Volume 24 Issue 2
Feb.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(2): 262-266
HUA Ming, SHI Jianwei, SHEN Tianhan. Current status of clinical competency assessment and problem analysis of general practitioners in community health centers in Shanghai Jing'an district[J]. Chinese Journal of General Practice, 2026, 24(2): 262-266. doi: 10.16766/j.cnki.issn.1674-4152.004375
Citation: HUA Ming, SHI Jianwei, SHEN Tianhan. Current status of clinical competency assessment and problem analysis of general practitioners in community health centers in Shanghai Jing'an district[J]. Chinese Journal of General Practice, 2026, 24(2): 262-266. doi: 10.16766/j.cnki.issn.1674-4152.004375
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Current status of clinical competency assessment and problem analysis of general practitioners in community health centers in Shanghai Jing'an district

doi: 10.16766/j.cnki.issn.1674-4152.004375
  • 1.

    Health Service Management Center of Jingan District, Shanghai 200070, China

Funds:

 22692107200

 2023SQ01

  • Received Date: 2025-05-02
    Available Online: 2026-04-11
    Abstract
  •   Objective  To analyze the current status and identify weaknesses in clinical competence among community-based general practitioners (GPs) in Jing ' an District, Shanghai, through a comprehensive competency assessment, and to inform strategies for enhancing clinical continuing education and fostering sustainable improvements in GP clinical capabilities.  Methods  A total of 192 GPs from 15 community health centers in Jing ' an District were organized to participate in the clinical competency assessment (including clinical theoretical knowledge and clinical operational skills) from August and December 2023. Multiple linear regression was employed to identify factors influencing assessment scores.  Results  The overall mean score of the 192 GPs was 73.42±11.42 (pass rate: 86.46%), with theoretical knowledge scoring 68.77±15.53 (pass rate: 71.35%) and procedural skills 82.48±16.81 (pass rate: 98.96%). Regression analysis revealed that standardized training history (P < 0.001), access to teaching faculty (P < 0.001), and participation in rotational training (P=0.003) significantly influenced theoretical scores. Faculty availability independently affected radiograph interpretation scores (P=0.007). These three factors collectively impacted overall scores (P < 0.001 for training, P < 0.001 for faculty, P=0.025 for rotation).  Conclusion  Community-based GPs demonstrates suboptimal clinical competence, particularly in theoretical knowledge and electrocardiogram interpretation. Deficiencies are more pronounced among GPs lacking standardized training, teaching faculty support, or rotational experience. To address these gaps, future efforts should focus on optimizing postgraduate and continuing education curricula, establishing dynamic competency evaluation frameworks, strengthening standardized residency training programs, enhancing faculty development, and implementing structured job rotation systems. These measures aim to establish a scientifically sound and sustainable development system for enhancing the clinical competency of general practitioners, thereby collectively driving continuous improvement in their clinical capabilities.

     

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    • References(17)
  • [1]
    上海市人民政府办公厅. 《上海市人民政府办公厅关于印发 < 进一步提升本市社区卫生服务能力的实施方案>的通知》[EB/OL]. (2023-04-21)[2025-01-26]. https://www.shanghai.gov.cn/gwk/search/content/55a194b734f54655ba5fc3bc60982a5d.

    General Office of the Shanghai Municipal People ' s Government. "Notice of the General Office of the Shanghai Municipal People ' s Government on Issuing the Implementation Plan for Further Improving the Community Health Service Capacity in this Municipality"[EB/OL]. (2023-04-21)[2025-01-26]. https://www.shanghai.gov.cn/gwk/search/content/55a194b734f54655ba5fc3bc60982a5d.
    [2]
    宋徽江, 秦卫, 黄熙涯, 等. 上海市浦东新区社区全科医疗质量控制测评分析[J]. 中华全科医学, 2022, 20(5): 812-815. doi: 10.16766/j.cnki.issn.1674-4152.002461

    SONG H J, QIN W, HUANG X Y, et al. Analysis and evaluation of quality control of community general practice in Pudong New District, Shanghai[J]. Chinese Journal of General Practice, 2022, 20(5): 812-815. doi: 10.16766/j.cnki.issn.1674-4152.002461
    [3]
    奉典旭, 易春涛, 肖峰, 等. 2022年上海市医师协会全科医师分会年会主题报告(二)[J]. 中国全科医学, 2022, 25(32): 3999-4009.

