Objective To investigate and analyze undergraduate medical students' perceptions of top-tier biomedical talent cultivation and their understanding of relevant training strategies, and to propose targeted improvement recommendations.

Methods A total of 110 undergraduate medical students across all academic years at West China Hospital of Sichuan University were recruited via convenience sampling. A self-developed questionnaire on the current status of early incubation and cultivation of top biomedical talents in higher education institutions was administered to all participants.

Results 71.8% of the students demonstrated a relatively clear cognition of top-tier biomedical talent cultivation. 75.5% of the students regarded systematic research training during undergraduate studies as necessary, 90.0% supported the "research rotation system", and 77.5% considered the "early identification and tracking cultivation mechanism for top biomedical talents" essential; 81.8% of the participants believed that international exchange is critical for top-tier biomedical talent development. First- and second-year students showed a higher self-expectation of becoming top talents in the future (40.0%) than third- and fourth-year students (22.8%).

Conclusion Undergraduate medical students support the implementation of an early talent incubation and cultivation system in universities. It is recommended that international training programs be precisely aligned with the developmental characteristics of medical students at different stages, with targeted supporting resources allocated to stimulate students' intrinsic motivation for international development. Meanwhile, universities should proactively monitor students' research stress levels and organize stress relief training sessions, so as to consolidate the foundation of high-level medical talent cultivation.

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