Objective To investigate the current status of humanistic care competency among standardized residency training (SRT) physicians and refresher doctor in prenatal ultrasound and to identify its associated influencing factors. Methods Physicians and visiting physicians undergoing prenatal ultrasound SRT and refresher doctor at our institution between January 2022 and December 2025 were enrolled. Data were collected via a structured self-administered questionnaire. Univariate analysis and multiple linear regression were applied to identify factors independently associated with humanistic care competency. Multivariable models were adjusted for major confounders including baseline empathy, workload, and previous communication training. Results A total of 160 participants were included in the final analysis. The mean total Caring Ability Inventory (CAI) score was 189.66 ± 20.56, with the Understanding (U) dimension yielding the highest mean subscale score (74.54 ± 10.31). CAI scores differed significantly according to the frequency of humanities-related training received during schooling and the frequency of active self-directed learning of humanistic care knowledge (both p 0.05). The mean Family APGAR, Perceived Social Support Scale (PSSS), and Jefferson Scale of Empathy–Health Professionals (JSE-HP) scores were 7.54 ± 1.21, 53.98 ± 10.68, and 90.88 ± 13.97, respectively. Spearman correlation analysis revealed that frequent active self-directed learning of humanistic care knowledge, receiving ≥3 sessions of humanities-related training during schooling, and higher JSE-HP, APGAR, and PSSS scores were all positively correlated with total CAI score and each dimension score (all p 0.05). Multiple linear regression confirmed these five variables as independent positive predictors of humanistic care competency (all p 0.05). Conclusion The mean total CAI score among prenatal ultrasound SRT and refresher doctor physicians and visiting physicians at our institution was 189.66 ± 20.56. Frequent active self-directed learning of humanistic care knowledge, receiving ≥3 sessions of humanities-related training during schooling, and higher JSE-HP, APGAR, and PSSS scores were identified as positive predictors of humanistic care competency. Strengthening targeted training programs and providing systematic guidance are recommended to enhance humanistic care competency among SRT and refresher doctor physicians.
徐丽 et al. (2026) studied this question.