Quan điểm của người sử dụng nhân lực y tế về thực trạng năng lực bác sỹ đa khoa mới tốt nghiệp

ITfKHIMtmHIiNClll

Quan 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 Thj T h u Ha', Kim 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 Ha', Kim 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

ã Ngiy DhgD bii: 2S.2.20U ã Ngiy phin biôn 11 3.2014 • Ngiy chinh sOa 19.3.2014 • Ngiy du'

ITfiNGQUAK&NGHIlNCirUI

Results 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 Dilu
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 412/2012.
2. Phtfrfng p h a p nghi#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 cac 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 hanh 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


I T A G QUANftNGHIEN c l u I

Ndng 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 phin 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 thu|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 tdcdng 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

\

Vleao (SD)

N

Mean (SDI

cabin

3,77 (.S61

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

420

377(86)

•hdng Ihuiing
KL 2, Cdc quy irlnh

3.1S ( M )

ky lbu4l

2 I Thttc bi^n <tifctc mpl %6 [bu I h u j i . k> IhuSt

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" diu.
"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 duquy 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
N
NL4. Quia^btnh nhaa

Mean (SD)
3J6(55)

4.]. Phit hi^n. xi ly v^ cSp ciia ihong tbirOng

401

3 73 1.93)

4.2. Chan do^n chuydn luy^n

410

3 64 (.89)

4.3. Bieu tn. chim idc bfnh nhan ngoi)i tni

397

3 57 {94)

4.4. Sil dung 5 hpc co miy^n cho dilu Hi

366

3.0£tl 15)

4 J Tlieo dBi quill IJ BN niSn linh

402

3.491108)

NLS. N&ng am sOc khoi ri phdng binh

3.46(1.01)

5 1 Hoai dSngdi/phang vaNCSK

415

3_'i3(102j

5 J . Til vao va Uwc hj^n TTCDSK

421

3 49 (.99)

£.1. (3iao uej] l^i vdi b^nh nhfin. ngirdi ohi

430

3 83 (.961

6 J GiHO ti^p loi vd] coDg d^ng

431

3 69 (.901

6 3. Ciaorifipt6i vdi dfing nghifp

432

3 75 (.91)

NL 6. Giao liep hifu qud

3£7 (.781

3B0

3 181.93)

380

3,43(951

6 4. SitdvDg phiARig tifn giao tifip cd ban

412

3'i0(.97)

} 1, ThJc h i l n mftl sSxH nghiem ddn gidn

38.1

3 6 2 ( 1 00)

6 5. Giao Q^p ifkt vdi cjc cd quan. to chile

424

329(1.05)

3.2 O i i dinh vit nhiin dmh K Q xtt nghiem

411

J 7 f 164)

6ti. C6ky nang so«nihaa viin t)an. biocdo

434

3 86(97)

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.

6

Siding

In/IhuflhSlrf

of

chdndoiin

3SA{33t

Tap chi Y t& Cdng c6ng, 4.2014, Sd 31


ITfiNfiQUJlNaNGKlUClUI

Bang 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
S

Mean(SD)
3M (JU)

NL 7. Xi If thing nu ihkh h^p
7 1 Thue hitn ghi ch

399

3 69 (90)

7 2 Li/u ihlcfic hfi »tbfnh dn

378

3fi)f 90)

7 3 Thyc hifn cSc hieu m5ii thong ke.bdo cao

415

3 61 (.94)

7.4 Ap dung hcJp 1* cflng nghf Ihong tin

420

NLS. Hiiu biii viy a hfi hpe vi cdc ngnyfit ly co
bdn ciia ylc cbng dng

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

3 74 1941
StuiBSj.NL 1
CackyiiSiig
mm sang ca

3.14 (1 OA)

8 ]. Tham gia phjlng chong dich i a dap dich

408

3 46 (1 02)

8 2 Tham gia gidm >Jl > l Janh gia CSSKND

399

3 63(100)

S3 PfafiihifnsdmsJxil'iridichbfnh

403

3 SO I 99)

84 LSpkchoachvitfichircCSSK

405

3.28 fl 04)

85 LapkEhoachhdpliictdibaiing^oh

387

3 17 11 10)

E 6 Phdt hifn v^ chin doin vfn ii SKCD

391

3 28 (1 05)

NL9. Thii at, dfo ditc. trdch nhifm

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 tap 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%).

•
GuotieD lufli
qna..5 9

Serje?l,NL9
Tliffi do. dao
nluem 5 a

•

SeiUEl NL
12 HQCtap
ugrnig 5 2

4.12 (.85)

9 I.Tuanihucdcqu;dinhif d^odilcBS

435

4 17 (.85)

9 2 ThiTc hieo diing cic quy dmh phip luai

433

4 1! ( 90)

Bang 4 trlnh bay kdt qua ddnh gid thtfc hien 3
nhdm ndng Itfc cdn lai cua BSDK. Trong 3 nhdm

-

--

-•

• •

Hinh 1. Cdc ndng life quan trgng nhdt doi vdi

BSDK mdi ra IrUdng
4. B ^ n l u a n

Bdng 4. Kit qud ddnh gid thifc hiin nhdm ndng life
10,11, vd 12 cua BSDK mdi ra trUdng
N
NLIB. Kyttingra quyfl t^nh

Mean (SD)
3.02 (.92)

10.1. K^ ndng phbi Uch vd I9p lu^n lam sJng

406

10.2 llnh toin vd phifn gidi nhiing chi ^ T K

393

3 09 (95)

10 3. Tham gia nghifn cihi Lhoa hoc lao

408

3.13(107)

11 1 Hiiu bifi v£ hf Ihdng y te

433

3 S3 < 93t

11 2 NhSn ihilc vai Irfl ria bic sJ cia HTYT

432

3 64 (.92)

423

3 45 (97)

424

3 45 (.92)

434

4 04(881

NL 11. Vai Iri cua ngiOi bdc sj Irong 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

3.47 (.S3)

NL 12. Hqc lip liin Ifu khSag ngOng
I2.L Tu•glic^ilh^I^ngIuyenhcJct$pIld^gcao

liinh dfl

3 24 (92)

4.04 (.881

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) NLl (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
(ning cao stfc khoe va phdng benh); NL 6 (Giao
tiep hi^u qua); NL7 (XiJ 1^ thdng tin thich hNLIO (Thai do dao diJc trdch nhidm ciia thay
thud'c); N L I I (vai trd bdc sy trong HTYT); NLI2
(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


ITflSQUANftNGHlEKCfUl

den 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
nhin 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 ben 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 tim, hdp tac trong didu tri. Stf khdc
biet ve ty 1? gitfa 4 nhdm ndng itfc cho thd'y rling

Tai li#u tham khao

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
nhilm. 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 ittfuiienhdn[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 dam 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.

ctfdng ntiSn lire y te cho cic vitng Icbo khin iai Vift Nam.
Tap chi Y hpc thirc hinh, s^ 1 (2013).

Tifng Vi^t
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den Dim 2020'.
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Tap chi Y td C6ng cflng, 4.2014, Srf 31

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Cohen, Nigel Crisp, Timothy Evans, et al. Health
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