全科医学住培延期结业成因及改革策略的跨国对比研究

his review focuses on the delayed graduation issue in standardized residency training for general practitionersGPSRTconducting a cross-national comparative analysis of training systemscurrent status of delayscontributing factorsand reform strategies across 11 representative developed and developing countries. Findings reveal that delayed graduation in global GPRT programs is widespreadwith postponement rates influenced by multiple factors including clinical resource shortageselevated assessment standardspublic health emergenciesand residents' mental health challenges. Developing countries face more pronounced challenges due to regional resource disparities. Nations demonstrate differentiated countermeasures the United States optimizes training pathways through dynamic assessment mechanismsJapan enhances grassroots physician retention via policy incentiveswhile China strengthens training process management through digital technologies. The study proposes that resolving this issue requires coordinated efforts across three dimensionsrestructuring adaptive training modelsbuilding supportive ecosystem networksand iterating crisis response mechanisms. This approach seeks to balance efficiency with humanistic carestandardization with personalizationultimately enhancing the resilience of general practice education and healthcare service quality.