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

摘要： 背景　我国的全科医师培训面临着基础薄弱、建设规模大、基层医疗卫生服务需求难以满足等难题，上海市闵行区与高校合作，在政府部门的助力下，建立了医教研协同型服务体系，有利于全科医师培训质量的提升。目的　了解教学双方对全科医师规范化培训的评价与需求情况，以分析能有效提升全科医师培养水平的策略。方法　以上海市闵行区2家全科医师规范化培训基地的问卷有效回收的带教教师（n=36）和管理人员（n=10）为教学供方，以在培学员（n=36）和出站学员（n=30）为教学需方，于2016年4—6月采用自行设计的问卷进行调查，内容包括受试者的基本信息及其对全科医师规范化培训的认知、评价、需求情况。结果　共发放问卷120份，回收有效问卷112份（93.3%）。84.8%（39/46）的教学供方和69.7%（46/66）的教学需方对培训制度非常/比较了解。80.5%（37/46）的教学供方单位对培训制度感到非常/比较满意，56.0%（37/66）的教学需方单位对培训制度感到一般/不满意；80.5%（37/46）的教学供方个人认为培训制度合理但执行不到位，40.9%（27/66）的教学需方个人对目前的培训制度不满意。对于学员最需要提高的能力，43.5%（20/46）的教学供方认为是诊疗流程规范完备，28.3%（13/46）的教学供方和40.9%（27/66）的教学需方认为是临床诊疗能力。4类研究对象所在单位对培训制度的评价、个人对培训制度的评价以及认为学员最需要培养的能力、学员最需要提高的能力、考核最需要重视的方面、带教教师最需具备的能力比较，差异有统计学意义（P<0.05）。结论　全科医师规范化培训存在制度执行不到位的情况，教学需方对培训制度的满意度较低。教学双方的培训需求均侧重于临床实践能力，但不同角色教学供、需方对培训的评价与需求情况存在差异。

关键词: 全科医生；教育, 医学；规范化培训；现状评价；需求