关键词: 全科医学, 临床工作能力, 数据库

Abstract: Background　Literature retrieval results show that there is no unified standardized clinical skills training and assessment system for newly graduated general practitioners （GPs），and in China，there are quite a lot of studies about standardized comprehensive abilities training and assessment for GPs.Therefore，it is of great significance to establish a GP clinical skills database to screen the core clinical skills of GPs.Objective　To establish a GP clinical skills database，providing a basis for the screening of the core clinical skills of GPs and offering a reference for clinical skills training for GPs in primary care facilities.Methods　GP clinical skills were pooled by literature review at first.During the review process，the skills of GPs in articles at home and abroad were compared to the clinical skills included in the 8th National Medical College Students' Clinical Skills Competition Scope（reference group）.Skills that were found to be the same as those in the reference group for twice or more times were kept as items in the database.Then the other skills were discussed and selected by voting by our research team members and were tested by a survey in a stratified cluster sample of 3 600 clinical professionals from 30 primary healthcare institutions in 5 areas of Sichuan Province（Liangshan Yi Autonomous Prefecture，Aba Tibetan and Qiang Autonomous Prefecture，Ganzi Tibetan Autonomous Prefecture，Chengdu City，and Nanchong City） during April to October 2017 with a self-developed questionnaire named Essential Clinical Skills of General Practitioners consisting of personal characteristics and the choice of clinical skills should be mastered by GPs.Altogether，3 231 cases returned responsive questionnaires，gaining a response rate of 89.75%.Results　Of the 137 clinical skills collected though literature review and choice voting，54 were found to be identical with 54 skills in the reference group for twice or more times，other 83 were tested by the questionnaire survey.According to the survey results，37 were included in the database，32 were excluded，and other 14 were indeterminate.Finally，a total of 105 skills were included in the database.Conclusion　Our GP clinical skills database has a wide coverage，good scientificity and practicability，which can be used as a reference tool for the standardized clinical skill training for GPs in primary care facilities.

Key words: General practice, Clinical competence, Database