关键词: 全科医生；教育, 医学；规范化培训；现状评价；需求

Abstract: Background　China's general practitioner（GP） training system is confronted with weak foundation，large scale of construction，and insufficient qualified GPs for meeting people's needs of primary health care.Minhang District of Shanghai cooperates with universities to help establish a collaborative service system for medical education and research with the help of Minhang District Municipal Commission of Health and Family Planning to promote the training of GPs.Objective　To investigate supply- and demand-side perspectives on the general status and needed improvements of standardized training for GPs，to explore strategies for effectively improving the quality of such trainings.Methods　We conducted this survey from April 2016 to June 2016.Participants were recruited from two standardized training bases for GPs in Minhang District of Shanghai，including teachers and teaching managers（supply-siders for GP training），and individuals who were undergoing a GP training and those who had an experience of such training in the past（demand-siders for GP training）．We used a self-designed questionnaire in the survey，which consists of basic personal information，levels of awareness，general evaluation，and demands for improvements of the standardized training for GPs.Results　A total of 120 cases received the survey，and 112 of them（including 36 teachers，10 teaching managers，36 individuals who were undergoing the training and 30 who had been trained in the past） responded effectively，obtaining a response rate of 93.3%.The standardized GP training system was well understood/comparatively well known in 84.8%（39/46）of the suppliers and 69.7%（46/66）of the demanders for GP training，and it achieved a very/relatively high level of satisfaction in 80.5%（37/46）of the work units of the formers，but obtained a fair level of satisfaction/dissatisfaction in 56.0%（37/66）of the work units of the latters.Moreover，it was thought to be reasonable but was implemented inappropriately in 80.5%（37/46）of the suppliers，and obtained dissatisfaction in 40.9%（27/66） of the demanders.As regard to the capabilities of GPs that should be improved foremostly，GPs' diagnostic and therapeutic procedures were reported by 43.5%（20/46） of the suppliers，and GPs' clinical diagnostic and therapeutic abilities were reported by 28.3%（13/46） of the suppliers，and 40.9%（27/66）of the demanders.The work unit evaluation and individual evaluation of the standardized GP training system，capabilities of GPs that should be trained and improved foremostly，aspects with the highest priority in performance assessment of GPs，and the most essential abilities of teachers for training GPs showed significant differences among different groups of suppliers and demanders（P<0.05）．Conclusion　The standardized GP training system was not implemented appropriately，and it achieved a very low satisfaction from the demanders.As for aspects of trainings for GPs that should be improved，GPs' clinical practice abilities were highlighted by both suppliers and demanders.And lastly，subjective general evaluation and demands for improvements of standardized training for GPs differed obviously among different groups of suppliers and demanders.

Key words: General practitioners；Education, medical；Standardized training；Status evaluation；Demand