破解村医留不住，浙江安吉探索“从村里来回村里去”

Core Viewpoint - The article discusses the persistent issue of talent shortages in grassroots healthcare institutions in China, emphasizing the need for effective training and retention strategies for rural medical professionals [2][4]. Group 1: Background and Challenges - Grassroots healthcare in China faces a "talent shortage," with a significant "siphoning effect" causing medical professionals to concentrate in urban hospitals, leaving rural clinics understaffed and aging [2][4]. - A study published in the British Medical Journal indicates that only about 38.54% of rural order-oriented medical students remain in grassroots positions after graduation, highlighting the gap between expectations and reality in rural healthcare [4]. - Previous attempts to recruit and retain medical graduates in rural areas have largely failed, with many students not staying in their assigned positions due to limited career prospects and challenging working conditions [5][6]. Group 2: Innovative Solutions - In 2018, Anji County initiated a "Traditional Chinese Medicine (TCM) Apprenticeship Training + Rural General Practitioner Assistant" program to address the shortage of village doctors by recruiting local high school graduates interested in TCM [6][8]. - The program offers a structured training approach, including a four-year curriculum that combines theoretical learning with practical experience, ensuring that students are well-prepared to serve their communities [8][9]. - The first cohort of 44 students from this program successfully returned to their hometowns to practice medicine, demonstrating the effectiveness of local recruitment and targeted training [7][10]. Group 3: Program Outcomes and Impact - The "Anji-Zhejiang Chinese Medical University" collaboration has shown promising results, with students exhibiting better adaptability, local emotional connections, and integrated service capabilities compared to traditional medical graduates [8][9]. - The curriculum emphasizes a blend of TCM and Western medicine, focusing on public health service skills and the ability to manage common health issues, thus enhancing the overall healthcare delivery in rural areas [9][10]. - The model has been recognized for its potential to address the shortage of TCM professionals while improving comprehensive health management and general medical services in grassroots settings [9].