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General Practice On-the-Job Training in Chinese Urban Community: A Qualitative Study on Needs and Challenges

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  • Yali Zhao
  • Rui Chen
  • Bo Wang
  • Tao Wu
  • Yafang Huang
  • Aimin Guo

Abstract

Background: On-the-job training is an important strategy for general practitioners to deliver appropriately community health services in China. The development of basic professional competence for general practitioners is the main goal of on-the-job training program. The aim of this study was to explore the needs of and the challenges to on-the-job training for general practitioners, and to provide advices for policy-makers to carry out this program more effectively. Methods: We conducted 3 nominal group techniques, 17 in-depth interviews and 3 focus groups to identify the status of, needs of and challenges to on-the-job training for general practitioners in Liaoning, Ningxia, and Fujian provinces from September 2011 until December 2011. Audiotapes and transcripts were analyzed to identify major themes. Content analysis of the data was completed from January 2012 to March 2012. Results: Basic theoretical knowledge and clinical skills were the main needs for general practitioners during on-the-job training. The challenges during training included the time contradiction between work and training, deficiencies of qualified preceptors, and lack of training funds. Participants gave recommendations how to resolve the above problems. Conclusions: In order to improve the outcomes of general practice on-the-job training, it is necessary for government officials to resolve the contradiction between work and training, train preceptors continuously, and increase financial support in the training program.

Suggested Citation

  • Yali Zhao & Rui Chen & Bo Wang & Tao Wu & Yafang Huang & Aimin Guo, 2014. "General Practice On-the-Job Training in Chinese Urban Community: A Qualitative Study on Needs and Challenges," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-11, April.
  • Handle: RePEc:plo:pone00:0094301
    DOI: 10.1371/journal.pone.0094301
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    1. Anonymous, 2014. "Introduction to the Issue," Journal of Wine Economics, Cambridge University Press, vol. 9(1), pages 1-2, May.
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    1. Rui Chen & Yali Zhao & Juan Du & Tao Wu & Yafang Huang & Aimin Guo, 2014. "Health Workforce Equity in Urban Community Health Service of China," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-15, December.
    2. Guanghui Jin & Yali Zhao & Chao Chen & Wenji Wang & Juan Du & Xiaoqin Lu, 2015. "The Length and Content of General Practice Consultation in Two Urban Districts of Beijing: A Preliminary Observation Study," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-10, August.
    3. Jing Feng & Wenyuan Sang & Zihui Lei & Ge Qu & Xinyan Li & Adamm Ferrier & Heng Jiang & Bo Pu & Yong Gan, 2023. "The impact of burnout on turnover intention among Chinese general practitioners: The mediating effect of job satisfaction and the moderating effect of professional identity," International Journal of Social Psychiatry, , vol. 69(3), pages 705-713, May.
    4. Mu-Hong Wei & Xian-Zhen Chen & Xing-Xin Zhan & Zhi-Xia Zhang & Shao-Jing Yu & Wei-Rong Yan, 2019. "The effect of a web-based training for improving primary health care providers’ knowledge about diabetes mellitus management in rural China: A pre-post intervention study," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-11, September.

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