The new round of industrial and technological revolution represented by artificial intelligence have promoted rapid changes in healthcare practice and education，posing significant challenges to the digital adaptability and competency of healthcare professionals. Therefore，medical universities and colleges must enhance digital literacy education. This paper aims to explore the performance and influencing factors of digital literacy among new students in clinical medicine. Based on 728 valid samples，the overall level of digital literacy of clinical medicine freshmen was good，yet the digital content and creation literacy was the most significant weakness. Variables including gender，only child status，student cadres，types of devices with Internet access and family backgrounds including family residency location，economic conditions，parents education level have different digital literacy performances. Student cadres，family location，and types of devices enabled with Internet access are key factors affecting their digital literacy level. The results provide scientific insights for medical universities and colleges to precisely implement digital literacy education and improvement for medical students，aiming to cultivate high - level healthcare professionals in the digital intelligence healthcare era.