Development and implementation of a community-based integrated general-specialist teaching clinic model: enhancing competency pathways for community general practitioners through the "dual-contracting" program
10.3760/cma.j.cn114798-20250208-00089
- VernacularTitle:基于“双签约”的全专结合社区教学门诊模式提升社区全科医生综合能力的实践探索
- Author:
Zheng YE
1
;
Jianling SONG
;
Shuping ZHENG
;
Leiming GE
;
Jie WU
;
Jiaoyu LIU
;
Fulai SHEN
Author Information
1. 上海市普陀区长风街道长风社区卫生服务中心，上海 200062
- Publication Type:Journal Article
- Keywords:
Community health centers;
General practitioners;
Education;
Practice patterns;
Integration of general practice and speciality
- From:
Chinese Journal of General Practitioners
2025;24(9):1172-1176
- CountryChina
- Language:Chinese
-
Abstract:
Since 2017, Changfeng Community Health Service Center in Putuo District, Shanghai, has innovatively integrated the "Dual-Contracting" program by combining integrated general-specialist outpatient services with teaching clinics. This integration has progressively evolved into a comprehensive general practitioner (GP) training model. This model cultivates competencies encompassing: core service delivery, specialized disease diagnosis and treatment, complex case management, chronic disease management within specialties, teaching and mentoring skills, and capacities for self-reflection and continuous learning. It effectively bridges the training objectives and needs for GPs across both pre-service and in-service stages. Against the backdrop of senior medical experts being deployed to primary care settings, this model not only systematically enhances the professional competencies of community GPs but also optimizes medical resource utilization and elevates the overall quality of healthcare services.
