Table 5

STPR competency index system and weights

Primary indicatorsSecondary indicatorsTertiary indicatorsWeights
1. Professional quality 0.31871.1 Professional ethics 0.15201.1.1 Abide by the laws and medical ethics principles0.0514
1.1.2 Focus on child, respect the child and their family members0.0514
1.1.3 Respect colleagues0.0492
1.2 Professionalism 0.07791.2.1 Responsibility and initiative in work0.0141
1.2.2 Dedicated spirit*0.0136
1.2.3 Ability to withstand pressure0.0131
1.2.4 Arrange time reasonably0.0124
1.2.5 Adequate mental and physical strength0.0124
1.2.6 Adapt to new environment quickly0.0123
1.3 Humanities 0.08881.3.1 Love the child, care for the children*0.0304
1.3.2 Have empathy and respect parents’ willingness0.0292
1.3.3 Cultivation of humanistic knowledge0.0292
2. Knowledge and skills 0.27342.1 Theoretical knowledge 0.08202.1.1 Comprehensive utilisation of knowledge reserves0.0413
2.1.2 Apply knowledge of physiology, pathology and pharmacology0.0407
2.2 Clinical skills 0.08212.2.1 Recognition of critical patients0.0028
2.2.2 Collect medical history0.0027
2.2.3 Physical examination0.0027
2.2.4 Standardised medical records0.0027
2.2.5 Prescribe a medical order (preliminary formulation/selection of treatment plan)†0.0027
2.2.6 Analysis of test results (blood, urine, stool routine)0.0027
2.2.7 Convulsive management0.0027
2.2.8 Cardiopulmonary resuscitation0.0027
2.2.9 Knowledge of rational medication (including antibiotics) and fluid rehydration0.0027
2.2.10 Master and use the aetiology, pathogenesis and clinical manifestations of common diseases0.0027
2.2.11 Diagnosis and differential diagnosis of common diseases†0.0027
2.2.12 Participate in ward rounds of superior doctors and record0.0027
2.2.13 Accurately select auxiliary inspection items0.0026
2.2.14 Explain illness (sign the informed consent)†0.0026
2.2.15 Emergency management (respiratory failure, intracranial hypertension, hypoglycaemia)0.0026
2.2.16 Bone marrow puncture0.0026
2.2.17 Lumbar puncture0.0026
2.2.18 Thoracic puncture0.0026
2.2.19 Master the prevention and treatment of common diseases0.0026
2.2.20 Evaluation of therapeutic effect0.0026
2.2.21 Treatment risk assessment0.0026
2.2.22 X-ray film interpretation0.0025
2.2.23 Analysis of other inspection results (screening of blood gas, blood biochemistry, electrolytes and poisons)0.0025
2.2.24 Abdominal puncture0.0025
2.2.25 Interpretation of CT results0.0024
2.2.26 Indwelling gastric tube and gastric intubation0.0024
2.2.27 Arteriovenous puncture0.0024
2.2.28 Arrange consultation and referral0.0024
2.2.29 Interpretation of blood smear‡0.0023
2.2.30 Endotracheal intubation0.0023
2.2.31 Independent practice (outpatient)‡0.0023
2.2.32 Interpretation of bone marrow slices‡0.0022
2.3 Clinical thinking and decision-making 0.10932.3.1 Observation of children’s condition changes0.0380
2.3.2 Accurately collect and use paediatric disease information*0.0369
2.3.3 Critical thinking for establishing diagnostic hypothesis and differential diagnosis0.0344
3. Communication and cooperation 0.19863.1 Doctor–patient communication 0.09933.1.1 Accurately understand and judge the condition and presentation of children0.0253
3.1.2 Fully explain the illness with parents, comfort their anxiousness and gain the trust†0.0250
3.1.3 Relieve children’s emotional resistance0.0247
3.1.4 Understand the types of children and their parents and communicate well with them0.0243
3.2 Teamwork 0.09933.2.1 Timely request superior guidance0.0254
3.2.2 Accurate handover of work and disease with colleagues0.0252
3.2.3 Good communication between colleagues and superiors0.0246
3.2.4 Reasonable arrangement of department resources (the main class is responsible for maintenance and arrangement of beds)0.0241
4. Lifelong learning 0.13024.1 Scientific research capabilities 0.03774.1.1 Ability to consult and use literature0.0082
4.1.2 Establish scientific research thinking and critical thinking0.0079
4.1.3 Writing papers0.0077
4.1.4 Participate in scientific research projects0.0073
4.1.5 Participate in clinical drug trials and clinical trials related to special professions‡0.0066
4.2 Exchange study 0.04984.2.1 Participate in case discussions, lectures and teaching rounds0.0171
4.2.2 Display and share learning achievements0.0168
4.2.3 Participate in exchange and learning between domestic and foreign institutions0.0159
4.3 Continuing education 0.04274.3.1 Participate in clinical skills training0.0144
4.3.2 Learn new knowledge0.0142
4.3.3 Participate in academic conferences, lectures and so on†0.0141
5. Teaching ability 0.07915.1 Clinical teaching 0.05205.1.1 Teaching interns0.0263
5.1.2 Assist attending physician in teaching†0.0257
5.2 Medical science 0.01495.2.1 Educate children and their families about disease knowledge to prevent and treat diseases0.0076
5.2.2 Provide the public with certain health education and children healthcare knowledge†0.0073
5.3 Cross-professional education 0.01225.3.1 Provide information to or conduct training of other health practitioners (eg, other specialist physicians, nurses, pharmacists and other auxiliary personnel)‡0.0122
  • *For the new indicators after the first round of expert consultation.

  • †For the merged indicators after the first round of expert consultation.

  • ‡For the indicators that do not conform to the boundary value range in the second round of expert consultation but are kept as recommended by experts.

  • STPR, standardised training of paediatric resident.