中文摘要：

目的调查全科规范化培训（规培）毕业学员的职业锚现状，为医疗机构制定全科医生职业发展策略提供依据。方法利用简版职业锚量表对目前在上海市社区卫生服务中心工作的152名2000年9月至2013年7月在中山医院完成全科规培的毕业学员进行职业锚调查，计算学员各量表得分情况并进行统计学分析。共发放问卷152份，回收有效问卷152份，有效回收率100％。结果在中山医院完成全科规培的毕业学员的各职业锚类型人数依次为工作安全型（106名，69．7％）、技术型（28名，18．4％）、服务型（8名，5．3％）、管理型（5名，3．3％）、自主型（3名，1．9％）、生活型（1名，0．7％）、创业型（1名，0．7％）、挑战型（0名）和地理安全型（0名）；不同性别组创业型职业锚得分差异有统计学意义（t=2．775，P=0．006）；不同年龄组地理安全型职业锚得分差异有统计学意义（t=-2．154，P=0．033）；不同工作年限组地理安全型得分差异有统计学意义（t=-2．414，P=0．017）；不同学历组、不同职称组全科规培学员各型职业锚得分差异无统计学意义（P〉0．05）。结论中山医院全科规培毕业学员的职业锚以工作安全型、技术型居多，部分职业锚类型与年龄、性别、工作年限相关，提示可针对职业锚特征对全科医生进行有效职业管理。

英文摘要：

Objective To understand the status quo of work satisfaction of the graduates of GP vocational training program by Zhongshan hospital Fudan university, to provide bases for making best GP career development strategy by health authorities. Methods Using short form of the career orientation inventory to conduct career investigation of the 152 graduates of GP vocational training program by Zhongshan hospital, Fudan university. 152 questionnaires were issued and the effective response rate was 100%. Results The top of GPs＇ career anchor is job security orientation （ 106,69. 7% ）, followed by technical competence （ 28,18.4% ）, service （ 8,5.3 % ）, managerial （ 5,3.3 % ）, autonomy （ 3,1.9 % ）, lifestyle （ 1, 0. 7 % ）, entrepreneurship （ 1,0. 7 % ）, pure challenge （ 0,0 ） and geographic security orientation （ 0, 0 ）. We found that for male GPs, they displayed higher score for entrepreneurship orientation than female GPs （ t = 2. 775 ,P =0. 006）. Those older than 35 displayed higher score for geographic security orientation than those younger than 35 （ t = - 2. 154, P = 0. 033 ）. GPs with at least 10 years＇ work experience displayed higher score for geographic security orientation than those with less than 10 years＇ work experience （t = -2. 414, P = 0. 017 ）. The distribution of all types of career orientations of GPs was the same no matter how different their degrees and professional titles were. Conclusions Job security orientation and technical competence are the major job orientations of GP vocational training program by Zhongshan hospital, some career anchor orientations are related to age, gender and duration of work experience. Effective career management should be conducted based on these characters of the graduates＇ career orientation.