Abstract: Strengthening the construction of grassroots medical teams with a focus on general practitioners is an important measure to deeply implement the spirit of the 20th National Congress of the Communist Party of China, as well as the foundation and guarantee for achieving comprehensive health and a moderately prosperous society. Based on over ten years of training practice, exploration, and research, this article analyzes the challenges faced by current rural-oriented tuition-waived medical students training, strengthen the top-level design and continually optimize and adjust. We have established and implemented a competency-oriented training medical cultivation mode with school characteristics under the concept of one health. Combining with the characteristics and requirements of primary medical and public health service, the mode manifests in 6 aspects, that is: education concept, educational philosophy, course system, practical teaching system, teaching mode and evaluation system, quality assurance system. As one of the first universities to carry out target admission medical graduates training, Lanzhou University takes it as its responsibility to cultivate high-quality general medical talents, and has achieved remarkable results in education. Graduates have become the core force of grassroots health talents in the Gansu province, making contributions to the construction of a "Healthy Gansu". Schools should adhere to innovation and development, establish a personnel training system that meets the needs of the times, further strengthen collaboration with the government and employers, establish a collaborative linkage mechanism for enrollment, training, employment, and application, and effectively alleviate the worries of rural-oriented tuition-waived medical students.

Key words: target admission medical graduates, general practitioners, training occupational competence, concept of one health, talent developments, exploration and practice