关键词: 临床医学, 全科医师规范化培训, 择业, 影响因素分析

Abstract: Objective　To examine the intention and associated factors of participating in the standardized general practitioner training （SGPT） among senior clinical medical students from Tongji University.Methods　From November to December 2016，we conducted a survey in a cluster sample of totaled 117 Chinese senior clinical medical students （13 foreign students were excluded） from Tongji University with a self-designed questionnaire for collecting the demographic data，understanding level of general medicine before and after learning Introduction to General Practice，benefits from learning Introduction to General Practice，intention of participating in the SGPT after graduation，and reasons for becoming a general practitioner or not after graduation.All of them （100.0%） responded to the survey positively.Results　The understanding level of general medicine improved significantly among the students after learning Introduction to General Practice （P<0.001）.The greatest benefit from learning Introduction to General Practice for 65.0% （76/117），33.3% （39/117），1.7% （2/117） of the participants was "understanding the difference between general and specialty medicine" "understanding the basic theory of general medicine" "changing the view of career selection"，respectively.During the learning of Introduction to General Practice，48.7% （57/117），37.6% （44/117），13.7% （16/117） of the students showed interest in "visiting community healthcare settings" "general practitioner's clinical thinking" "chronic disease management"，respectively.The proportion of students who were very willing，comparatively willing，fairly willing，very reluctant，to participate in the SGPT after graduation was 2.6% （3/117），15.4% （18/117），55.5% （65/117），26.5% （31/117），respectively.The intention of participating in the SGPT after graduation did not differ significantly by sex，hometown location，medicine as the first-choice major，and higher level of parents' educational attainment （P>0.05）.The top 3 reasons for becoming a general practitioner after graduation were" low working pressure " 〔91.5% （107/117）〕，"harmonious doctor-patient relationship in primary care" 〔90.6%（106/117）〕，"good pay-for-performance" 〔74.4% （87/117）〕．For not to be a general practitioner after graduation，the top 3 reasons were "comparatively low payment" 〔92.3% （108/117）〕，"poor hardware configuration in community healthcare settings" 〔90.6% （106/117）〕，and "the career of the general practitioner aiming at knowing all fields but mastering none" 〔87.2% （102/117）〕.Conclusion　The understanding level of general medicine was deepened through the learning of Introduction to General Practice and the students gained a lot during the process.However，only a small number of them were willing to receive the SGPT after graduation，and most of them had inadequate understanding of the career of general practitioner and primary care.In view of this，general medicine should be publicized further，and the importance of improving the general practice education for clinical medical undergraduates should be emphasized.

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