^I^ngIuyenhcJct$pIld^gcao
liinh dfl
N
406
393
433
432
423
424
434
Mean (SD) 3.02 (.92)
3 24 (92)
3 09 (95) 3.13(107) 3.47 (.S3)
3 S3 < 93t
3 64 (.92)
3 45 (97)
3 45 (.92) 4.04 (.881
4 04(881
nang Itfc 10, 11 va 12 nay, nhdm nang Itfc so' 10 ve
ky nang ra quyet dinh cd diem trung binh thdp nha^t
la 3.02 Kdt qua dinh Iinh cho thd'y "Cdc bdc sy mdi
ra trudng con rdt ngai dUa ra cdc quyit dinh, phdn Idn hg dai y kiin chi dao cda Idnh dao "
3.2 Nhffng ndng life quan trong nhdi
Tijf 3 nang Itfc quan trong nhl^t dd'i vdi BSDK
ma cdc nha quan Iy dtfdc yeu cau liet kd, nhdm nghien ciJu da td hdp ke't qua de xdc dinh dtfijc mdt
sd nang Itfc quan trong nhl't dd'i vdi bat kJ BSDK mdl tdt nghiep, dam bdo ydu cau cong vi^c dtfdc giao bao gdm NL 1 Cdc ky nang l i m sdng cd ban
NL 6 Giao tiep hidu qua, NL9 Thai dp, dao dtfc, trdch nhiem; va NL 12 HQC t a p lien tuc khdng ngtfng (Bieu dd l).Trong dd nang Itfc 1, ky nang
l i m sdng cd ban nhtf khdm chiTa benh dtfdc ddnh gid quan trong nhdt (37.5%)
StuiBSj.NL 1 CackyiiSiig
mm sang ca
-
GuotieD lufli qna 5 9
- •
• Serje?l,NL9
nluem 5 a
• SeiUEl NL
12 HQCtap ugrnig 5 2
• •
Hinh 1 Cdc ndng life quan trgng nhdt doi vdi BSDK mdi ra IrUdng
4 B ^ n l u a n Kd't qua nghien ctfu da chi ra dtfdc nhtfng ndng Itfc cu the ma BSDK thtfc hien td't va chtfa tdt Cu the Id cd 9 nhdm nang Itfc (NL) cua BSDK dtfdc cho
la thtfc hien tdt, trong dd cd 3 nhdm ndng Itfc !i§n quan de'n kham chtfa b^nh (KCB) N L l (ky nang lam sang cd ban); NL3 (su" dung ky thult hd trd dd
ch£n dodn benh); NL4 (quin \S benh nhin); vd 5
nhdm nang Itfc lien quan den ky nang chung Id NL5 ( n i n g cao stfc khoe va phdng benh); NL 6 (Giao tiep hi^u qua); NL7 (XiJ 1^ thdng tin thich h<ip); NLIO (Thai do dao diJc trdch nhidm ciia thay thud'c); N L I I (vai trd bdc sy trong HTYT); N L I 2 (hoc tap lien tuc)
C6 3 nhdm ndng Itfc dtfdc cho Id Ihtfc hi^n khdng td't, trong dd cd 1 nhdm nang Itfc Hen quan Tap chi Y t^ Cflng cdng, 4.2014, Srf 31 7
Trang 5den KCB Id NL2 (quy trinh ky thuat); va 2 nhdm
nang Itfc lidn quan deh ky nang chung Id NLS
(YTCC); NL 9 (ky nang ra quye't dinh)
Kd^t qua nghien ctfu cfing ttfdng ddng vdi mpt so
nghien ctfu trtfdc dd Bao cao chung tong quan
nganh y te'nam 2009 cho tha'y sdsinh vien tdt nghidp
hdng nam lang nhtfUg chat Itfdng cdn han c h e [ l ]
Bdo cao coa Jullio Frank (2010) vd doi mdi ddo tao
n h i n Itfc y te' cung kdt luan rang nang Itfc ciia cac
BSDK con yeu, khdng dap tJng nhu cau CSSK cua
c i nhan va quan the, ky nang Iam viec nhdm cdn
ydu, chtfa co cdi nbin todn didn vd cpng dong, cdn
chii trong qua nhieu vao khu vtfc benh vien, cbtfa
quan tdm nhieu den stfc khde cdng ddng[5]
Ke'l qua nghien ctfu cQng chi ra 4 nbdm nang Itfc
quan trong nhl't cbo BSDK theo quan didm cua
ngtfcfi sd dung nban Itfc y te bao gdm ky ndng Idm
sang cd ban, giao tie'p hieu qua, thdi dp va dao dtfc
trdch nhidm vd hoc t | p b e n tuc khdng ngifng Cac
bac sy da kboa dtfdc k5' vpng nhidu nbal la lam td't
cdng tac KCB, can phat khdm, chan dodn vd xu: tri
dtfdc cac benh thdng thtfdng BSDK cung can cd y
thtfc ttf hoc t^p vtfdn ldn thi mdi cd the nang cao
