Abstract: Background　General practitioners have diverse posts in community health service centers，but the existing training and evaluation system does not meet the competency requirements of community posts.And the existing research on post competency is difficult to play a practical role in selecting talents for specific posts in the organization because of insufficient subdivision of posts for general practitioners.Objective　To explore and analyze the competency indicators of general practitioners in communities，and to provide reference for the selection and training of general practitioners in institutions.Methods　From July to October 2018，the government websites such as the National Health Commission and the Shanghai Health Commission were searched from 2010 to 2018，in order to understand the responsibilities and requirements of general practitioners at the policy level.In 5 September 2008 and 29 October 2018，nine representatives of management，general practitioners and general practitioners in other posts from Malu Community Health Center were invited to participate in the group meeting to summarize the specific duties，responsibilities and the actual situation of general practitioners at the policy level by literature review.From July to October 2018，PubMed，Medline （Ovid），CNKI，Wanfang Data Knowledge Service Platform，and Chinese Biomedical Literature Database were searched for documents related to the comprehensive ability and competency of general practitioners.The retrieval time ranged from 2008 to 2018.In November 2018，five general practitioners in Jiading District of Shanghai were invited to participate in one-to-one in-depth interviews.The main contents of the interviews were as follows：What abilities，qualities or personalqualities should a general practitioner possess in order to do the work within the scope of his/her duties? Through analysis and induction，the competency indicators of family doctor posts were formed.Results　At present，the duties of family doctor posts in communities were mainly divided into two categories：business category and security category，among which business category could be subdivided into basic medical category，public health category and other category.The post competency of general practitioners was embodied in six aspects：basic medical service ability，public health service ability，humanistic professional ability，interpersonal communication ability，educational learning ability and comprehensive management ability.It specifically involved 14 competency evaluation indicators，including clinical theoretical knowledge，clinical diagnosis and treatment skills，comprehensive medical service ability，preventive service ability，information application ability，health supervision and cooperation，medical humanistic care，professional attitude and quality，communication ability，team cooperation ability，self learning ability，teaching and scientific research ability，resource utilization ability，and team management ability.Conclusion　The difference between post responsibility of general practitioners and the policy requirement lies mainly in the security responsibilities in practice，which is due to the need of the institution operation.Fourteen competency indicators of general practitioners' posts in six aspects indicate that community health service institutions need to select and train general practitioners from clinical，communication，management and other aspects.

Key words: General practitioners, Post responsibility, Competence, Indicator, Community health services

摘要： 背景　全科医生在社区卫生服务中心任职方向多样，而现有的培训和评估体系却未对接社区各岗位能力要求。且现有对岗位胜任力的研究，由于对全科医生岗位细分程度不足而难以在机构内特定岗位人才选拔发挥实用价值。目的　探讨分析社区全科医生岗位胜任力指标，为机构全科医生人才选拔和培养提供参考。方法　于2018年7—10月，以2010—2018年为搜索年限范围，对国家卫生健康委员会、上海卫生健康委员会等政府官网进行检索，了解政策层面对全科医生的职责要求。于2018-09-05和2018-10-29，邀请马陆镇社区卫生服务中心（以下简称“马陆社区卫生中心”）管理层代表、全科医生代表以及其他岗位全科医生9人参与小组会议，回顾文献在政策层面对全科医生职责要求，结合马陆社区卫生中心全科医生工作实际情况，总结全科医生岗位职责的具体表现。于2018年7—10月，计算机系统检索PubMed、Medline（Ovid）、中国知网、万方数据知识服务平台、中国生物医学文献数据库中与全科医生综合能力、胜任力研究有关的文献，检索时间范围为2008—2018年。于2018年11月，邀请上海市嘉定区5位荣获上海市十佳家庭医生提名奖荣誉称号的全科医生参与一对一的深度访谈，访谈主要内容为：要做好全科医生岗位职责范围内的各项工作，全科医生应具备什么样的能力、素质或个人品质？经分析归纳形成全科医生岗位的胜任力指标。结果　目前社区全科医生岗位的职责主要分为业务类和保障类两大类，其中业务类又可细分为基本医疗类、公共卫生类和其他类。全科医生岗位胜任力体现在基本医疗服务能力、公共卫生服务能力、人文执业能力、人际交往能力、教育学习能力、综合管理能力6个方面，具体涉及临床专业知识、临床诊疗技能、综合医疗服务能力、预防服务能力、信息应用能力、卫生监督协管、医学人文关怀、职业态度与素养、沟通交流能力、团队协作能力、自主学习能力、教学科研能力、资源利用能力、团队管理能力14项能力评价指标。结论　全科医生岗位职责实践与政策要求的差异主要在于实践中增加了保障类职责，这源于机构运营的需要；而6个方面14项全科医生岗位胜任力指标提示，社区卫生服务机构需要从临床、沟通、管理等多方面遴选和培养全科人才。

关键词: 全科医生, 岗位职责, 胜任力, 指标, 社区卫生服务