Abstract: Background　Based on the Healthy China Strategy currently implemented nationally，Shanghai has developed general practice vigorously. Since the introduction of Standardized General Practice Residency Training（SGPRT） in 2000，a large number of general practitioners have been trained for grassroots community medical institutions. How to further improve the quality of general practice residency training and strengthen the comprehensive ability of general practitioners on this basis has become a hot topic in current research of general practice. Objective　To learn about the effect evaluation from SGPRT graduates of the standardized training curriculum system and teaching ability of general practice teachers from general hospitals，so as to provide guidance and suggestions for the optimization of the teaching ability and standardized training curriculum in general hospitals. Methods　From March to May in 2019，a total of 40 general practitioners were selected as our investigation objects，who had successfully completed SGPRT in Shanghai since 2010 and currently work in different community health service centers in Shanghai. Face-to-face interviews and telephone interviews were conducted and the interviews included the evaluation of the teaching ability of general practice teachers，the clinical practice curriculum system and the improvement of their post competency，and their suggestions to optimize the training curriculum of SGPRT. Results　And 72.5%（29/40） of the interviewees were satisfied with the training courses taught by general practice teachers. The satisfactory teaching methods included outpatient consultation（85.0%，34/40），knowledge sharing in the morning meeting（75.0%，30/40），case study（65.0%，26/40）and so on. In terms of content，the most satisfied was the introduction of diagnosis and treatment process of common diseases after admission（82.5%, 33 /40） and the least satisfied was the lack of pertinence of general practitioners' teaching（72.5%, 29/40）. In terms of clinical practice curriculum system，there was an urgent need in strengthening the referral indications of hypertension and diabetes，management of chronic diseases，tertiary prevention，and management of complications. The most obvious improvement of post competency was the ability to solve specific clinical problems，while the least obvious one is the community-oriented service capability. Conclusion　Generally，the graduates are satisfied with the SGPRT in Shanghai. However，it could be further improved in the teaching of general practice teachers and the knowledge system and management of SGPRT based on the feedback of general practitioners，to further optimize the standardized training program of general practice，improve the quality of general practice training and better serve the community practice.

Key words: Standardized general practice residency training, Post competency, General practitioner, Education, Effect evaluation

摘要： 背景　基于当前国家实施健康中国战略，上海大力发展全科医学，自2000年开展全科住院医师规范化培训（规培）以来，为社区基层培养了大批的全科医生。在此基础上，如何进一步提升全科医学生规培质量，增强全科规培学员的综合能力，成为目前全科医学的研究热点。目的　了解全科规培毕业学员对综合性医院全科规培轮转师资带教和课程体系的评价，以期为优化全科师资带教和规培课程提供指导和参考。方法　2019年3—5月，以40例于2010年后在上海顺利完成全科规培，且目前工作在上海市各个社区卫生服务中心的全科医生作为调查对象。采用面对面、电话访谈等形式进行一对一访谈，访谈的内容包括全科毕业学员对全科带教师资、临床实践体系及全科医生岗位胜任力提升的评价，以及对优化全科轮转的建议。结果　全科学员对全科师资带教满意度为72.5%（29/40），满意度较高的教学方式包括门诊带教（85.0%，34/40）、早交班知识点分享（75.0%，30/40）、案例学习（65.0%，26/40）等；讲述内容方面最满意的是入科后常见疾病诊疗处理流程介绍（82.5%，33/40），最不满意的是全科医生带教缺少针对性（72.5%，29/40）。临床实践体系方面，在高血压和糖尿病的转诊指征、慢性病管理、三级预防及并发症处理方面亟需加强。岗位胜任力提升最明显的是解决具体临床问题的能力，最不明显的是社区为导向的服务能力。结论　整体而言，全科规培毕业学员对上海市全科规培体系满意度较高，但全科师资带教、知识体系及管理方面还可以根据全科学员的反馈进行针对性的改进和提高，以优化全科规培方案，提升全科规培质量，更好地服务于社区全科实践。

关键词: 住院医师规范化培训, 岗位胜任力, 全科医师, 教育, 效果评价