Need. According to relevant data, the combination mode of "four certificates in one" for clinical medical graduates is an important measure to cultivate outstanding medical talents in the new period, an important part of medical education reform, and also brings new challenges to medical colleges and teaching hospitals. Our hospital has trained orthopedic experts for more than five years. We constantly sum up experiences and lessons in practice, combined with our own situation, made some improvements in clinical rotation arrangement, management and assessment, specialist theory and skills training, and scientific research ability training, and put forward a series of countermeasures and measures to provide reference for the subsequent training of orthopedic specialists.