采用文本分析方法梳理并分析2021年《普通高校本科招生专业选考科目要求指引(通用版)》(简称通用版指引)颁布前后不同高考模式下本科高校医学类专业高考选考科目的变化。结果显示,通用版指引颁布前不同高考模式下同一专业的选考科目存在差异,通用版指引颁布前后选考科目设置呈现从宽松的任选向限定的必选转变,并且物理和化学在选考科目中的受重视程度增加,凸显物理、化学等基础性课程在医学人才培养中的重要作用。

This paper reviews and analyzes the changes in the exam subjects of medical specialties for medical undergraduate programs with different modes of college entrance examination before and after the promulgation of 2021 Guidelines on Undergraduate Enrollment Majors in Colleges and Universities (General Edition)(General Edition guidelines for short). This article presents the following two results. First, differences are found in the exam subjects of the same major in different modes of college entrance examination. The setting of selective exam subjects presents inevitable change from loose optional conditions to restricted mandatory conditions before and after the promulgation of the General Edition guideline. Second, physics and chemistry feature more prominently in selective exam subjects, which demonstrates the growing importance of physics, chemistry and other basic courses in the cultivation of medical talents.