《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2023, Vol. 29 ›› Issue (11): 1241-1248.doi: 10.3969/j.issn.1006-9771.2023.11.001

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Survey of rehabilitation competency of Chinese rehabilitation physicians using WHO rehabilitation competency framework

YANG Yanyan1, QIU Zhuoying2,3(), YU Boyang1, LIU Xiaoxie1, LIU Jingyu1, XIONG Kehui4, LÜ Minghan4, CHU Hongling1, ZHOU Mouwang1()   

  1. 1. Peking University 3rd Hospital/Beijing Municipal Center of Healthcare Quality Control and Improvement in Rehabilitation Medicine, Beijing 100191, China
    2. WHO-FICs CC in China, Beijing 100068, China
    3. University of Health and Rehabilitation Sciences, Qingdao, Shandong 266071, China
    4. National Health Commission Capacity Building and Continuing Education Center, Beijing 100088, China
  • Received:2023-09-26 Revised:2023-10-20 Published:2023-11-25 Online:2023-11-30
  • Contact: ZHOU Mouwang, E-mail: zhoumouwang@163.com;QIU Zhuoying, E-mail: qiutiger@hotmail.com
  • Supported by:
    Beijing 2022 Resident Physician Standardization Training Quality Improvement Project (Exploration Project);China Disabled Persons' Federation Research Project(22&ZZ2005)


Objective To investigate rehabilitation competence among trainers and trainees whom participated in the training program entitled National Training Program of Shortage Rehabilitation Physicians (NTPSRP) using World Health Organization rehabilitation competency framework (RCF).

Methods Based on RCF, a questionnaire was developed and administrated through network using Questionnaire Star. All the trainers and trainees who participated in NTPSRP were investigated in September, 2023.

Results A total of 911 subjects were collected from 27 provinces, including 426 trainers (teachers) and 485 trainees (students). The average age of the teachers was older, with more years of work experience and professional experience in rehabilitation medicine. The degree and professional title of the teachers was also higher. The overall internal consistency reliability of the questionnaire was good (Cronbach's α = 0.988), and all the internal consistency reliability in five fields was good (Cronbach's α > 0.9). The five dimensional structure of RCF in the results was consistent with the prior model established by RCF theory. The self-ratings of all physicians in the five fields were higher than the median level, and was higher in the teachers than in the students [(3.42±0.68) vs. (2.73±0.80), P < 0.001]. Gender and years of experience in rehabilitation medicine were independent factors for the total score of the questionnaire. The total self-rating of female students was 9.65 points lower than that of the male (95%CI 4.386 to 14.914); and one more year in rehabilitation medicine would increase 1.78 points in self-rating (95%CI 1.140 to 2.419).

Conclusion The structure and content of RCF can be used to evaluate the competence of rehabilitation physicians. The teachers and students of NTPSRP are eligible to RCF. RCF-based evaluation can be used to guide the development of continuing education courses for rehabilitation professionals.

Key words: rehabilitation physician, rehabilitation competency framework, continuing education, survey

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