The general practitioner of Dagushan Village Health Room, Changqing District, Jinan City, Shandong Province came to check the elderly. Xinhua News Agency reported that the medical staff of Nanhe District People's Hospital of Xingtai City, Hebei Province went to the countryside to carry out free clinics at the grass-roots level. The medical workers of the Xinhua News Agency visited the villagers' homes in Shuangtang Village, Jinpan Miao and Yi Nationality Township, Zhongshan District, Liupanshui City, Guizhou Province to deliver medicine. According to the editor of Xinhua News Agency, grass-roots medical and health institutions are an important barrier to maintain the health of the masses, and their talent reserve level directly determines whether this barrier is solid and reliable. The report of the Twentieth National Congress of the Communist Party of China emphasized in the section of "Promoting the construction of a healthy China": "Develop and expand the medical and health team, and focus on the rural and community areas." How to take multiple measures to consolidate the training foundation of grass-roots medical and health personnel, and effectively expand the grass-roots medical and health personnel team? Guangming think tank talks with relevant experts on this issue. Guests of this issue: Hao Xiaoning, Director of the Research Office of the Health Development Research Center of the National Health Commission, Fang Pengqian, President of the Institute of Health Policy and Management, Huazhong University of Science and Technology, Zhang Ling, Vice President of the School of Public Health, Wuhan University of Science and Technology, Moderator: Li Xiao1. "Small hospitals" lack of "good doctors" bright think tanks: whether patients are willing to choose grass-roots hospitals for medical treatment, It largely depends on whether "small hospitals" have "good doctors". After years of high attention and practical construction of the Party and the country, what is the current situation of the talent team in China's grass-roots hospitals? Hao Xiaoning: In the past 10 years, the talent team of China's grass-roots hospitals has improved significantly. The number of licensed doctors and licensed assistant doctors in China's village medical team has increased from 233000 to 476000, and the number of people with bachelor's degree or above is also increasing. At the same time, there are still several deficiencies: from the perspective of quantity, the grass-roots health talents can not meet the current demand for medical and health services, and the phenomenon of talent gap and brain drain is serious; From the quality point of view, there are many problems in grassroots health talents, such as low education background, lack of medical knowledge, and lack of technical ability. The proportion of highly educated talents is relatively low, and the talent echelon is out of reach. Among the existing general practitioners, a large part of them have obtained professional qualification certificates through job transfer training or on-the-job training, and the medical service level is not satisfactory; From the perspective of treatment, the salaries of basic hospital staff are generally low, and some village doctors still belong to the status of farmers, and there is no unified withdrawal and old-age security mechanism. The senior posts set up by primary medical and health institutions are very limited, and the promotion space is small, which restricts the possibility and enthusiasm of the growth of medical and health talents. Fang Pengqian: According to the data of the 2022 China Health Statistics Yearbook, by the end of 2021, the total number of personnel in China's primary medical and health institutions reached 4.43 million. Compared with 2017, the total number of primary health personnel increased by more than 600000, and the number of general practitioners increased by more than 180000. It can be seen that the number of primary health personnel in China has increased rapidly, the educational structure has been optimized, and the ability to diagnose and treat common diseases has been strengthened. However, the allocation of health human resources at the grass-roots level is still uneven between different regions and between urban and rural areas, which is difficult to meet the health needs of urban and rural residents. At present, grass-roots medical and health affairs