To establish the index system of continuing medical education for rural order-oriented general practitioners is the key to cultivating "useful and developed" grassroots general practitioners.

To explore the construction of a set of scientific and systematic continuing education index system that meets the needs of rural order-oriented general practitioners, and to provide a basis for conducting continuing medical education for rural order-oriented general practitioners.

From January to March 2024, based on literature review and preliminary interview and questionnaire data collected from targeted general practitioners in Guizhou Province, a preliminary candidate indicator system was drafted by the project team. A two-round Delphi expert consultation method (12 experts, 5-point Likert scale, screening criteria: mean importance > 3.5 and coefficient of variation < 0.25) was used to screen and refine the indicators. Descriptive statistics were performed using SPSS 22.0, and the Analytic Hierarchy Process (AHP) was used to determine the weights of indicators at each level.

The response rates for both rounds of the consultation questionnaire were 91.67%. The expert authority coefficients for the two rounds were 0.950 and 0.923 (both > 0.700), indicating a high degree of expert authority. The coefficients of variation for each indicator ranged from 0 to 0.21, and Kendall's W coefficients of concordance were 0.167 (χ²=69.922, P<0.001) and 0.217 (χ²=95.322, P<0.001) respectively, showing a continuous improvement in the consistency of expert opinions. After adding, deleting, merging, and splitting indicators through two rounds of consultation, the final constructed indicator system included 4 primary indicators (basic medical services, public health services, professional qualities, career development), 12 secondary indicators, and 41 tertiary indicators. The weights of each primary indicator ranged from 0.131 0 to 0.390 4, with basic medical services having the highest weight (0.390 4). The weights of all secondary and tertiary indicators passed the consistency test.

The index system of continuing medical education constructed in this study is relatively scientific and systematic, which can provide theoretical basis for the continuing medical education of rural order-oriented general practitioners.

建立定向全科医生继续医学教育指标体系是培养"用得上、有发展"的基层全科医生的关键。

探索构建一套科学、系统的符合定向全科医生需求的继续教育指标体系，为开展定向全科医生继续医学教育提供依据。

于2024年1—3月，基于文献查阅及前期对贵州省定向全科医生的访谈和问卷调查数据，经课题小组讨论初步拟定候选指标体系，采用两轮德尔菲专家咨询法（12名专家，Likert 5级评分，筛选标准：重要性均数>3.5且变异系数<0.25）对指标进行筛选和完善，运用SPSS 22.0进行描述性统计，采用层次分析法确定各级指标权重。

两轮咨询问卷回收率均为91.67%；两轮专家权威系数分别为0.950和0.923（均>0.700），专家权威程度较高；各指标变异系数为0~0.21，Kendall's W协调系数分别为0.167（χ²=69.922，P<0.001）和0.217（χ²=95.322，P<0.001），专家意见协调性持续提升。经两轮咨询对指标进行增加、删除、合并和拆分后，最终构建的指标体系包括4个一级指标（基本医疗服务、公共卫生服务、职业素养、职业发展）、12个二级指标、41个三级指标；各一级指标权重为0.131 0~0.390 4，其中基本医疗服务权重最高（0.390 4），各二级、三级指标权重均通过一致性检验。

本研究构建的定向全科医生继续医学教育指标体系具有较好的科学性和系统性，可为开展定向全科医生继续医学教育提供理论依据。