Under the background of medical and educational cooperation, improving the quality of clinical practice teaching is very important for training qualified medical talents and ensuring medical quality. However, many factors, such as society, patients, teachers and students themselves, still plague the improvement of clinical practice teaching quality. By comparing the training and teaching for students participating in the National Medical College Students'Clinical Skills Competition and general clinical teaching for medical college students in recent ten years, we hope to explore the ways to improve the efficiency of clinical practice teaching from the cause analysis, and promote the quality of clinical practice teaching.