Abstract: 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.

Key words: College entrance examination reform, Undergraduate education, Medical specialty, Selective exam subjects, Enrollment