关键词: 全科医生, 转岗培训, 柯氏模型, 反应层评估, 横断面研究

Abstract: Background　To enrich the team of general practitioners（GPs） and promote the implementation of hierarchical diagnosis and treatment system，position transition training，which is the transitional training form for GPs，was launched nationwide in 2010.In 2017，the First Affiliated Hospital of Zhejiang University began to undertake some training tasks.Objective　By evaluating the effects of position transition training on GPs in the First Affiliated Hospital of Zhejiang University based on reaction level of Kirkpatrick model，we aim to gain a full understanding of subjective feelings of the trainees and to find problems in time，finally to provide a reference for the future training.Methods　Nine doctors who were trained from September 2017 to August 2018 in the First Affiliated Hospital，Zhejiang University were selected.In June 2018，a questionnaire link was sent to the trainees through the Wechat，and each trainee completed the questionnaire on the Internet.The questionnaire included the basic situation of the trainees，and the evaluation of the transition training base，self-improvement situation，and the current transition training methods.Results　Nine valid questionnaires were collected.For the evaluation of the theoretical training，8/9 of the trainees expressed "satisfied" or "very satisfied" with the number of class hours and the teaching level；7/9 of them were "satisfied" or "very satisfied" with the curriculum content.For the evaluation of the clinical training base，more than half of trainees were "satisfied" or "very satisfied" with the length of clinical training （7/9） and its contents（8/9），and all of them were "satisfied" or "very satisfied" with the quality of teaching.For the mastery of general practice theory，all of trainees thought their understanding of general medicine and doctor-patient communication ability had "moderate improvement" or "great improvement"；8/9 of them chose "moderate improvement" or "great improvement" for the appropriate technology in general practice.For the evaluation of the clinical comprehensive ability，8/9 of the trainees said that their ability of outpatient consultation had "moderate improvement" or "great improvement".For the evaluation of practical ability in general practice，all the trainees indicated that they had "moderate improvement" or "great improvement" in the diagnosis and treatment of common diseases and the teaching ability of general practice.All the trainees had participated in the teaching activities of general medicine in the First Affiliated Hospital of Zhejiang University，and thought that these teaching activities had improved their comprehensive ability 〔Outpatient consultation ability （9/9），self-study ability （9/9），teaching ability in outpatient clinic （8/9） et al〕.For the overall training effects，5/9 of trainees indicated "satisfied " and 4/9 of them were "very satisfied".For the “Aspects of the GP's position transition training system that need improvement”，7/9 of trainees suggested that the salaries of trainees should be reasonably increased；5/9 of them proposed that training methods should be more flexible and diverse，and meanwhile，they hoped to strengthen the training of clinical skills.And 5/9 of trainees had the contradiction between work and study.All the trainees expressed their willingness to register as GPs after the training，and 8/9 of them were willing to participate in the training that could strengthen GPs' ability in the future.Conclusion　The trainees generally have a good evaluation of the training and have improved their comprehensive ability through the training.But at the same time，we find some problems such as the difference in the requirements，lace of flexible training programs，the contradiction between work and study，and the weak organizational management et al．

Key words: General practitioner, Position transition training, Kirkpatrick model, Evaluation of reaction layer, Cross-sectional studies