ArticleBMJ open2020
Is training policy for general practitioners in China charting the right path forward? a mixed methods analysis.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Perceived faculty development needs and motivations of Chinese general practice trainers: a narrative review of the literature.BMC medical education · 2025Pooled it
- The effect of 3D printing integrated with problem-based learning on AGP training for thoracolumbar fractures: a randomised controlled trial.BMC medical education · 2025Trial
- Effect of integrated case-based and problem-based learning on clinical thinking skills of assistant general practitioner trainees: a randomized controlled trial.BMC medical education · 2025Trial
- Postgraduate General Practice Training Under Early Clinical Responsibility: A Narrative Review on System-Based Supervision and the Supportive Role of Artificial Intelligence.Healthcare (Basel, Switzerland) · 2026Review
- Article
- Application of the Theory-Clinical-Community Three-Stage Training Model in General Practitioner Cultivation: A Retrospective Cross-Sectional Survey of an in-Service Continuing Professional Development Program.Advances in medical education and practice · 2026Article
- Engagement of general practice preceptors in teaching residents in outpatient settings in China: a national cross-sectional study.BMC medical education · 2024Article
- Familiarity of teaching skills among general practitioners transfer training trainers in China: a cross-sectional survey.BMC medical education · 2023Article
- Current status of and future perspectives on care for cancer survivors in China.Global health & medicine · 2023Review
- Training needs and curriculum of continuing medical education among general practitioners in Tibet, China: A cross-sectional survey.Frontiers in public health · 2022Article
- Changes of Multisectoral Collaboration and Service Delivery in Hypertension Prevention and Control before and after the 2009 New Healthcare Reform in China: An Interrupted Time-Series Study.Journal of healthcare engineering · 2021Article
- Multimorbidity in Hospitalized Patients Admitted to General Practice Departments and Its Implications for the General Practice Healthcare System: A Four-Year Longitudinal Study in China.Frontiers in public health · 2021Article
- County-Level Integrated Healthcare Practice in China: A Kaiser Permanente-Inspired Approach.International journal of integrated careArticle
Corrections and comments
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Authors and funding
15 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSince 2010, the Chinese government has gradually increased its investment in the training of general practitioners (GPs) to support their role as 'gatekeepers' in the healthcare system. However, this training is still organised from the perspective of specialist care. We aimed to assess the appropriateness of the principal GP admission training programme curricula in China, including Residents Training for GPs (RTGP), Residents Training for Assistant GPs (RTAGP) and Training for Specialists with General Practice interest (TSGP).
settingThe study focussed on GP training programmes in Shanghai, China.
participantsData on disease competences developed in three GP clinical training programmes (RTGP, RTAGP and TSGP) were derived from official programme training manuals. Data on the proportion of outpatient visits for each disease were taken from the Shanghai community healthcare centres grassroots outpatient database. PRIMARY AND SECONDARY OUTCOME MEASURES: We first conducted a quantitative analysis by comparing the structure of current training curricula with actual outpatient utilisation patterns across all community healthcare institutions in Shanghai from 2014 to 2018. Qualitative analysis was then conducted to evaluate GP training programmes based on Donabedian's model.
resultsQuantitative analysis showed that the distribution of diseases for which competences were taught did not match the composition of outpatient visits in community healthcare institutions. Concerns identified through qualitative analysis included teachers who were mostly specialists, lack of equipment for differential diagnosis in community healthcare institutions, insufficient teaching of referral standards and GP training in large hospitals that consistently neglected communication skills.
conclusionsThe establishment and implementation of admission training programmes for GPs in China lacks a focus on general practice training and may be improved by adopting an evidence-based general perspective aligned with the medical needs of the community.
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