目的 进一步优化推荐免试（以下简称推免）招生工作机制，强化拔尖创新型人才的有效筛选，以期提升整体人才培养的质量与水平。 方法 采用定性分析与量化评估相结合的方式，通过与30所开展夏令营及预推免报名的招生培养单位进行深入座谈，从推免接收流程视角进行了细致剖析，运用PEST-SWOT模型分析影响推免接收工作的各项因素。随后，对这些因素进行了量化评分，以精准识别当前推免招生工作中存在的主要问题，并提出相应的对策建议。 结果 在量化评分结果中，机会、威胁、优势、劣势的平均得分分别为7.80、-7.47、8.33、-8.10分。在外部机会因素中，拥有较好的本科院校背景和本科专业背景得分较高，分别为8.89分和8.62分，表明这些因素对推免接收工作具有显著的正面影响；在外部威胁因素中，缺乏完善的夏令营入营系统和推免招生限额及计划减少得分较低，分别为-8.20分和-8.16分，揭示了这两大因素是当前推免接收工作面临的主要挑战；在内部优势因素中，具有较强的逻辑思维能力和专业成绩排名靠前得分较高，分别为9.22分和9.00分，体现了这两方面素质在推免接收中的重要作用；在内部劣势因素中，缺乏个人诚信得分最低，为-9.82分，表明这是当前推免招生工作中亟需解决的关键问题。 结论 招生培养单位需进一步完善预推免接收的考核评估标准，建立符合自身特色的预推免报名系统，以进一步规范推免接收流程；同时，应积极探索解决学校与推免申请者间的信任危机，确保推免招生工作的公平公正性，为拔尖创新型人才的选拔与培养奠定坚实基础。

Objective To further optimize the promotion and enrollment work, strengthen the selection of top-notch innovative talents, and promote the improvement of talent training quality. Methods Through discussions with 30 medical student enrollment and training units that hold summer camps and pre-recommendation applications, this study analyzes the factors that affect recommendation acceptance from the perspective of the recommendation acceptance process. The PEST-SWOT model is used to analyze the factors that affect recommendation acceptance, and these factors are rated to identify the problems and countermeasures in the current recommendation and enrollment work. Results The average scores for opportunities, threats, strengths, and weaknesses were 7.80, -7.47, 8.33, and -8.10 points, respectively. In terms of external opportunity factors, having a good undergraduate college background and a good undergraduate professional background scored higher, with scores of 8.89 and 8.62 points, respectively. In terms of external threats, the lack of a comprehensive summer camp admission system and exemption of enrollment quotas, with the plan to reduce posing the greatest threat, at -8.2 and -8.16 points, respectively. Among the internal advantage factors, having strong logical thinking ability (S6) and ranking high in professional performance scored higher, with scores of 9.22 and 9.00 points, respectively. Among the internal disadvantage factors, the lack of personal integrity has the greatest disadvantage, with a score of -9.82 points. Conclusion On the one hand, it is necessary to improve the assessment and evaluation standards for pre-recommendation acceptance, establish a pre-recommendation registration system that is in line with itself, and further standardize the process of pre recommendation acceptance; on the other hand, we need to explore solutions to the trust crisis between schools and recommended applicants, and maintain fairness and impartiality in the recommended enrollment work.