Through this study, we aim to construct a teaching model for basic medical courses that enhances “clinical competency.” We explore the optimal methods and pathways for the organic integration of exam-oriented teaching and professional teaching, optimize teaching efficiency, improve teaching quality and educational effectiveness, and provide theoretical support for the cultivation of clinical medical talents in China. The goal is to establish a talent cultivation objective oriented towards “clinical competency,” promote the teaching reform of basic medical courses in comprehensive universities, facilitate the transition of basic medical course teaching from “teacher knowledge presentation” to “student knowledge construction,” and cultivate high-quality medical talents with clinical competency.