Abstract: Background　General practitioners（GPs） are the backbone of basic health services and the "gatekeepers" of resident's health，so community outpatient training for GPs is very important. However，there is no unified procedure and standard for the training of GPs in China at present. It is necessary to explore effective and feasible teaching methods for GPs in community clinics. Objective　To explore the application effect of "Driving School VIP Training Model" and "Five，Three，One-step Transition Method" in the standardized training of GPs in community clinics. Methods　Taking the 42 trainees in the 2017 and 2018 "Wuhan Sino-US General Practice Residents Standardized Training Pilot Project" as the research objects，20 were trainees in the 2017 class with 11 males and nine females.All of them were fresh graduates of undergraduate courses，and all had no doctor's practicing license. There were 22 trainees in the 2018 class with 12 males and 10 females. Three of them had college degrees and doctor's practicing license，and the remaining 19 trainees were fresh graduates.the "Driving School VIP Training Model" and "Five，Three，One-step Transition Method" were used in the training. Questionnaire surveys were conducted one month after training in August 2017 and August 2018，and six months after training in December 2017 and December 2018. The questionnaire mainly included five aspects，time control，independent consultation，humanistic care，service concept of general practice，and satisfaction with community rotation. All five aspects were used 5-point scale and a training score≥3 was good. Statistical analysis of the results of the two surveys was conducted. Results　After six months of training，the proportion of trainees who scored ≥3 in time control，independent consultation，and humanistic care was higher than that after one month of training（P<0.05）. However，in terms of service concept of general practice and satisfaction with community rotation，the proportion of trainees who scored ≥3 was not statistically different from that after one month of training（P>0.05）. Conclusion　The application of "Driving School VIP Training Model" and "Five，Three，One-step Transition Method" in the standardized training of GPs in community clinics can improve trainee's ability in time control，independent consultation and humanistic care with good teaching effect.

Key words: General practitioners, Standardized training, Community clinic teaching, Questionnaires

摘要： 背景　全科医师是基本医疗卫生服务的骨干力量和居民健康的“守门人”，因此针对全科医师的社区门诊培训十分重要。但我国现阶段尚无全科医师社区培训的统一流程和标准，探索有效可行的社区门诊教学方法十分必要。目的　研究“驾校VIP培训模式”和“五、三、一步过渡法”在全科医师规范化培训社区门诊带教中的应用效果。方法　以“武汉中美全科住院医师规范化培训试点项目”2017级和2018级的42例学员为研究对象，其中2017级学员20例，男11例，女9例；全部为本科应届毕业生，均无执业医师资格证。2018级学员22例，男12例，女10例；3例为专科学历且有执业医师资格证，其余19例均为应届毕业生。对其采用“驾校VIP培训模式”和“五、三、一步过渡法”方法带教。分别于2017年8月、2018年8月（培训1个月后）和2017年12月和2018年12月（培训6个月后）开展问卷调查，主要包括时间控制、独立接诊、人文关怀、全科医疗的服务理念、对社区轮转的满意度5个方面，均采用5级评分，以≥3分为培训效果较好。对两期调查结果进行统计分析。结果　培训6个月后，时间控制、独立接诊、人文关怀方面得分的学员占比高于培训1个月后（P<0.05），但在全科医疗的服务理念、对社区轮转的满意度方面得分≥3分的学员占比与培训1个月后比较，差异无统计学意义（P>0.05）。结论　在全科医师规范化培训社区带教中应用“驾校VIP培训模式”和“五、三、一步过渡法”，可以提高学员在时间控制、独立接诊、人文关怀方面的能力，社区带教效果较好。

关键词: 全科医师, 规范化培训, 社区门诊带教, 调查问卷