Lian Siqing, Xia Yu, Zhang Jinzhi, Han Xiaoning, Chi Chunhua, Fetters Michael D
General Practice Department, Peking University First Hospital, Peking, Xicheng District, China.
General Practice Department, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.
Fam Med Community Health. 2019 Nov 24;7(4):e000238. doi: 10.1136/fmch-2019-000238. eCollection 2019.
To understand general practice (GP) residents' attitudes about their residency training in China.
Mixed methods survey administered cross-sectionally.
Two GP training programmes similar in most regards according to current GP training policy of 5 years' undergraduate degree in medicine and 3 years of postgraduate GP residency training-but differing as the Beijing programme has adopted educational innovations beyond the nationally prescribed standard curriculum used by the second Shenzhen programme.
105 (85%) of eligible GP trainees, 35 (90%) in the innovative Beijing programme and 70 (83%) in the standard training Shenzhen programme.
Overall, residents felt discrimination because of specialty choice, and that they lacked competency as a general practitioner. Many residents commented faculty had negative teaching attitudes. Beijing residents were more satisfied than Shenzhen residents with their training (p=0.001), and felt teaching faculty had sufficient knowledge (p<0.001), and appropriate attitudes towards teaching (p=0.004). Beijing residents more strongly agreed on five items about good future job prospects (all p<0.05).
These Chinese GP residents identify areas for improvement in their training as well as strengths. Higher satisfaction with faculty teaching and job optimism in Beijing where GP residents receive training from specifically qualified faculty, and can earn special certification, suggest that the educational innovations enhance training and promote positivity about job prospects. These findings imply that GP residents in China face many training challenges that are similar to other international reports, while also implicating benefits of using an innovative curricular approach.
了解中国全科医学（GP）住院医师对其住院医师培训的态度。
横断面混合方法调查。
根据当前的GP培训政策，两个GP培训项目在大多数方面相似，即5年医学本科学位和3年GP住院医师研究生培训，但有所不同，因为北京的项目采用了超出深圳第二个项目所使用的国家规定标准课程的教育创新。
105名（85%）符合条件的GP培训学员，其中35名（90%）来自创新的北京项目，70名（83%）来自标准培训的深圳项目。
总体而言，住院医师因专业选择而感到受到歧视，并且认为自己缺乏全科医生的能力。许多住院医师表示教员的教学态度消极。北京的住院医师对培训的满意度高于深圳的住院医师（p = 0.001），并且认为教员有足够的知识（p < 0.001），以及对教学有适当的态度（p = 0.004）。北京的住院医师在关于良好未来工作前景的五个项目上更强烈地表示认同（所有p < 0.05）。
这些中国GP住院医师指出了培训中需要改进的方面以及优势。在北京，GP住院医师接受来自特定合格教员的培训并可获得特殊认证，他们对教员教学的满意度更高且对工作更乐观，这表明教育创新提高了培训质量并提升了对工作前景的积极性。这些发现意味着中国的GP住院医师面临着许多与其他国际报告中类似的培训挑战，同时也暗示了采用创新课程方法的益处。
