Abstract: Objective　Based on the construction of the knowledge and skills system in general practice，this article aims to provide advice in this aspect for our country.Methods　By retrieving books related to the knowledge and skills of general practice at home and abroad from 2006 to 2016 in the Dayi Medical Search Database，and combined with the relevant training documents of general practitioners published recently in our country，the knowledge and skills system in general practice was constructed through the panel discussion and demonstration with a degree assessment of each content.The contents of the system were compared with the training syllabus in documents.Results　Finally，66（48 in Chinese and 18 in English） books were included.The system involved basic skills and knowledge of general practice，common symptoms，common diseases and relevant clinical skills.Compared with the current training documents of general practitioners，this system proposed to increase the basic knowledge of general practice of screening and chemical prevention，concept and clinical application of evidence-based medicine，future development of general practice，technical update in examination，and other common symptoms like upper limb pain，wrist pain，and ankle pain.It was recommended to increase diseases with rising incidence or visiting rate，such as lung abscess and bronchiectasis in the respiratory system，dyspepsia and inflammatory bowel diseases in the digestive system，obesity and osteoporosis in the endocrine system，somnipathy in the nervous system，visual disorders（refractive errors，amblyopia/strabismus） in the ophthalmology，domestic violence in psychiatry and so on.It was recommended to increase knowledge of palliative care and hospice care，and other knowledge of humanity.It was proposed to reduce the mastery of more specialized diseases，such as bone and joint infections and gestational trophoblastic disease.There is no increase or decrease about relevant clinical skills compared with contents of the training syllabus.Conclusion　The knowledge and skills system in general practice is relatively comprehensive，and it optimized and improved the knowledge and skills needed by general practitioners according to the training syllabus，which provides a reference for the compilation of relevant training books and documents for general practitioners in the future.

Key words: General practice, Knowledge, Skills

摘要： 目的　构建全科医学学科知识和技能体系，从而为我国的全科医学知识和技能体系建设提供建议。方法　检索大医医学搜索数据库中与全科医学知识和技能相关的中英文图书文献，检索时间为2006—2016年。结合我国近期发布的全科医师培养相关政策文件中的培训大纲，通过专题小组讨论和论证，构建全科医学知识和技能体系，并对各项具体内容进行重要性评分。最后，将全科医学知识和技能体系中的内容与培训大纲进行对比分析。结果　最终纳入合格图书66本（中文48本、英文18本）。构建的全科医学知识和技能体系包涵了全科医学相关基础知识、常见症状、主要疾病及临床相关技能。与培训大纲相比，该体系建议增加全科医学相关基础知识中的筛检及化学预防、循证医学理念及临床应用、全科医学未来发展、检查技术更新以及上肢疼痛、手腕痛、脚踝痛等常见症状；建议增加发病率/就诊率呈增长趋势的疾病，如呼吸系统中的肺脓肿、支气管扩张，消化系统中的消化不良、肠易激综合征，内分泌系统中的肥胖症、骨质疏松症，神经系统中的睡眠障碍，眼科中的视觉障碍（屈光不正、弱视/斜视），精神科中的家庭暴力等；建议增加姑息治疗与临终关怀等人文方面的知识；建议降低对专业性较强疾病的掌握程度，如骨与关节感染、妊娠滋养细胞疾病；相关临床技能，与大纲相比未有增减内容。结论　构建的全科医学知识与技能体系内容全面，在培训大纲的基础上对全科医生需掌握的知识和技能进行了优化和完善，可以为接下来的全科医生培养相关图书及文件的编写提供参考。

关键词: 全科医学, 知识, 技能