关键词: 全科医学；角色扮演；病人模拟；教学影片和录像；医院, 教学；教育, 专业, 再培训

Abstract: Background　By the end of 2017，the number of general practitioners（GPs） working in China has reached 253 000，but it is far from meeting the target of 5 GPs for every 10 000 residents.The training for GPs started late in China，and its development is hindered by some factors such as the restriction of traditional methods and views of teaching.Objective　To explore the effect of videotaped role-play simulation，a teaching method，in standardized training of GPs.
Methods　We recruited 86 health workers with an experience of attending the standardized training for GPs from the Second Hospital of Hebei Medical University from March to September 2018.They were randomly divided into the observation group and control group according to the numeric code of the dormitories that they lived during the training period，with 43 in each，receiving training using the traditional teaching methods，and training using analyses of videotaped role-play simulation，respectively.When the training ended，the theories，practical skills and performance in simulated consultations of both groups were assessed and compared.Moreover，the level of self-rated interest in training method，and self-assessed benefits from the training were also compared between the two groups.Results　Compared with the control group，the observation group scored much better in terms of theories，practical skills and simulated consultations（P<0.05）.Furthermore，the self-evaluation results of the observation group were much superior to those of the control group in terms of interest in the teaching mode，learning achievement, and so on（P<0.05）.Conclusion　Videotaped role-play simulation used in standardized training for GPs can increase the learning initiative and enhance the comprehensive skills of the GPs，which is recommended for use in general practice teaching.

Key words: General practice；Role playing；Patient simulation；Instructional films and videos；Hospitals, teaching；Education, professional, retraining