Abstract: Background　In recent years，with the introduction of documents related to the training and incentive mechanism for general practitioners，the training of general practitioners is becoming more and more important.However，there is still a big gap between the construction level of general practitioner team and the need to deepen medical reform and build a healthy China.Therefore，a number of teachers and assessment teams with strong professional literacy and high level of ability should be trained.It is of great significance to train general practitioners with strong service skills.Objective　To explore the feasible mode to effectively improve training by adopting the multimedia teaching mode of "internet +"，and put forward suitable suggestions for standardized training of general medicine courses and teaching staff （including examiners） in Jiangsu province.Methods　A total of 226 trainees were selected to participate in the training of examiners for general practice skills assessment in Jiangsu Province from March to April 2018.They were trained by attending "internet + class，internet + score，internet + performance evaluation".Before and after the training，trainees evaluated the training effect （assessment process，assessment items and contents，assessment scoring standards，examiner's responsibilities and tasks，etc.） by themselves.Results　After training，the trainees' understanding of assessment process，assessment items and contents，assessment scoring standards，examiner's duties and tasks was higher than those before training （P<0.05）．Among the respondents，55 had previously served as general practice examiner and 158 had no such experience.After training，the trainees who had served as general practitioner before and who had not served as general practitioner before scored higher in understanding of assessment process，assessment items and contents，assessment scoring standards，examiner's duties and tasks （P<0.05）；before training，the trainees who had served as general practice examiners before scored higher on assessment process，assessment items and contents，assessment scoring standards，examiner's duties and tasks than those who had no experience.There was no significant difference in the scores of assessment process，assessment items and contents，assessment scoring standards，examiner's responsibilities and tasks between those who had served as examiners before and those who had not served as general practice examiners after training （P>0.05）．Conclusion　 The multimedia teaching mode of "internet +" has achieved the desired training effect during the training of examiners of general practice skills assessment.

Key words: Teacher training, General practice, Internet +, Educational measurement, Jiangsu Province

摘要： 背景　近年来，随着全科医生培养与使用激励机制相关文件的出台，全科医生的培养工作越来越重要。而我国全科医生队伍建设水平与深化医改、建设健康中国的需求还有较大差距，因此培养一批专业素养强、能力水平高的带教师资和考核队伍，对培养服务能力强的全科医生意义重大。目的　通过采取“互联网+”的多媒体教学模式，探索有效提高培训效果的可行性模式，为江苏省全科专业住院医师规范化培训、师资（含考官）培训提出可行性建议。方法　2018年3—4月选取2018年参加江苏省全科医学技能考核考官培训的学员共226名。对临床医生参加考官采用“互联网+班级、互联网+评分、互联网+效评”开展培训，并在培训前后采用学员自填形式对培训效果（考核流程、考核项目和内容、考核评分标准、考官职责和任务的了解程度）进行评价。结果　培训后学员对考核流程、考核项目和内容、考核评分标准、考官职责和任务的了解程度评分高于培训前（P<0.05）。在有应答的学员中55名既往担任过全科考官，158名既往未担任过全科考官。培训后既往担任过全科考官及既往未担任过全科考官学员对考核流程、考核项目和内容、考核评分标准、考官职责和任务的了解程度评分高于培训前（P<0.05）；培训前既往担任过全科考官学员对考核流程、考核项目和内容、考核评分标准、考官职责和任务的了解程度评分高于既往未担任过全科考官学员（P<0.05）；培训后既往担任过全科考官与既往未担任过全科考官学员对考核流程、考核项目和内容、考核评分标准、考官职责和任务的了解程度评分比较，差异均无统计学意义（P>0.05）。结论　“互联网+”的多媒体教学模式在全科技能考核考官培训中达到了较好的培训效果。

关键词: 师资培训, 全科医学, 互联网+, 教育考核, 江苏省