Abstract: Background　 The satisfaction with community-based internship is a key indicator of the system for assessing the quality of general practice teaching in community-based settings. Timely and accurate assessment of the satisfaction is essential for understanding and improving the quality of community-based clinical teaching. Objective　To make and evaluate the reliability and validity of the Satisfaction with Community-based Internship in General Medicine Scale（CIGMS）， providing a quantitative tool for evaluating the quality of community-based clinical teaching. Methods　From September 2017 to September 2019，Cluster sampling method was adopted to select 475 clinical medical graduates（trained with the rural-oriented tuition-waived medical education program） admitted to Guangxi Medical University during 2010 to 2014 to attend a survey with a self-made questionnaire named CIGMS to carry out item，reliability and validity analyses of the CIGMS. Results　The Cronbach's α coefficient for the final scale was 0.974，and for its dimensions ranged from 0.849 to 0.941. The KMO index was 0.957，and Bartlett's test was also acceptable with P<0.001（χ2=8 480.538），indicating that the exploration factor analysis could be performed. The confirmatory factor analysis showed an acceptable fit with χ2/df=1.874，GFI=0.784，NFI=0.848，RMSEA=0.061，CFI=0.921，and IFI=0.922. The final CIGMS is consisted of 6 dimensions and 40 items，and the dimension-total correlation coefficients were 0.851，0.885，0.778，0.899，0.888 and 0.766，respectively（P<0.01）. Conclusion　The CIGMS has been proved to be reliable and valid，which can be used to evaluate the quality of community-based clinical teaching as a comprehensive and effective tool.

Key words: General practice；Education, medical；Satisfaction with Community-based Internship in General Medicine Scale；Empirical research；Reliability；Validity

摘要： 背景　社区实习满意度是全科医学社区实践基地实践教学质量评价指标体系中的重要指标之一，及时准确的满意度评估，对了解和提高社区实践教学质量有重要意义。目的　自制并评价社区实习满意度调查量表信度及效度，为评估社区实践教学质量提供量化工具。方法　于2017年9月—2019年9月，采取整群抽样的方式选取2010—2014级广西医科大学临床医学专业（订单定向培养）的475名毕业生，采用自制社区实习满意度调查量表进行调查，并对其进行项目分析、信度分析和效度分析。结果　最终量表的Cronbach's α系数为0.974，各维度的Cronbach's α系数介于0.849~0.941；KMO=0.957，Bartlett's球形检验χ2=8 480.538（P<0.001），表明适合进行探索性因子分析。对社区实习满意度调查量表进行验证性因子分析，结果显示χ2/df=1.874，拟合优度指数（GFI）为0.784，规范拟合指数（NFI）为0.848，近似误差均方根（RMSEA）为0.061，比较拟合优度指数（CFI）为0.921，增值拟合指数（IFI）为0.922，模型各项适配度指标良好。最终形成社区实习满意度调查量表（最终版）共6个维度40个条目，最终量表6个维度得分与量表总分的相关系数分别为0.851、0.885、0.778、0.899、0.888、0.766（P<0.01）。结论　社区实习满意度调查量表具有较好的信效度，可作为一种全面有效的社区实践教学质量评价工具。

关键词: 全科医学；教育, 医学；社区实习满意度调查量表；实证研究；信度；效度