Do physicians’ professional
competencies change during the
career? 
- A Finnish national survey 

Topi Litmanen M.Ed  Kris...
Competency areas
CanMeds. Canada
   The Accreditation Council for     The European Federation of
                   Gradua...
Goals of the present study
1.  What competence areas can be found in
    Finnish physicians self-evaluations of skills
   ...
Method
•  An annual questionnaire was mailed by
   the Finnish Medical Association to all
   18.918 physicians who were li...
Questionnaire
       How much do you need following areas in your work
                     assignments? (1=Not at all – 7...
Factor analysis
                                                  Medical
                            Management skills
  ...
Questionnaire
       How much do you need following areas in your work
                     assignments? (1=Not at all – 7...
Medical knowledge
                        99% cl. of mean
Z-score
Interpersonal skills
                          99% cl. of mean
Z-score
Management skills
                        99% cl. of mean
Z-score
Medical Skills
                       99% cl. of mean
Z-score
Interpersonal skills
                                                  99% cl. of mean


           Interpersonal skills
Z...
Management skills
                        99% cl. of mean
Z-score
Conclusions
Silber, 
       Verhulst et al.     Arnold et al.    Brasel et al.        Medical
Acad.Med.       J.Med.Educ. ...
Conclusions
•  The perceived need for competencies
  –  vary between specialities
  –  change along with career
  –  reflec...
Thank you for your attention!
•  Research group:
  –  Topi Litmanen, Pro Medico
  –  Kristiina Patja, Pro Medico
  –  Hann...
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Do physicians' professional competencies change during the career?

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Transcript of "Do physicians' professional competencies change during the career?"

  1. 1. Do physicians’ professional competencies change during the career? - A Finnish national survey Topi Litmanen M.Ed Kristiina Patja MD PhD The Association for Continuous Professional Medical Development in Finland topi.litmanen@promedico.fi
  2. 2. Competency areas CanMeds. Canada The Accreditation Council for The European Federation of Graduate Medical Education. Internal Medicine (EFIM). Europe (ACGME) USA Medical Expert Medical Knowledge Medical knowledge Practice-based Learning and Academic activities — education Scholar Improvement and research Interpersonal and Communication Communicator. Communication skills Skills Collaborator Professionalism. ethical. and legal Professional Professionalism issues Organizational planning and Manager Systems-based Practice service management skills Health advocate Patient Care Patient Care
  3. 3. Goals of the present study 1.  What competence areas can be found in Finnish physicians self-evaluations of skills they need in their work? 2.  How self-perceived competencies differ between different specialities and age
  4. 4. Method •  An annual questionnaire was mailed by the Finnish Medical Association to all 18.918 physicians who were licensed in Finland in year 2009. •  Response rate 63 %; N=11 959
  5. 5. Questionnaire How much do you need following areas in your work assignments? (1=Not at all – 7=Very much) CanMeds. Canada Medical knowledge Managing information Medical Expert Acquiring new knowledge Scholar Interpersonal skills Communicator. Collaboration Professionalism (deleted) Collaborator Managing one’s own work Professional Managing work processes Manager Computer skills Economical skills Health advocate Health advocacy
  6. 6. Factor analysis Medical Management skills knowledge Interpersonal skills Communality 0.80 0.23 0.74 Managing work processes 0.59 0.29 0.30 0.52 Managing one’s own work 0.51 0.28 Economical skills 0.46 0.38 0.38 Computer skills 0.36 0.70 0.21 0.66 Managing information 0.21 0.67 0.52 Acquiring new knowledge 0.52 0.20 0.32 Medical knowledge 0.22 0.95 0.98 Interpersonal skills 0.32 0.30 0.68 0.65 Collaboration 0.30 0.26 0.36 0.29 Health advocacy Eigenvalue 4.6 1.2 1 % of variance 42 11 10
  7. 7. Questionnaire How much do you need following areas in your work assignments? (1=Not at all – 7=Very much) CanMeds. Canada Medical knowledge Medical Managing information Medical Expert knowledge Acquiring new knowledge α=.71 Scholar Interpersonal skills Communicator. Collaboration Interpersonal Professionalism (deleted) skills Collaborator Managing one’s own work α=.72 Professional Managing work processes Manager Computer skills Management Economical skills skills Health advocate Health advocacy α=.73
  8. 8. Medical knowledge 99% cl. of mean Z-score
  9. 9. Interpersonal skills 99% cl. of mean Z-score
  10. 10. Management skills 99% cl. of mean Z-score
  11. 11. Medical Skills 99% cl. of mean Z-score
  12. 12. Interpersonal skills 99% cl. of mean Interpersonal skills Z-score
  13. 13. Management skills 99% cl. of mean Z-score
  14. 14. Conclusions Silber, Verhulst et al. Arnold et al. Brasel et al. Medical Acad.Med. J.Med.Educ. J.Med.Educ. Am.J.Surg. knowledge 2004/79 1986/61 1984/59 2004/188 α=.71 Medical Clinical skills Clinical Medical knowledge knowledge knowledge Interpersonal Patient data Patient care skills gathering α=.72 Interpersonal interpersional Interpersonal skill skills skills. Management Professional Professionalism skills behaviour α=.73
  15. 15. Conclusions •  The perceived need for competencies –  vary between specialities –  change along with career –  reflect the physicians’ position and working environment •  Number of competency areas –  Comprehensiveness vs. Practicality
  16. 16. Thank you for your attention! •  Research group: –  Topi Litmanen, Pro Medico –  Kristiina Patja, Pro Medico –  Hannu Halila, Finnish Medical Association –  Juho Ruskoaho, Finnish Medical Association –  Jukka Vänskä, Finnish Medical Association

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