Objective: To investigate the effect of scenario simulation teaching methods on community hospital physician training. Methods: Taking the acute chest pain as the entry point, the physicians of a community hospital in Nanjing were randomized into scenario simulation teaching group and traditional teaching group. The difference of the theoretical examination results before and after traning was compared, and the degree of recognition of the community physicians for the scenario simulation teaching was evaluated. Results: There was no significant difference in baseline data between the traditional teaching group and the scenario simulation teaching group. After the training, the test scores of the scenario simulation teaching group were significantly higher than those of the traditional teaching group (15.2±3.5 vs. 12.8±4.5, P<0.05). The proportion of physicians who think that scenario simulation teaching should be the major training method was significantly higher than that of traditional teaching (90.9% vs. 39.4%, P<0.05). Conclusion: Scenario simulation is a feasible way in training of community physicians and is more effective than traditional training methods.