Practice and discussion on training mode of rural order-directed tuition-free general medical practitioner

Objective This paper takes the reform of the main training mode of the general practitioner in western China as the starting point and combines the policy of national excellent doctor education and training program, in which the author will share the education experience of general medicine and introduce the practice of constructing "Training Mode of Rural Order-directed Tuition-free General Medical Practitioner" in Xi'an Medical University. Methods We reviewed the specific implementation process of "Training Mode of Rural Order-directed Tuition-free General Medical Practitioner", which mainly involves the formation of a special working group, the revision of the talent training program, and creation of an excellent teaching team. Meanwhile, the author suggests that we should exchange experience on practice-oriented teaching, strengthen practice evaluation and foster the construction of practice base. Results In order to cultivate a general practitioner who is suitable for the grassroots and qualified for the post, the most important feature of the revised talent training program is to highlight the development of students' comprehensive health care services at the grassroots level. Combined with the professional characteristics of the general medical talents, the proportion of the courses is further optimized, and the proportion of professional courses is as high as 79%. Under the premise of reducing the total number of hours, the theoretical and probationary time ratio of the main courses is 1:1. The implementation of the "3.5+1.5" training mode, via overall extension of the teaching time to enhance the student's job competency, laid the foundation for students to adapt to the primary health care work as soon as possible after graduation. In 2017, the pass rate of the first-year graduates to take the National Medical Licensing Examination was 99.4%. Conclusion This paper can provide reference for the units and departments of the rural order orientation free medical student training, and it has certain guiding significance for the promotion of medical education and medical reform. In order to further improve the "Training Mode of Rural Order-directed Tuition-free General Medical Practitioner", we will continue to carry out practical work from the three aspects of the construction of "Four-in-one education and teaching platform", the repair of "Clinical teaching quality assurance system", and the creation of "Intelligent medical training platform".