全科住院医师培训的全方位评估体系

全科医生的能力决定了我国基层医疗服务的水平，但形式单一的考核方法无法有效地评估全科住院医师的能力水平，因此需要建立系统、全面的评估体系，对住院医师进行多方面的考核。本文在分析西方国家全科住院医师评估体系、Miller金字塔4个学习阶段及评估方法的基础上，建立了全科住院医师培训的全方位评估体系。该评估体系包括笔试、计算机模拟考试、客观结构化临床考试（OSCE）、临床日志、基于工作场所的评估、导师报告、病例分析、个人档案8个方面，可以多方面、全方位地了解全科住院医师的能力水平。

A Multi-faceted Assessment System for General Practice Residency Training

The quality of primary healthcare in China is largely determined by the ability of general practitioners.However，a single form of assessment method cannot effectively assess the competency of general practitioners.Therefore，it is necessary to establish a systematic comprehensive assessment system to conduct multi-faceted assessment of residents.Based on a thorough analysis of assessment systems for residents in western countries，including Miller's pyramid for assessing clinical competence，this paper proposes a multi-faceted assessment system for general practitioners in residency training.This assessment system includes written examination，computer simulation tests，objective structured clinical examination（OSCE），clinical logbook，practice-based assessment，mentor reports，case analysis，and personal profiles，which can comprehensively understand the ability of general practice residents in various aspects.