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The challenge of training for family medicine across different contexts: Insights from providing training in China
  1. John Sandars1,
  2. Yingzi Huang2 and
  3. Trevor Gibbs3
  1. 1. Medical Education, Medical School, University of Sheffield, Beech Hill Road, Sheffield S10 2RX, UK
  2. 2. Management Centre of Community Health Service, No. 5 Fuhua Road, Futian, Shenzhen 518040, China
  3. 3. 5 Meols Court, 6 Meols Drive, Hoylake CH47 4AQ, UK
  1. Corresponding author : John Sandars, MB ChB, MSc, MD, MRCP, MRCGP, FAcadMEd, Medical Education, Medical School, University of Sheffield, Beech Hill Road, Sheffield S10 2RX, UK, E-mail: j.e.sandars{at}


Physicians with expertise in providing training for family medicine, at both undergraduate level and postgraduate level, are frequently invited to run training workshops in countries with developing systems of family medicine but this approach is often a challenge for the incoming external trainers. There are general challenges in working across different contexts, especially cultural factors, the different approaches to training, including the aims, methods, and assessment, and additional organizational factors, influenced by the wider sociopolitical environment of the host country. Practical responses to these challenges are discussed, with relevance to both external trainers and those responsible for requesting training. This commentary contains insights from the experiences of the authors in providing training for family medicine in China.

  • Undergraduate training
  • postgraduate training
  • family medicine
  • family practice
  • China

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See

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