Survey on clinical skill application and training needs of community general practitioners in Shanghai Changning District
10.3760/cma.j.cn114798-20190924-00728
- VernacularTitle:上海市长宁区社区全科医生临床技能应用情况与培训需求的调查研究
- Author:
Danhuan ZHANG
1
;
Gang YONG
;
Xiaoyan DONG
;
Huan YANG
;
Kun TAO
;
Jun MA
;
Li JIANG
;
Jie CHI
;
Kan ZHANG
Author Information
1. 上海市同仁医院教学科 200336
- From:
Chinese Journal of General Practitioners
2020;19(6):528-531
- CountryChina
- Language:Chinese
-
Abstract:
A survey on clinical skill application and training needs of general practitioners (GPs) was conducted in the community health service centers of Shanghai Changning District from March to May 2019. The heads of the medical/prevention departments of 10 community health service centers (CHS) in Changning District were invited to evaluate the application frequency of clinical skills and training needs of GPs. According to Residency Training Standards for General Practitioners (trial), Training Standards for Assistant General Practitioners (trial), Training Program for General Practitioners in Primary Medical and Health Institutions (trial), 369 clinical skills for general practitioners were included for evaluation. The application frequency of above 369 clinical skills among 198 general practitioners were evaluated and training needs were also assessed. The overall application frequency score of GPs for 369 clinical skills was 1.00 (0.30, 1.70) points, and the training needs score was 1.40 (1.10, 1.70) points. The application frequency of different clinical skills was positively correlated with training needs ( r=0.462, P<0.01). And the four-quadrant analysis results show that among the 369 clinical practice skills, 116 (31.4%) items were used by GPs with high frequency and high training needs, and 80 (21.7%) items were used with low frequency but high training needs. There were 45 (12.2%) items with high application frequency but low training needs, and 128 (34.7%) items with low application frequency and low training needs. The survey indicates that the training of clinical skills listed in the three major training standards or outlines should be strengthened in continuing education for general practitioners, and the practice skills with high application frequency and high training needs should be focused in training program to improve the quality, effectiveness and efficiency of training.
