中国全科医学2018，Vol.21Issue(19)：2269-2276,8.DOI:10.12114/j.issn.1007-9572.2018.19.001
全科医学学科知识和技能体系研究
The Knowledge and Skills System in General Practice
摘要
Abstract
Objective Based on the construction of the knowledge and skills system in general practice,this article aims to provide advice in this aspect for our country.Methods By retrieving books related to the knowledge and skills of general practice at home and abroad from 2006 to 2016 in the Dayi Medical Search Database,and combined with the relevant training documents of general practitioners published recently in our country,the knowledge and skills system in general practice was constructed through the panel discussion and demonstration with a degree assessment of each content.The contents of the system were compared with the training syllabus in documents.Results Finally,66(48 in Chinese and 18 in English) books were included.The system involved basic skills and knowledge of general practice,common symptoms,common diseases and relevant clinical skills.Compared with the current training documents of general practitioners,this system proposed to increase the basic knowledge of general practice of screening and chemical prevention,concept and clinical application of evidence-based medicine,future development of general practice,technical update in examination,and other common symptoms like upper limb pain,wrist pain,and ankle pain.It was recommended to increase diseases with rising incidence or visiting rate, such as lung abscess and bronchiectasis in the respiratory system,dyspepsia and inflammatory bowel diseases in the digestive system,obesity and osteoporosis in the endocrine system,somnipathy in the nervous system,visual disorders(refractive errors,amblyopia/strabismus) in the ophthalmology,domestic violence in psychiatry and so on.It was recommended to increase knowledge of palliative care and hospice care,and other knowledge of humanity.It was proposed to reduce the mastery of more specialized diseases,such as bone and joint infections and gestational trophoblastic disease.There is no increase or decrease about relevant clinical skills compared with contents of the training syllabus.Conclusion The knowledge and skills system in general practice is relatively comprehensive,and it optimized and improved the knowledge and skills needed by general practitioners according to the training syllabus,which provides a reference for the compilation of relevant training books and documents for general practitioners in the future.关键词
全科医学/知识/技能Key words
General practice/Knowledge/Skills分类
医药卫生引用本文复制引用
郝立晓,王婷,陈丽芬,陈超,贾建国..全科医学学科知识和技能体系研究[J].中国全科医学,2018,21(19):2269-2276,8.基金项目
首都全科医学研究专项重点项目(GPZ04)——全科医学学科知识和技能体系的研究 （GPZ04）
