The continuous development of emerging economies represented by China and Russia has exacerbated the changes in the world political and economic landscape, and international organizations represented by the United Nations have led to inefficient dispute resolution mechanisms in international affairs due to their formalism and pluralism. On the contrary, G-groups has shown its flexibility and efficiency in global governance. However, the international community has been questioned G-group’s legitimacy for many years. This paper will take the G7 and G20 as examples, analyze the legitimacy problems in G-groups, explain their reform measures, and propose future reform directions to promote the development of G-groups, so as to help the international community to conduct global governance more effectively.

To address gaps in practical skills among Public Health and Preventive Medicine graduates, an ‘open collaborative practice teaching model’ integrating medicine, teaching, and research was introduced. A cross-sectional study surveyed 312 Preventive Medicine undergraduates at a Yunnan medical university from 2020 to 2023, utilizing satisfaction scores and analyses (cluster, factor, SWOT) to assess the impact of the reform. Satisfaction scores from baseline, mid-term, and end-term assessments showed minor variations (4.30, 4.29, 4.36), with dissatisfaction primarily related to teaching content and methods. Key influences on satisfaction included teaching content, methods, and effectiveness. The SWOT analysis highlighted the importance of continuously updating teaching strategies to meet changing student expectations. This study suggests that the model has the potential for wider use in enhancing public health education, particularly in regions facing similar challenges.