Abstract: Background　Rotation is an important component of the standardized training of general practitioners（STGP） in China.However，the rotation program is developed only according to the guidance of training syllabus rather than an overall management strategy.Objective　To improve the rotation program of the STGP in Shenzhen People's Hospital，increasing the competencies of trainees.Methods　All individuals（n=42） who participated in the STGP conducted by Department of General Practice，Shenzhen People's Hospital from 2015 to 2016 were enrolled.Their evaluations and suggestions on current rotation program were collected by group interview between January and February，2017.According to the interview results，a questionnaire was made and was used in a survey for collecting the trainees' satisfaction with and improvement suggestions for current rotation program in March 2017.Rotation program was improved by the General Practice Teaching and Research Group and the Teaching Department of Shenzhen People's Hospital，according to the results of group interview and questionnaire survey，and its effectiveness after improvement was evaluated by the trainees in January 2018 in another survey with the same questionnaire.Results　The rotation program was improved as follows：rotations to wards of Hematology and ICU Departments were canceled；increasing the outpatient teaching time in Endocrinology，Rheumatism and Immunology，Gynecology and Obstetrics Departments；the learning time in both Cardiovascular and Emergency Departments was increased to 3 months；learning in Department of General Practice for a month was added；rotations to 5 surgical departments（Hepatobiliary Surgery，Thyroid and Breast Surgery，Anorectal Surgery，Spinal Surgery，and Hand Microsurgery） were canceled，but the learning time in Gastrointestinal Surgery and Orthopedics Department was increased to a month.The improved program achieved a higher level of trainees' satisfaction （P<0.05）．Conclusion　When making a rotation program，clinical training bases are suggested to give priority to general practice，and the learning in general practice department should be highlighted.In addition，the learning time in different departments should be allocated rationally.

Key words: General practice；Education, medical；Standardized training of residents；Teaching plan

摘要： 背景　医院轮转是我国全科医师规范化培训（规培）的重要组成部分，但目前的医院轮转计划仅有培训大纲的指导，缺乏整体管理策略。目的　改进本院全科医师规范化培训的科室轮转计划，以提高学员的岗位胜任力。方法　以深圳市人民医院全科医学科2015—2016级全部规培学员为研究对象（n=42）。于2017年1—2月进行小组访谈，收集学员对现行轮转计划的评价与建议；结合小组访谈结果设置问卷，于2017年3月开展调查，主要内容为学员对现行轮转计划的满意度以及对科室改进计划（根据访谈结果制定）的意见。由全科医学教研组和医院教学科，根据小组访谈和问卷调查结果，协商改进轮转计划。于2018年1月采用同份问卷对学员开展追踪调查。结果　轮转计划的主要改进措施包括：取消血液内科、重症医学科的病房轮转；增加内分泌科、风湿免疫科、妇科、产科的门诊教学时间；将心血管内科、急诊科的轮转时间增加至3个月；增加全科医学科轮转1个月；对于外科类科室，取消肝胆外科、甲乳外科、肛肠外科、脊柱外科、手显微外科的轮转，将胃肠外科、骨关节科的轮转时间增加至1个月。改进轮转计划后，学员对轮转计划的满意度高于改进前（P<0.05）。结论　临床培训基地在制定轮转计划时，应注重教学内容的全科性质和教学时间的合理性，应强调全科医学科轮转的重要性。

关键词: 全科医学；教育, 医学；住院医师规范化培训；教学计划