摘要现阶段，我国全科医师培训中存在着门诊训练普遍严重不足的问题。而美国作为现代家庭/全科医学学科的发源地，其相关教育体系建设和医师培训等方面的经验值得借鉴。本研究比较了美国加利福尼亚大学圣迭戈分校(University of California，San Diego，UCSD)家庭医学科和北京大学医学部全科医学系的培养方案，重点比较了两者门诊训练的差别，如门诊轮转占总轮转时间比例的差异，学员独立接诊能力训练的差异等，并进行了相关文献回顾，阐释了美国家庭医学门诊训练给予我国全科住院医师规范化培训的启示，如增加全科门诊训练比例、增设全科教学门诊、以实践代观摩、试行连续性照顾门诊等。

abstractsThe United States is the birthplace of modern family medicine, and it is a world leader in the construction of the family medicine education system and the standardized training of family residents. The current training program of general practitioner (GP) in China is non-homogeneous, and outpatient training is inadequate. In order to orient the training of GP and to improve the quality of GP standardized training in China, this study compares the GP training in University of California, San Diego(UCSD ) with that in the Department of Family Medicine and the Department of General Medicine of Peking University Health Science Center, focusing on the differences in outpatient training , such as the ratio of outpatient rotation to the total rotation time and the independent consultation .The article also reviewed relevant literatures and discussed the enlightenment of the American family medicine outpatient training for GP residents training in China.