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

摘要： 背景　文献检索发现目前尚缺乏单独适用于毕业后全科医生的全科技能标准化培训及考核体系的统一标准，国内相关研究主要是针对全科医生综合能力方向，为此建立全科医生临床技能数据库，挖掘全科医生临床核心技能显得尤为重要。目的　建立全科医生临床技能数据库，为进一步挖掘全科医生临床核心技能提供基础，同时为基层全科医生临床技能培训提供参考标准。方法　通过文献分析及项目研究小组讨论、投票，初步得出全科医生临床技能项目，再通过问卷调查法，拟定全科医生临床技能数据库框架。文献分析以《第八届全国高等医学院校大学生临床技能竞赛范围》为参考组，整合国内外技能培训要求，与参考组重复≥2次者保留，其余项目进行问卷调查。于2017年4—10月，采用分层整群抽样法在四川省凉山州、阿坝州、甘孜州、成都市、南充市共抽取30个基层医疗卫生机构的临床工作人员作为调查对象，采用自行设计的全科医生临床技能需求调查问卷进行调查，问卷内容包括被调查者的基本情况及全科医生是否应该掌握某项技能，共计发放问卷3 600份，回收有效问卷3 231份，有效回收率为89.75%。结果　通过文献分析、小组投票初步得出全科医生临床技能项目共计137项，其中与参考组重复≥2次者54项，其余项目83项。对该83项技能进行全科医生临床技能需求调查后纳入37项、排除32项、待定14项，共计初筛全科医生临床技能105项。结论　本研究初步建立了全科医生临床技能数据库，该数据库有较好的覆盖性、科学性、实用性，可作为基层全科医生技能标准化培训的参考。

关键词: 全科医学, 临床工作能力, 数据库