Abstract: Objective To investigate the current state of labor literacy among medical undergraduates and explores waysto enhance it within an employment-oriented framework, aiming to inform the integration of labor education into medicaltraining. Methods A mixed-methods approach was used, including questionnaire surveys and in-depth interviews focusingon four dimensions of labor literacy: cognition, emotion, volition, and behavior. Results Medical undergraduates' laborliteracy scores across all dimensions were significantly above the medium level (P＜0. 001), indicating relatively highoverall competence. However, a "knowledge-practice gap" was observed. Significant differences (P＜0. 001) were foundacross academic years, with junior students scoring lowest overall (3. 26±0. 32), particularly in labor emotion (2. 88±0. 59).Interviews revealed that internships, labor courses, and student work experiences enhanced labor literacy, and clear careerplanning promoted proactive skill improvement. Further integration of labor education into specialized curricula and careerguidance remains needed. Conclusion Strengthening education on the Marxist view of labor and improving the connectionbetween knowledge, emotion, and behavior are essential. Tailored activities should be designed based on students'developmental needs. Both dedicated labor courses and the incorporation of labor elements throughout medical educationand career guidance should be emphasized to improve overall labor literacy and comprehensive abilities.