Objective To study the application of
accreditation standards for trainers of
general practitioners (GPs) in
community health centers.
Methods The
questionnaire was designed according to the
accreditation standards for GP trainers in
community health centers,which involved professional quality,
clinical competence in
primary care and
teaching abilities.According to typical sampling,583 trainers from 56
community teaching bases in Shanghai were selected for the
survey.Results Among 583 participants,the effective
respondents were 505 with a response rate of 86.6%.The professional quality was highly recognized by the participants,and more than 80% of trainers met the requirement.For the
ability of
primary care,81.4% (411/505),79.8 % (403/505) and 69.5 % (351/505) of participants were well qualified with the
abilities of management for
hypertension,
type 2 diabetes and
coronary heart disease,respectively,while only about 40% had
abilities of management for
epilepsy,
hypothyroidism and chronic mental
diseases.75.4% (381/505) participants fully mastered the principle of
first aid skills and
CPR,while only 24.8% (125/505) had
abilities of management for conjunctival
foreign body and nasal
foreign body,34.5% (174/505) had the
abilities of
debridement and gastrolavage.For the index of
teaching abilities,most trainers had insufficient
teaching capacity and experience in the
community.Only 48.5% (245/505) and 40.2% (203/505) of trainers were familiar with the
teaching methods of cased-based
learning and
problem-based learning,respectively.Significant difference was found in the scores of
teaching abilities among trainers from
community health centers in different locations (P < 0.05),such as using appropriate
teaching methods (F =3.45,P =0.033),monthly assessment and
feedback to
students (F =5.14,P =0.006) and ensure at least 4 hours of
teaching time every week(F =4.96,P =0.007).No significant differences were found in the scores of professional quality and clinical competences in
primary care (P > 0.5).Conclusion The trainers of
general practitioners in
community health centers meet the requirement of
accreditation standards in the aspects of professional quality and clinical competences in
primary care,while the
teaching abilities remained to be improved and should be strengthened in the
future.