Implication of Continuing Education Programs for General Practice in Australia to General Practice Development in Shenzhen，China

doi:10.12114/j.issn.1007-9572.2019.04.017

Abstract

Abstract: To ensure that residents have qualified healthcare "gatekeepers"，it is necessary to train excellent general practitioners（GPs）．And continuing medical education for GPs is an important measure for promoting the sustainable development of general practice workforce.After years of exploration，Australia has developed a relative mature system and an effective mode for general practice education.The studying of the advanced experience of Australia is conducive to the improvement of general practice education in China.We discussed the development of continuing education for general practice in Australia from the aspects of essentials of general practice education system，model of continuing medical education for GPs，and practices for continuing medical education programs for GPs in the country.Then，to solve the problems and overcome the barriers in general practice development in Shenzhen，we put forward some reasonable and feasible suggestions with referring to the advanced experience of Australia.

Key words: General practitioners；Continuing professional development；Learning；Education, medical, continuing；Australia

摘要： 培养优秀的全科医生是促进其发挥居民健康“守门人”作用的重要保障，全科医生持续职业发展是保证全科医学人力资源可持续发展的重要措施。澳大利亚全科医学教育经过多年的探索已基本形成了相对成熟和有效的体系及模式，探索其发展成果及经验，有利于促进我国全科医学教育的完善。本文主要围绕全科医学持续职业发展展开探究，从澳大利亚全科医学教育体系概况、全科医生持续职业教育发展的模型、澳大利亚持续职业教育具体做法方面进行了阐述，随后立足于我国深圳市发展现状，总结梳理其中现存的不足与发展阻碍，在此基础上，借鉴澳大利亚全科医学持续职业发展教育相关经验，提出可改善和促进引我国深圳市全科医学教育发展的、合理且可行的改进建议。

关键词: 全科医生；持续职业发展；学习；教育, 医学, 继续；澳大利亚

LI Zhanzong,JIANG Lili,YANG Hui. Implication of Continuing Education Programs for General Practice in Australia to General Practice Development in Shenzhen，China[J]. Chinese General Practice, 2019, 22(4): 451-456. DOI: 10.12114/j.issn.1007-9572.2019.04.017.
李展宗,江黎黎,杨辉. 澳大利亚全科医学持续职业发展教育项目及其对我国深圳市全科医学发展的启示[J]. 中国全科医学, 2019, 22(4): 451-456. DOI: 10.12114/j.issn.1007-9572.2019.04.017.

References

［1］深圳市人力资源和社会保障局，深圳市原卫生计生委，罗湖区人民政府.关于印发深圳市试点建立与分级诊疗相结合的医疗保险总额管理制度实施方案的通知［Z］．2016.
［2］方玉婷.中国全科医学教育、培训及其发展和挑战［J］.中国全科医学，2016，19（1）：78-81.DOI：10.3969/j.issn.1007-9572.2016.01.015.
FANG Y T.Perspectives on China's general medicine education, training, development and challenges［J］.Chinese General Practice，2016，19（1）：78-81.DOI：10.3969/j.issn.1007-9572.2016.01.015.
［3］PITERMAN L.亦教亦学：医学生可以让全科医生学到什么［J］．黄文静，杨辉，译.中国全科医学，2017，20（34）：4229-4231．DOI：10.3969/j.issn.1007-9572.2017.34.003.
PITERMAN L.What medcial students can teach GPs［J］．HUANG W J，YANG H，translators．Chinese General Practice，2017，20（34）：4229-4231．DOI：10.3969/j.issn.1007-9572.2017.34.003.
［4］魏登军，陈婷，黎夏，等．国内外全科医学发展比较与探讨［J］．中国社会医学杂志，2017，34（5）：432-434．DOI：10.3969/j.issn.1673-5625.2017.05.004.
WEI DJ，CHENF T，LI X，et al.Analysis of the development of the domestic and foreign general medicine［J］．Chinese Journal of Social Medicine，2017，34（5）：432-434．DOI：10.3969/j.issn.1673-5625.2017.05.004.
［5］高海英，袁媛，赵媛元，等．慕课教学在全科医学住院医师培训中的应用［J］．中国继续医学教育，2017，9（26）：5-7．DOI：10.3969/j.issn.1674-9308.2017.26.003.
GAO H Y，YUAN Y，ZHAO Y Y，et al.Application of MOOC teaching model in medical residents in general medicine［J］．China Continuing Medical Education，2017，9（26）：5-7．DOI：10.3969/j.issn.1674-9308.2017.26.003.
［6］王荣英，贺振银，赵稳稳，等．全科医学师资培训研究进展［J］．中国全科医学，2017，20（25）：3144-3148．DOI：10.3969/j.issn.1007-9572.2017.25.017.
WANG R Y，HE Z Y，ZHAO W W，et al．Research progress of teacher training in general practice［J］．Chinese General Practice，2017，20（25）：3144-3148．DOI：10.3969/j.issn.1007-9572.2017.25.017.
［7］陈昕，吴丹红，严晓蕾，等.澳大利亚和中国全科医师就业体系的比较和思考［J］.中国全科医学，2016，19（s1）：250-252.
CHEN X，WU D H，YAN X L，et al.Comparison of general practitioners employment system between Australian and China and thinking［J］.Chinese General Practice，2016，19（s1）：250-252.
［8］牛玉敬，胡亚平，黎莉，等．全科医学研究热点双向聚类计量分析［J］．中国全科医学，2016，19（36）：4428-4433.DOI：10.3969/j.issn.1007-9572.2016.36.y07.
NIU Y J，HU Y P，LI L，et al.Biclustering econometric analysis of research hotspots of general medicine［J］．Chinese General Practice，2016，19（36）：4428-4433．DOI：10.3969/j.issn.1007-9572.2016.36.y07.
［9］房志雄.澳大利亚健康管理一瞥：访首都医科大学全科医学与继续教育学院教授吴浩［J］．首都食品与医药，2016，23（5）：33-34.
FANG Z X.A look at Australian health management：interview with Professor WU Hao of the School of General Medicine and Continuing Education，Capital Medical University［J］．Capital Medicine，2016，23（5）：33-34.
［10］徐浩，赵妍，崔媛媛，等．我国全科医学教育面临的相关问题及对策［J］．医学争鸣，2016，7（5）：7-10．DOI：10.13276/j.issn.1674-8913.2016.05.003.
XU H，ZHAO Y，CUI YY，et al.The problems and countermeasures about general practice medical education in our country［J］．Negative，2016，7（5）：7-10．DOI：10.13276/j.issn.1674-8913.2016.05.003.
［11］RACGP.QI&CPD Program：2017—2019 triennium handbook for general practitioners［EB/OL］．［2018-12-22］．https：//www.racgp.org.au/education/professional-development/qi-cpd.
［12］戚麟，蔡博宇，邱松楠，等．全科医学人才培养中的临床岗位培训改良方向的思考［J］．全科医学临床与教育，2017，15（3）：241-244．DOI：10.13558/j.cnki.issn1672-3686.2017.03.001.

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