Primary healthcare service is the first line of defense to guard the health of the nation, and traditional Chinese medicine (TCM), with its characteristics of “simplicity, testing and inexpensiveness,” holistic outlook, and the concept of treating the disease before it occurs, has a unique advantage in primary healthcare and a great demand for it. This paper analyzes the core challenges facing the cultivation of general medicine talents in TCM colleges and universities, such as the disconnection between cultivation goals and grassroots, the misalignment between practical ability and grassroots demand, and the lack of career attraction. On this basis, it puts forward a systematic reform path with the core concept of “rooting at the grassroots, highlighting characteristics, and strengthening competence” to cultivate talents that meet grassroots needs, aiming to provide theoretical references for TCM colleges and universities to cultivate excellent TCM talents who are “able to go down to the grassroots, be useful, stay in the field, and have development”, and to provide theoretical reference for the training of excellent TCM talents. The aim is to provide a theoretical reference for Chinese medicine colleges to cultivate excellent Chinese medicine talents who can “get down, use, stay and develop,” and to help the construction of a healthy China.
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