    FENG D X, YI C T, XIAO F, et al. 2022 annual meeting of general practitioners association of Shanghai medical doctor association (Ⅱ)[J]. Chinese General Practice, 2022, 25(32): 3999-4009.
    [4]
    李瑞, 李健, 高彬彬. 阜阳市全科医生技能竞赛结果分析[J]. 医药前沿, 2024, 14(16): 141-143, 136.

    LI R, LI J, GAO B B. Analysis of the results of the full-time doctor skills competition in Fuyang City[J]. Medical Frontiers, 2024, 14(16): 141-143, 136.
    [5]
    吴超群, 邱艳, 马小霞, 等. 全科医学住院医师临床技能全国统考模拟考核成绩分析[J]. 全科医学临床与教育, 2024, 22(3): 253-255.

    WU C Q, QIU Y, MA X X, et al. Analysis on the results of the national clinical skills test for resident doctors in general practitioners[J]. Clinical Education of General Practice, 2024, 22(3): 253-255.
    [6]
    武宁, 党媛, 曾程, 等. 人才发展机制视角下我国基层全科医生岗位吸引力困境研究[J]. 中国全科医学, 2024, 27(1): 1-8.

    WU N, DANG Y, ZENG C, et al. The position attractiveness dilemma of primary general practitioners in China from the perspective of talent development mechanism[J]. Chinese General Practice, 2024, 27(1): 1-8.
    [7]
    武宁, 程明羕, 闫丽娜, 等. 中国全科医生培养发展报告(2018)[J]. 中国全科医学, 2018, 21(10): 1135-1142.

    WU N, CHENG M Y, YAN L N, et al. Training development report of GPs (2018)[J]. Chinese General Practice, 2018, 21(10): 1135-1142.
    [8]
    武静, 张强, 赵珩, 等. 某全科培训基地首批订单定向住院医师履职后的离职率及其分析[J]. 中国毕业后医学教育, 2024, 8(9): 708-711.

    WU J, ZHANG Q, ZHAO H, et al. Turnover rate after performing duties and its analysis in the first order-oriented resident trainees in a general training base[J]. Chinese Journal of Graduate Medical Education, 2024, 8(9): 708-711.
    [9]
    舒之群, 荆丽梅, 李明, 等. 上海市浦东新区规范化培训全科医生队伍现状及能力分析[J]. 中国全科医学, 2018, 21(28): 3508-3512.

    SHU Z Q, JING L M, LI M, et al. Demographic and professional analysis of the general practitioner workforce receiving "5+3 " model of standardized training in Shanghai ' s Pudong New Area[J]. Chinese General Practice, 2018, 21(28): 3508-3512.
    [10]
    张春阳, 曹天明, 许雅娜, 等. 社区医学教育对全科医学生综合能力培养的初探[J]. 中国医疗前沿, 2013, 8(21): 99-100.

    ZHANG C Y, CAO T M, XU Y N, et al. Preliminary of community medical education to general medical students ' comprehensive ability[J]. National Medical Frontiers of China, 2013, 8(21): 99-100.
    [11]
    田新民, 路琳, 杨欢. 英国、德国经验对上海完善全科医生体系的启示[J]. 科学发展, 2023(6): 104-112.

