Efficiency and Prospect of Hierarchical Progressive Training for County-level General Practitioners with the Cooperative Framework between County-level Government and Medical Instituions and a Tertiary General Hospital

Background Since October 2020, relying on the teaching resources and experience of Department of General Practice of Sir Run Run Shaw Hospital, a three-stage hierarchical progressive teaching and training of "teacher training-backbone training-continuous training" has been carried out for general practitioners in People's Hospital of Deqing County and 12 subordinate primary care institutions in Deqing County. Objective To analyze the related efficiency of stratified stepped training for regional general practitioners from October 2020 to November 2021. Methods The stage competencies of 14 senior faculty members were evaluated prior to participation in training (October 2020), at the end of rotation training of Department of General Practice of Sir Run Run Shaw Hospital (January 2021) and at the end of the 12-month training (October 2021) ; the competency evaluation covers five aspects: general practice occupational competence, general practice clinical competence, general practice skills, general practice tea