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Training Pathways to Working as a General Practitioner in China.

Siqing Lian¹, Qi Chen², Mi Yao³

¹Peking University First Hospital, Beijing, China.

Family Medicine

|March 13, 2019

Summary

China is implementing diverse training pathways to increase general practitioners, including the promising 5+3 model, to meet future healthcare demands.

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Area of Science:

Healthcare policy
Medical education
Public health

Background:

China aims to significantly increase its general practitioner (GP) workforce, targeting 300,000 by 2020.
This initiative involves developing and utilizing multiple GP training pathways.

Purpose of the Study:

To comprehensively illustrate the various strategies and pathways employed in China for training general practitioners.
To provide an overview of the existing models for GP education and development in the country.

Main Methods:

Descriptive policy analysis was employed to examine GP training in China.
An inventory of relevant literature and source documents was compiled.
A model was developed to visually represent the different pathways for training general practice physicians.

Main Results:

Multiple training pathways exist, including the rural doctor pathway, the 3+2 pathway for assistant GPs, a transfer pathway for current physicians (1-2 years), and the 5+3 pathway (5 years bachelor's + 3 years residency).
Training duration and depth vary significantly, from 2-year technical degrees to doctorates.
Advanced degree programs have seen limited utilization.

Conclusions:

China's GP training landscape is characterized by significant heterogeneity.
The 5+3 pathway shows strong potential for enhancing GP quality and achieving future workforce goals.
China has set a new target of 500,000 additional GPs by 2030, emphasizing quality improvement.