摘要2018年5月采用自填式问卷调查了365名哈尔滨医科大学1～5年级在校本科生对全科医学专业学习认知及择业意向.结果 显示学习过《全科医学概论》课程的有71人(19.45％),没学过的289人(79.18％);选择了解全科医学的有21人(5.78％),部分了解的189人(51.78％),不了解的155人(42.47％);164人(44.93％)选择毕业后愿意攻读全科专业硕士学位;216人(59.18％)选择愿意毕业后参加全科医师规范化培训;147人(40.27％)选择毕业后会当全科医生;且学过《全科医学概论》的学生愿意攻读全科医学专业硕士学位的比例及全科住院医师规范化培训的比例均低于未学过的,差异有统计学意义(x2=7.46、7.14,P＜0.05).本科毕业后,愿意成为全科医生的前3位理由分别是有发展空间(70.15％,109/147)、热爱该学科(52.38％,77/147)、其他专业就业困难(27.21％,40/147);不愿意做全科医生的前3位理由分别是不利于职业发展(52.17％,133/138)、工作繁琐(47.10％,65/138)、对基层工作不熟悉(39.86％,55/138).提示医学院校应继续加强对本科生的全科医学的教育,不断完善课程体系,让学生适时了解全科医学,授课教师应正确引导学生规划职业生涯,吸引更多医学生加入全科医师行列.

abstractsA questionnaire survey on the perception of general practice and career intention was conducted among 365 undergraduates in Harbin Medical University in May 2018.Among all participants 71 (19.45％) had studied the course of Introduction to General Medicine,and 289 did not (79.18％).Twenty one students well knew general practice (5.78％),189 knew (51.78％) and 155 students did not know (42.47％);164 (44.93％) would pursue a master degree study in general practice after graduation,216 people (59.18％) were willing to attend standardized residency training after graduation,and 147 (40.27％) choose to be a general practitioner after graduation.The proportion of students willing to pursue a master degree study in general medicine and to receive standardized resident training of general practice in students who had studied "Introduction to General/Family Medicine" was lower than that in hose did not studied (x2=7.46,7.14,both P＜0.05).The top three reasons for becoming a general practitioner were more chance for career development (70.15％,109/147),loving the subject (52.38％,77/147),and difficulty to be employed for other specialties (27.21％,40/147).The first three reasons for not being a general practitioner were less chance for career development (52.17％,133/138),less interesting specialty (47.10％,65/138),unfamiliar with grassroots work (39.86％,55/138).The survey indicates that medical colleges should continue to strengthen the education of general practice,and constantly improve its curriculum system to attract more medical students to join the team of general practitioners after their graduation.