Perspective of General Practitioners Toward Their Supervisors from the Recent Ten Years in China

Abstract Objectives:Doctors who wish to be the general practitioners (GPs) need to attend and complete general practice residents training in China. As in the early stage of the standardized GP training system, the GP training supervisors play an important role. This study aims to explore how the GP residents’ perspective towards GP supervisors and what factors affect the satisfaction tendency, and to offer some suggestions by the implication drawn from this study.Design:A quantitative and qualitative mixed study was conduct in the study . First, in the quantitative research, we adopt a survey by collecting training satisfaction through questionnaires, and extract and analyze the factors which influence the training satisfaction. Next, in the qualitative analysis, we conduct in-depth semi-structured interviews using the qualitative research criteria (COREQ)––a 32-item checklist for interviews. Participants:There are 1172 GPs whose time to start training varies from 2008 to 2017 in the quantitative survey while 100 of them filtered by stratified random sampling and extreme answers to the quantitative survey (less than 5% of the total sample) are chosen for the qualitative research to dig into the details. Specifically, the stratified random sampling is based on the resident's grade, region, and training basement level (city level or county level ), and the extreme answers refer to “extremely good” and “extremely bad” answers from the early 1172 participants comprehensive survey. Consequently, 30 extreme-answer participants were found and the left 70 were selected by stratified random sampling. According to the final implementation, participants meet the needs of information collection and sample estimation.Results:The results show that the satisfaction towards GP theoretical training supervisors, GP hospital-based training supervisors , and GP community-based training supervisors was different. From the average and long-term perspective, the prioritize of satisfaction is :GP theoretical training supervisors> GP community-based training supervisors > GP hospital-based training supervisors.GP hospital-based training supervisors need to improve GP concept, teaching methods and consciousness. GP community-based training supervisors need to improve their teaching methods, clinical theoretical knowledge and practice ability.Conclusions: On one hand ,GP supervisors team in China has been gradually settled up. On the other hand, the satisfaction tendency of residents toward GP supervisors are quite different, GP supervisors team need to be promoted and strengthened.