Luo Faguang, Chen Mengyuan, Chen Yongba, Huang Huayan, Zhan Wenfeng, Chen Lian, Xu Dan, Lv Bo
Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, People's Republic of China.
Department of General Practice, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, People's Republic of China.
Adv Med Educ Pract. 2025 Jun 5;16:981-991. doi: 10.2147/AMEP.S510602. eCollection 2025.
The rising number of Chinese general practitioners is placing pressure on the Chinese Health Care system to ensure the quality of training for competent general practitioners (GPs) to meet the significantly increased clinical service demand. To achieve the internationally recognized training standard, this project is collaborating with the most advanced general practitioner training system in UK, which has excellent track record of innovative research for co-designing train-the-trainer program. This program aims to reflect on the effective implementation of innovative training models in the context of Chinese GPs training system, ultimately aiming to improve the trainers' capability in training the future Chinese general practitioners.
This study was a cross-sectional survey with an online questionnaire seeking feedback from the GP teachers and trainers who attended the train-the-trainer program featuring co-designed online and offline teaching.
All participants were general practitioners; average age 42.5±5.41 years, including 65% female, 65% consultant general practitioners, 60% general practitioners with PhD, average years of clinical practice being 17.7±6.96, average years of teaching being 6.0±1.41, average hours of teaching weekly being 2.1±0.85, and average number of residents trained being 39.6±51.87. "Webex project (online teaching)" received 70% approval among the participants as "Smart eLearning project (self-online learning and testing)" received 80%. The comparison analysis in demographic and baseline teaching experience between the teacher-dominated group and the student-dominated group found that there were no significant differences in age, gender, professional title, academic qualifications, years of employment, teaching experience, average weekly teaching hours, and the number of residents trained (>0.05). There was significant reduction in the use of "traditional theoretical teaching" after the training (<0.005).
The train-the-trainer pilot program has achieved significant outcomes. The changing of teaching philosophy from adult learning perspectives has been highlighted with the progression from a trainer-centered model to a trainee-centered model for training competent general practitioners.
中国全科医生数量的不断增加给中国医疗保健系统带来了压力，该系统需要确保为合格的全科医生提供高质量培训，以满足大幅增长的临床服务需求。为达到国际认可的培训标准，本项目正与英国最先进的全科医生培训系统合作，该系统在创新研究方面有着出色记录，用于共同设计培训培训师项目。该项目旨在反思创新培训模式在中国全科医生培训系统背景下的有效实施情况，最终目标是提高培训师培训未来中国全科医生的能力。
本研究是一项横断面调查，通过在线问卷收集参与共同设计的线上和线下教学的培训培训师项目的全科医生教师和培训师的反馈。
所有参与者均为全科医生；平均年龄42.5±5.41岁，其中65%为女性，65%为全科主治医师，60%拥有博士学位的全科医生，平均临床实践年限为17.7±6.96年，平均教学年限为6.0±1.41年，平均每周教学时长为2.1±0.85小时，平均培训住院医生数量为39.6±51.87名。“Webex项目（在线教学）”在参与者中获得70%的认可，“智能电子学习项目（自主在线学习和测试）”获得80%的认可。对教师主导组和学生主导组在人口统计学和基线教学经验方面的比较分析发现，两组在年龄、性别、职称、学历、工作年限、教学经验、平均每周教学时长以及培训住院医生数量方面均无显著差异（>0.05）。培训后，“传统理论教学”的使用显著减少（<0.005）。
培训培训师试点项目取得了显著成果。从成人学习角度来看，教学理念已发生转变，从以培训师为中心的模式转变为以学员为中心的模式，以培养合格的全科医生。
