Recommendations on the Standardized General Practice Residency Training Program in China Based on Reflections on the Survey Concerning COVID-19 Pandemic Containment among Chinese General Practitioners

doi:10.12114/j.issn.1007-9572.2020.00.452

Abstract

Abstract: The General Office of the National Health Commission of the People's Republic of China has called for community health centers（stations），township hospitals，and village clinics and other primary care institutions throughout the country to strengthen the efforts to contain the COVID-19 pandemic at primary level. General practitioners（GPs） in primary care play an irreplaceable role during fighting against COVID-19. However，they also encounter many difficulties. To explore and address these difficulties，the Chinese Medical Doctor Association conducted an open-ended questionnaire survey among 41 GPs from 10 regions，and the results revealed：the difficulties encountered by GPs in combating COVID-19 are mainly lack of sufficient knowledge of public health and infectious diseases；the groups are most susceptible to COVID-19 are healthcare workers combating the pandemic，vulnerable groups at high risk of COVID-19，and those with poor consciousness of COVID-19 prevention；the learning of courses of public health，infectious diseases and epidemiology in the GPs training program should be strengthened. In view of this，we put forward that the standardized general practice residency training program should highlight the aspects of dealing with public health emergencies，infectious disease prevention and treatment，and relevant health education as well as psychological counseling，to improve GPs' competencies.

Key words: General practitioners, Family physician, Standardized residency training, COVID-19

摘要： 为应对新型冠状病毒肺炎疫情，国家提出各地社区卫生服务中心（站）和乡镇卫生院、村卫生室要充分发挥在疫情防控中的“网底”作用。全科医生在基层发挥着无可替代的作用，同时也遇到了一些困难与问题。为此对全国10个省（自治区、直辖市）的41位全科医生进行开放式问卷调查，结果显示：此次疫情中，全科医生遇到的困难和问题主要是公共卫生、传染病学知识匮乏；此次疫情易感人群包括医疗防疫工作者、弱势高危群体和缺乏防范意识的人员；全科培训中应该强化公共卫生、传染病学、流行病学方面课程。为此建议全科专业住院医师规范化培训应强化突发公共卫生事件应对及处理、传染病防治、健康教育、心理疏导等相关内容培训，提高全科医生岗位胜任力。

关键词: 全科医生, 家庭医生, 住院医师规范化培训, 新型冠状病毒肺炎

CHEN Shuling1,WU Suwei,DU Xueping, et al. Recommendations on the Standardized General Practice Residency Training Program in China Based on Reflections on the Survey Concerning COVID-19 Pandemic Containment among Chinese General Practitioners　[J]. Chinese General Practice, 2020, 23(28): 3503-3507. DOI: 10.12114/j.issn.1007-9572.2020.00.452.
陈淑玲,吴苏伟,杜雪平等. 疫情下对全科专业住院医师规范化培训的思考与建议[J]. 中国全科医学, 2020, 23(28): 3503-3507. DOI: 10.12114/j.issn.1007-9572.2020.00.452.

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