Abstract: The qualite and level of the Czech health-care system is a very current and often discussed topic. The Czech health-care system is considered to be the most advanced health system in the world, on the other hand the Czech health-care system is very often critized to be more "technological" and "scientifical" and the psychosocial aspects are neglected.
The social competencies of the doctors are expected, but enough attention is not payed to their definition, development and creation of conditions for their application. We need to change curriculum for pregradual and postgradual doctor's psychosocial preparation.
The research focuses on gynecological and obstetric specialization, where the need of psychosocial approach is seen as essential. The aim of paper is to define a social competence concept and based on empirical studies to create the social competency model, that will be essential for education based on competency for pregradual and postgradual doctors' preparation.
This model is compared with the models abroad. The empirical research was conducted in Prague maternity hospital.
The main methods are 3 focus groups for 6 doctors at different level of experience and 9 deep interviews with expectant mothers who had varying experiences with parturition: spontaneous parturition, planned caesarean section parturition, long-term hospitalization up to 4 weeks. The results of this research were processed by qualitative analysis - method of encoding and creating clusters.
The main outcome of the study is the social competency model of doctors-obstetricians, that is acceptable to doctors and corresponds to the needs and expectations of mothers. This model will be used as a basis for the social psychological curriculum for pre-graduate and postgraduate doctors' preparation.
Doctors have created a model that includes Expertise, Professionalism, Communication, Teaching and Learning, Selfmanagement and Stressmanagement, Teamwork and cooperation, Patient Care. The mothers highlight the doctors' ability to communicate and doctor's human approach.