Indonesian physicians working in rural and remote areas must be equipped not only with generic competencies but also with the attributes and skills necessary to provide health care services without compromising quality. This study sought to reach a consensus on the attributes and competencies that are viewed as essential and important for working effectively as an early career doctor in rural and remote practice in Indonesia. A two-round Delphi study was conducted by reference to 27 consenting physicians working in rural and remote Indonesia. Forty-three items covering 9 attributes and 34 competencies were sent to these physicians to be rated on a Likert scale ranging from 1 to 5 in terms of their importance for effective rural and remote practice. Nine attributes and 29 competencies progressed to Round 2. All nine attributes and 29 competencies were identified as essential or important for junior physicians' ability to be effective in their practice. The essential attributes included professional quality related to prioritising the rural community. The essential competencies included medical skills, professional behaviour, interprofessional skills, health promotion and connection to the rural community. The consensus thus reached on these essential and important attributes and competencies can inform curriculum development for the undergraduate and postgraduate training of junior rural and remote physicians.

中文翻译：

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关于农村和偏远初级医生在偏远的印度尼西亚社区有效工作所需的属性和能力的专家共识。

在农村和偏远地区工作的印度尼西亚医生不仅必须具备通用能力，而且还必须具备在不影响质量的情况下提供医疗保健服务所需的素质和技能。这项研究旨在就印度尼西亚农村和偏远地区的早期职业医生有效工作所必需和重要的属性和能力达成共识。一项两轮 Delphi 研究参考了在印度尼西亚农村和偏远地区工作的 27 名同意的医生进行。涵盖 9 个属性和 34 项能力的 43 个项目被发送给这些医生，根据其对有效农村和偏远地区实践的重要性，按照 1 到 5 的李克特量表进行评分。9 项特质和 29 项能力进入第二轮。所有 9 项特质和 29 项能力都被认为对于初级医师有效执业的能力至关重要或重要。基本属性包括与优先考虑农村社区相关的专业素质。基本能力包括医疗技能、专业行为、跨专业技能、健康促进以及与农村社区的联系。由此就这些基本且重要的属性和能力达成的共识可以为初级农村和偏远医生的本科和研究生培训的课程开发提供信息。