trinh dp trong ca thtfc te'va IJ thuyet de xd ly cdng
vide td't hdn Dao dtfc nghd nghidp cung Id ndng Itfc
quan trpng bdi la mdl bdc sy, hp can phai hidu va
thtfc hanh nhtfng nang Itfc lien quan ddn dao dtfc
nghd nghi?p (tudn thu quy dinh y dtfc, thtfc hdnb
diing quy dinh phdp lu^t trong linh vtfc KCB) Cudi
ciing, BSDK dtfdc k^ vpng la phai giao tie'p td't vdi
bdnh n h i n , ngtfdi nhd benh nhan va cpng ddng
Trong bdnh vien lam tdt ky nang giao tiep se giiip
ngtfdi bdnh an t i m , hdp tac trong didu tri Stf khdc
biet ve ty 1? gitfa 4 nhdm ndng itfc cho thd'y rling
nang Itfc ve KCB cd ban dtfdc danh gid la quan trgng nhl't ddi vdi BSDK Kdt qua ndy cung ttfdng dong vdi mpt nghien cdti tidn hanh trtfdc d l y danh gia ! 14 ndng Itfc ciia BSDK dtfdc tidn hanh tren 797 BSDK mdi td't nghi?p dtfdc thtfc bien Ket qua cho thl'y r i n g ndng Itfc thtfdng sii* dung nha't ciia cac bdc
sy d cdc wye'n la KCB cd ban va benh truyen
n h i l m Nang Itfc dtfdc cho la ifu tien nhieu nhat Id KCB cd ban, nhi khoa va benh tmyen nbiem Nang Itfc vd YTCC va cdc chuydn kboa sau khdc dtfdc cho
Id i t t f u i i e n h d n [ 4 ] Ngtfdi su" dung nang Itfc cho rang BSDK mdi
ra trtfdng c^n cd 4 nhom ndng Itfc quan trpng Id k^ nang lam sang cd ban, giao tidp hidu qua, thdi dp
va dao dtfc trdch nhiem vd hpc tap h e n tuc khdng ngtfng Cac chtfdng trinh dao tao hi^n tai nen dat trpng tdm ddo tao tfu tidn vdo cdc nhdm nang Itfc can thiet ndy cfing nhtf cd cdc bidn phdp d a m bao chat Itfdng dao lao tai cdc cd sd bang cdch thtfc hien chtfdng trinh kiem dinh chat Itfdng dao tao, cd theo ddi gidm sdi chat che dd sinh vidn cd du didu kien thtfchanh dam bao ndng Itfc c l n thid't sau khi tot nghiep
Ngbien ctfu da dtfa ra dtfdc n h i ^ g danh gid ban dau vd ihtfc trang ndng Itfc BSDK mdi td't nghidp va dtfa ra mdt sd dinh htfdng tfU tien cho cdc chtfdng trinh ddo lao BSDK bien tai Tuy nhien, nghien ctfu chi dtfdc tie'n hdnh trong khudn khd 10 tinh nghien ctfu cung nhtf bd cdng cu su" dung trong nghidn ctfu
ve nhdm nang Itfc chinh cdn chtfa dtfdc Viet hda hoan loan, chung la se can nhtfng nghien ctfu chuydn sau hdn de xdy dtfng cdc cdng cu ddnh gid nhdm nang Itfc chinh hodn thien hdn cung nhtf tien
hanh tren cd mau rpng hdn
Tai li#u tham khao
Tifng Vi^t
1 BO Y l^, Bio cio l^ng quan ogdnli Y tfi' nam 2009: Nh3n
IiTc y le
2 Chinh phli, Quyd't dinh 153/QD-TTg cila Thi nflJng Chinh
fAu \i vifc ph£ duyft "Quy ho^ch tong thi phfit tri^n hf
thd^ag y t^ Vift Nam giai do^n df'n nam 2010 vi tam nhin
den Dim 2020'
3 va Thi Hodng Lan, Biii Thi Thu Kk, Kim Bao Giang,
Nguy£n Kim Ha Tinh hinh tnin khai cdc chinh sich ting
ctfdng ntiSn lire y te cho cic vitng Icbo khin iai Vift Nam Tap chi Y hpc thirc hinh, s^ 1 (2013)
4 Hoat LN, Dung DV, and WRight EP, Practicing doctors' perceptions on new learning objectives for Vietnamese medical schools BMC Medical Educatioa, 2007.7(19)
5 JuUio Frenk*, Lincoln Chen*, Zulfi qar A Bhutta, Jordan Cohen, Nigel Crisp, Timothy Evans, et al Health professionals for a new century: IraDsformiDg education to strengthen health systems in an interdependent world The Lancet 2010;376:1923-58