    TIAN X M, LU L, YANG H. Implications of British and German experiences for improving the general practitioner system in Shanghai[J]. Scientific Development, 2023(6): 104-112.
    [12]
    上海市静安区人民政府关于转发区卫生健康委《静安区社区卫生服务能力提升实施方案》的通知[J]. 上海市静安区人民政府公报, 2023(3): 9-23.

    Office of Jingan District People ' s Government. Notice on Forwarding the "Implementation Plan for Enhancing the Capacity of Community Health Services in Jing ' an District" by the Jing ' an Health Commission[J]. Gazette of the People ' s Government of Jing ' an District, Shanghai, 2023(3): 9-23.
    [13]
    金山区人民政府办公室. 关于印发《金山区社区卫生服务能力提升行动方案》的通知[J]. 上海市金山区人民政府公报, 2023(7): 25-39.

    Office of Jinshan District People ' s Government. Notice on the issuance of the "Action Plan for Improving Community Health Service Capacity in Jinshan District"[J]. Gazette of the People ' s Government of Jinshan District, Shanghai, 2023(7): 25-39.
    [14]
    上海市卫生健康委员会. 《关于进一步做好社区医生至上级医院进修工作的通知》[EB/OL]. (2024-06-28)[2025-01-26]. https://wsjkw.sh.gov.cn/jcws2/20240628/2bd73423652b495e978ac0bb4a1971d6.html.

    Shanghai Municipal Health Commission. Notice on Further Improving the Training Work for Community Doctors to Higher-level Hospitals[EB/OL]. (2024-06-28)[2025-01-26]. https://wsjkw.sh.gov.cn/jcws2/20240628/2bd73423652b495e978ac0bb4a1971d6.html.
    [15]
    徐仲卿, 施丹丹, 雍刚, 等. 社区管理层视角下的全科医生能力现状评价与培养需求调查[J]. 中华全科医师杂志, 2020, 19(6): 522-527.

    XU Z Q, SHI D D, YONG G, et al. Survey on competence and training needs of general practitioners from perspective of community health service institution managers[J]. Chinese Journal of General Practitioners, 2020, 19(6): 522-527.
    [16]
    上海市浦东新区上钢社区卫生服务中心. 上海市全科医生能力分级标准的研究[EB/OL]. (2020-09-02)[2025-01-26]. https://kns.cnki.net/kcms2/article/abstract?v=_RBvYn4HuMDhIcXCtwFXsylJ6-x1F5KMEWDTRZ186CVEn2PjEptwJAhuHiTHmsjhU44JfPc8DTAoldFBRDoHd-FiUwlUmozd0ubTga2OpQbjx7ZJvjTwCbGW1J2vnxgCq_lOTSoW-st7vbSLECCglEckgFNAQOvMbPhu4hfrWQ8OMka4qqMu-w==&uniplatform=NZKPT&language=CHS.

    Shanggang Community Health Service Center, Pudong New Area, Shanghai. Research on the Standard of Ability Grading for General Practitioners in Shanghai[EB/OL]. (2020-09-02)[2025-01-26]. https://kns.cnki.net/kcms2/article/abstract?v=_RBvYn4HuMDhIcXCtwFXsylJ6-x1F5KMEWDTRZ186CVEn2PjEptwJAhuHiTHmsjhU44JfPc8DTAoldFBRDoHd-FiUwlUmozd0ubTga2OpQbjx7ZJvjTwCbGW1J2vnxgCq_lOTSoW-st7vbSLECCglEckgFNAQOvMbPhu4hfrWQ8OMka4qqMu-w==&uniplatform=NZKPT&language=CHS
    [17]
    邓浩妍, 黄婷, 曹翼飞, 等. 服务能力与工作满意度对基层全科医生工作绩效的影响研究[J]. 中国卫生政策研究, 2024, 17(9): 44-50.

    DENG H Y, HUANG T, CAO Y F, et al. The impact of service capability and job satisfaction on the job performance of primary general practitioner[J]. Chinese Journal of Health Policy, 2024, 17(9): 44-50.
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