Background: In China, the primary healthcare system has played a frontline role in the prevention and treatment of COVID-19 since the outbreak of the pandemic During the process, a series of problems have been exposed, such as general practitioners'(GPs') inadequate knowledge and insufficient practice of containing infectious diseases, suggesting that the research on the training mechanism of GPs in China should be further deepened Objective: To analyze the task of GPs after the completion of the national standardized general medicine residency training program, to provide a basis for further revision of the Contents and Standards of Standardized General Practice Residency Training Program(2019 Revised Edition) Methods: Participants were general residents who completed the national standardized general medicine residency training program with a certificate less than 3 years ago, and worked at institutions consisted mainly of township health centers, community health centers(stations) and the general practice department of general hospitals An email-based survey using a self-designed questionnaire was conducted among the participants to collect their demographic data, tasks, symptoms and diseases encountered during practice, and knowledge and skills required to complete the tasks Results: Among the respondents, the percentages of working at township health centers, urban community health centers, general hospitals, and other types of institutions were 42 3%(220/520), 36 2%(188/520), 20 4%(106/520), and 1 1%(6/520), respectively The percentages of working as GPs, GPs and public health physicians(whose practice tasks consist of equal parts of general practice and public health issues), public health physicians(whose practice tasks consist of mainly public health issues), and other types of roles were 63 4%(330/520), 20 4%(106/520), 8 1%(42/520), and 8 1%(42/520), respectively The top 3 tasks most frequently practiced were medical history collection, physical examination, and diagnosis and differential diagnosis In terms of the weight for practical application of theoretical knowledge included in the national standardized general medicine residency training program, the diagnosis and treatment of common chronic noncommunicable diseases, clinical thoughts targeting the health problems of served individuals or populations, and standardized management of common chronic noncommunicable diseases were top-ranked ones In terms of task weight in performance, the top-ranked 10 essential skills included in the national standardized general medicine residency training program are as follows: clinical examination and result analysis, wound dressing change and suture removal, operation of electrocardiograph, systematic physical examination, debridement and suture of small wound, standardized management of hypertension, standardized management of diabetes, chest X-ray interpretation, writing electrocardiographic diagnosis report, and health education The top-ranked symptoms and systematic diseases encountered by GPs in terms of frequency and importance were all commonly seen in clinical practice Conclusion: The Contents and Standards of Standardized General Practice Residency Training Program(2019 Revised Edition) is relatively matched with the actual work of residents, but it is also necessary to strengthen the training of theory and skills required by some practical tasks Furthermore, the outbreak of COVID-19 pandemic suggests the need to enhance theoretical and skills training of infectious diseases and public health Copyright © 2020 by the Chinese General Practice
Task-based Analysis of the Necessity of the Revision of the Contents and Standards of Standardized General Practice Residency Training Program(2019 Revised Edition)