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基于“双签约”的全专结合社区教学门诊模式提升社区全科医生综合能力的实践探索

Development and implementation of a community-based integrated general-specialist teaching clinic model: enhancing competency pathways for community general practitioners through the "dual-contracting" program

摘要上海市普陀区长风社区卫生服务中心自2017年起,结合“双签约”项目,创新性地整合全专结合门诊和教学门诊,逐步形成了全面覆盖医疗-教学-科研-管理的全科医生培养模式。这一模式有效融合了职前和职后阶段的全科医生培养目标与需求,在上级医疗专家下沉基层的背景下,不仅可以系统提升社区全科医生的专业能力,还可以实现医疗资源的最大化利用和医疗服务质量的整体提升。

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abstractsSince 2017, Changfeng Community Health Service Center in Putuo District, Shanghai, has innovatively integrated the "Dual-Contracting" program by combining integrated general-specialist outpatient services with teaching clinics. This integration has progressively evolved into a comprehensive general practitioner (GP) training model. This model cultivates competencies encompassing: core service delivery, specialized disease diagnosis and treatment, complex case management, chronic disease management within specialties, teaching and mentoring skills, and capacities for self-reflection and continuous learning. It effectively bridges the training objectives and needs for GPs across both pre-service and in-service stages. Against the backdrop of senior medical experts being deployed to primary care settings, this model not only systematically enhances the professional competencies of community GPs but also optimizes medical resource utilization and elevates the overall quality of healthcare services.

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