Abstract: Objective　To assess the status of general practitioners' learning needs for continuing education in common health problems seen in primary care，providing a reference for the development of policies related to continuing medical education（CME） in this population.Methods　In June 2017，from the 54 primary healthcare facilities in 13 regions of China（including 11 provinces，1 autonomous region and 1 municipality） sampled in the previous studies of our research group，670 licensed clinicians and clinician assistants were enrolled.They were surveyed with a questionnaire composed of personal characteristics，needed CME content（common diseases in primary care and preferred aspects for improvement）.The differences in the needed CME contents among the GPs were analyzed by single disease.And the differences in the needed CME contents of a single disease among the GPs were further explored by personal characteristics.Results　Of the top 10 common diseases in primary care，GPs reported that they mainly needed to learn knowledges about "drug therapy" and "risk identification" concerning hypertension and diabetes，"risk identification" "diagnosis and differential diagnosis" "drug therapy" and "emergency management" concerning coronary heart disease and stroke and other cerebrovascular disease，"drug therapy" for chronic obstructive pulmonary disease，"diagnosis and differential diagnosis" and "drug therapy" for gastritis，bronchitis，urinary tract infection，upper respiratory tract infection，and other inflammatory diseases，and "non-drug therapy" "diagnosis and differential diagnosis" and "Chinese medicine techniques" for lumbar disc herniation.The needed CME contents of single diseases，such as hypertension（top 1 common chronic disease in primary care） and upper respiratory tract infection（top 1 common acute disease in primary care），differed significantly among the GPs by region，type of medical institution，educational level and professional and technical title.Conclusion　For different common diseases，the needed CME contents among the GPs were significantly different.Moreover，for one specific disease，the needed CME contents changed according to personal characteristics.In view of this，the contents of CME for GPs are suggested to be targeted for achieving better outcome.

Key words: General practitioners；Education, medical, continuing；Educational content；Demands

摘要： 目的　了解全科医生对继续医学教育的内容需求，从而为完善全科医生继续医学教育相关政策提供参考。方法　以课题组前期调研为基础，于2017年6月在我国13个省（自治区、直辖市）54家基层医疗卫生机构中选取670例临床执业（助理）医师进行问卷调查。内容包括：全科医生的基本情况、继续医学教育内容需求（日常工作中的常见病及希望提升的方面）。分析全科医生对不同疾病的继续医学教育内容需求以及不同情况全科医生的需求差异。结果　在基层医疗卫生机构常见的前10种疾病中，全科医生对高血压、糖尿病的主要继续医学教育内容需求为“药物治疗”“危险情况识别”，对冠心病、脑卒中等心脑血管疾病的主要培训需求为“危险情况识别”“诊断与鉴别诊断”“药物治疗”“急诊急救”，对慢性阻塞性肺疾病的主要培训需求为“药物治疗”，对胃炎、支气管炎、泌尿系感染、上呼吸道感染等炎症类疾病的主要培训需求为“诊断与鉴别诊断”“药物治疗”，对腰椎间盘突出的主要培训需求为“非药物治疗”“诊断与鉴别诊断”“中医技术”。以高血压（常见慢性病第1位）和上呼吸道感染（常见急性病第1位）为例，不同地区、机构类别、文化程度及职称的全科医生，对继续医学教育内容的需求存在差异。结论　针对不同疾病，全科医生的继续医学教育内容需求不同；针对同一疾病，不同情况全科医生对继续医学教育的内容需求也有所不同。基层全科医生的继续医学教育内容需求差异化明显，应加强继续医学教育内容精准化，提高适用性。

关键词: 全科医生；教育, 医学, 继续；教育内容；需求