关键词: 全科医生, 住院医师规范化培训, 深圳

Abstract: Background　General practitioners（GPs） are the "gatekeepers" of residents' health and the control of medical expenses. They are the main implementers and providers of community health services who play an important role in basic medical and health services. The quantity and quality of GPs directly determine the quality and effectiveness of health services in China. Objective　This study retrospectively analyzed the standardized GP training in Shenzhen during 2008 to 2014，and summarized the successful experiences and discovered existing problems，in order to provide a basis for improving the reform and innovation of the standardized GP training system. Methods　Through self-designed questionnaires，a retrospective survey was conducted from July to August，2018，on 638 GPs who participated in the standardized GP training and graduated from 2008 to 2014 in Shenzhen. The survey content included the basic information，factors affecting the participation in training，the degree of assistance to the actual work，the best way to train GPs，advantages and opportunities compared to GPs who did not participate in training，training satisfaction，and areas for improvement in the training. Results　A total of 638 questionnaires were distributed，and 523 valid questionnaires were recovered with an effective rate of 82.0%. The number of GPs participating in the standardized GP training in Shenzhen had increased year by year from 54 in 2008 to 131 in 2014. The proportion of respondents who were satisfied with the overall training situation was 46.8%（245/523）. Among them，five items whose satisfaction exceeded 50.0% were theoretical training（52.0%，272/523），faculty quality of theoretical courses（56.6%，296/523），faculty quality of clinical base teaching（52.0%，272/523），community practice teaching（51.4%，269/523），and faculty quality of community practice teaching（51.2%，268/523）. Compared with GPs who did not participate in the training，69.2%（362/523），57.2%（299/523） and 38.8%（203/523） of the respondents believed that their advantages were mainly in the diagnosis and treatment ability，learning ability and doctor-patient communication ability，respectively. The top three areas need to be improved in standardized GP training were the lack of independent practice opportunities，teaching ability，and the overall arrangement of rotation within departments. Conclusion　The quantity and quality of GPs participating in standardized GP training in Shenzhen have steadily increased with preliminary results. Optimizing the content of theoretical training courses，improving the training methods of clinical and community practice，strengthening the targeted training of teacher's ability，increasing the incentives for teaching，and strengthening the feedback of assessment results will help to further improve the quality of standardized GP training.

Key words: General practitioners, Standardized training for resident, Shenzhen