Investigation and analysis of standardized training for residents of general practitioners of Gansu Province in China.

Publisher: BioMed Central Country of Publication: England NLM ID: 100967792 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2296 (Electronic) Linking ISSN: 14712296 NLM ISO Abbreviation: BMC Fam Pract Subsets: MEDLINE

Original Publication: London : BioMed Central, [2000-2021]

Education*/methods ; Education*/standards ; General Practitioners*/education ; General Practitioners*/standards ; Internship and Residency*/methods ; Internship and Residency*/organization & administration; General Practice/*education; Adult ; China ; Clinical Competence ; Female ; Humans ; Male ; Needs Assessment ; Quality Improvement ; Reference Standards ; Surveys and Questionnaires

Background: China's standardized training for residents of General Practitioners (GPs) is aimed at providing the postgraduate training for family doctors who will serve the primary health care institutions. The aim of this paper is to investigate the standardized training situation, satisfaction with standardized training, work situation, intention, satisfaction and attitude of GPs who have finished standardized training.
Methods: This study was undertaken in 6 training hospitals in Gansu province using a questionnaire with 45 questions.
Results: Approximately 275 residents of GPs were enrolled. Finally, 263 residents completed the questionnaire (95.64% response rate), including 133 females (50.57%) and 130 males (49.43%) with an average age of 28 years (standard deviation, 1.93 years; range, 25-36 years). Additionally, 56.65% were single and 43.35% were married. Of all subjects, 92.40% residents had obtained certification of standardized training for residents of GPs and only 39.54% residents were satisfied with monthly income during training. There were 171 oriented rural medical graduates, of whom, only 42.69% expressed the willing to continue working in the primary health care institutions after the serve time (6 years) expired. Around 86.31% of residents of GPs who had finished standardized training got jobs with more than half serving in the primary health care institutions. For medical institutions and sanitary bureau were clear about general medicine policies, only 29.96% subjects registered as GPs. Among the residents in general practice department, 68.42% were engaged in the diagnosis and treatment of common disease and frequently-occurring diseases as well as referral of patients. The percentage of residents who were satisfied with the job and income were 30.40 and 14.98%, respectively.
Conclusion: Standardized training for residents of GPs in China is gradually improving. In order to cultivate more GPs and increase their willing to serve in the primary health care institutions, it is necessary to formulate and execute better policy of GPs, publize general medicine and improve the training quality.

Milbank Q. 2005;83(3):457-502. (PMID: 16202000)
JAMA Intern Med. 2019 Apr 1;179(4):506-514. (PMID: 30776056)
BMC Fam Pract. 2019 Sep 12;20(1):129. (PMID: 31514729)
Br J Gen Pract. 2019 May;69(682):222-223. (PMID: 31023668)
Postgrad Med. 2011 May;123(3):144-9. (PMID: 21566424)

17GSSY9-4 International Gansu Provincial Hospital

Keywords: China; General practitioners; Standardized training

Date Created: 20200621 Date Completed: 20210709 Latest Revision: 20231111

20231215

PMC7304171

10.1186/s12875-020-01185-y

32560693